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?
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?
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?
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)
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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