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On 27 March 2018, an updated analysis was published in the Journal of Clinical Oncology on the randomized phase III GADOLIN study (NCT01059630) by Bruce Cheson, Deputy Chief Division of Hematology and Oncology at the Georgetown University Medical Center, Washington D.C., and colleagues.
The open-label, randomized, phase III study assessed the use of obinutuzumab (GA101; G) and bendamustine (B) in patients with rituximab-refractory indolent non-Hodgkin lymphoma (iNHL). The primary endpoint of the study was progression-free survival (PFS) assessed by an independent review committee (IRC). Secondary endpoints were investigator-assessed PFS, overall survival (OS), time to new treatment (TTNT) and safety.
Patients included in the study were diagnosed with rituximab-refractory CD20 positive iNHL. Patients received treatment with either G and B or B-monotherapy. Patients who did not progress after this treatment received G maintenance for up to 2 years.
The authors found that PFS was prolonged in patients treated with G-B compared with B-monotherapy. This analysis was able to confirm the efficacy results from the initial analysis and the authors noted that these results were reflected across the subtypes of iNHL. There was also survival benefit observed in rituximab-refractory iNHL patients treated with G-B. No new safety signals emerged.
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Your opinion matters
Which of the following would most increase your confidence in referring patients with R/R large B-cell lymphoma for CAR T-cell therapy?