Updates in DLBCL Management—The Role of Antibody Drug Therapeutics in Frontline and Later-Line Management
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Which of the following statements regarding polatuzumab vedotin-based therapy is correct?
Single agent polatuzumab vedotin is a National Comprehensive Cancer Network (NCCN) preferred second-line treatment for transplant-ineligible diffuse large B-cell lymphoma (DLBCL)
Polatuzumab vedotin in combination with rituximab, cyclophosphamide, doxorubicin, and prednisone (pola-R-CHP) is an NCCN preferred regimen for previously untreated intermediate-risk or high-risk DLBCL
Pola-R-CHP is an NCCN preferred regimen for previously untreated DLBCL with International Prognostic Index (IPI) score of 0
All the above
Marge, a 64-year-old female with relapsed/refractory diffuse large B-cell lymphoma (R/R DLBCL), is being evaluated for third-line therapy after her disease progression on front-line R-CHOP and second-line tafasitamab/lenalidomide. Her biopsy results are CD19–, CD20+, CD30+, CD3–, and CD10–. Fluorescence in situ hybridization testing reveals no rearrangement of
MYC
or
BCL2
. Which of the following treatment approaches is most directly informed by Marge’s molecular testing results?
Chimeric antigen receptor T-cell (CAR-T) therapy (eg, axicabtagene ciloleucel)
Single-agent rituximab
Loncastuximab tesirine
Brentuximab vedotin + lenalidomide/rituximab
Tafasitamab/lenalidomide
John is a 66-year-old male with relapsed/refractory CD20+, PAX5+, CD10+, MYC++ diffuse large B-cell lymphoma (DLBCL) and activated B-cell (ABC) subtype, whose disease progressed 4 years after initiating R-CHOP therapy. He subsequently received glofitamab + gemcitabine/oxaliplatin (GemOx). Now 18 months later his most recent positron emission tomography/computed tomography (PET/CT) scans indicate progressive disease. John lives in a rural area and lacks social support for overnight travel. Which treatment option below would be most appropriate for John at this stage of his disease?
Continue on glofitamab + GemOx but step up glofitamab dosing
Tafasitamab/lenalidomide
Loncastuximab tesirine
CAR-T therapy
Which of the following toxicities is frequently associated with both bispecific antibody therapy and CAR-T therapy in the management of relapsed/refractory diffuse large B-cell lymphoma (DLBCL)
Immune effector cell-associated neurotoxicity syndrome, [greater than or equal to]-> grade 3
Cytokine release syndrome
Cardiotoxicity leading to frequent treatment discontinuation
Increased risk of secondary malignancies compared to other immunotherapies
All the above
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