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To understand the effect of sequencing anti-CD19 therapy in the treatment of lymphoma, data from the DESCAR-T registry of adult patients in France with R/R LBCL were analyzed and outcomes in patients treated with tafasitamab + lenalidomide pre- or post-anti-CD19 CAR T-cell therapy (axi-cel or tisa-cel received in the third-line or later) were assessed.1 The results were published by Camus et al.1 in Blood Advances.
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Key learnings: |
For patients with R/R LBCL who received tafasitamab + lenalidomide after progression with anti-CD19 CAR T-cell therapy, the median PFS, OS, and DOR after progression were 3, 4.7, and 8.1 months, respectively. |
Patients who received tafasitamab + lenalidomide for relapse >6 months after CAR T-cell infusion had better outcomes compared with those who received tafasitamab + lenalidomide <6 months after CAR T-cell infusion; median PFS was 5.6 vs 2 months, respectively (p = 0.0138), and median OS was not reached vs 3.8 months, respectively (p = 0.0034). |
The efficacy of tafasitamab + lenalidomide post-CAR T-cell therapy was comparable to other salvage therapies; there was no significant difference in PFS and OS when comparing tafasitamab + lenalidomide to other treatment options or lenalidomide alone. |
The number of patients who received tafasitamab + lenalidomide before CAR T-cell therapy was too low to determine its impact on post-CAR T-cell treatment outcomes. |
This study confirms the poor prognosis for patients with LBCL who relapse after CAR T-cell therapy and highlights the need for alternative strategies for treating these patients, particularly for those relapsing early after CAR T-cell infusion. |
Further investigation into optimal treatment sequencing and timing for the treatment of LBCL is warranted, particularly to understand the clinical relevance of targeting CD19 in different lines of therapy. |
Abbreviations: axi-cel, axicabtagene ciloleucel; CAR, chimeric antigen receptor; DOR, duration of response; LBCL, large B-cell lymphoma; liso-cel, lisocabtagene maraleucel; OS, overall survival; PFS, progression-free survival; R/R, relapsed/refractory.
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Results of the L-MIND trial in R/R DLBCL
Results of the L-MIND trial in R/R DLBCL.
Results of the L-MIND trial in R/R DLBCL
Results of the L-MIND trial in R/R DLBCL.
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