Real-world outcomes of patients with relapsed/refractory large B-cell lymphoma receiving second-line therapy in England

EJHaem Pub Date : 2024-08-07 DOI:10.1002/jha2.970
Christopher P. Fox, William Townsend, John G. Gribben, Tobias Menne, Nagesh Kalakonda, Paula Williams, Farah Toron, Emma Tyas, Miranda Cooper, Joshua Rickards, John Radford
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Abstract

Autologous stem-cell transplantation (ASCT) is standard therapy for relapsed/refractory large B-cell lymphoma (R/R LBCL), but many patients are either ineligible or unable to receive it. This retrospective study characterized outcomes in R/R LBCL, delineated by eligibility for, and receipt of, ASCT. Median progression-free survival (PFS) and event-free survival (EFS) for patients undergoing ASCT were 35.2 and 31.6 months (overall survival [OS] not reached). Median PFS, EFS, and OS were 4.3, 4.3, and 6.9 months for ineligible patients, and 2.7, 2.6, and 9.4 months for those eligible for but unable to receive ASCT. This highlights an unmet need for alternative therapies in patients unable to receive ASCT.

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英格兰接受二线治疗的复发/难治性大 B 细胞淋巴瘤患者的实际疗效
自体干细胞移植(ASCT)是治疗复发/难治性大B细胞淋巴瘤(R/R LBCL)的标准疗法,但许多患者不符合条件或无法接受该疗法。这项回顾性研究根据ASCT的资格和接受情况对复发性/难治性大B细胞淋巴瘤的疗效进行了描述。接受ASCT治疗的患者的中位无进展生存期(PFS)和无事件生存期(EFS)分别为35.2个月和31.6个月(总生存期[OS]未达到)。不符合条件的患者的中位 PFS、EFS 和 OS 分别为 4.3、4.3 和 6.9 个月,符合条件但无法接受 ASCT 的患者的中位 PFS、EFS 和 OS 分别为 2.7、2.6 和 9.4 个月。这凸显了无法接受 ASCT 的患者对替代疗法的需求尚未得到满足。
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