Best practices for the Multidisciplinary Management of NHL using Antibody Therapeutics
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Geoffrey is a 69-year-old man who you previously diagnosed as having stage IV non-GCB DLBCL with an IPI of 4. You administered three cycles of R-CHOP, noting slowly responsive disease on CT, whereupon you administered three more cycles of R-CHOP. Repeat biopsy, however, confirmed primary refractory disease. As second-line therapy, you then prescribed two cycles of polatuzumab vedotin and rituximab as bridging treatment for Geoffrey, followed by fludarabine/cyclophosphamide lymphodepletion and CD19-directed CAR T-cell treatment with axi-cel. Geoffrey continues to progress. What is the next best step for this patient?
Chemotherapy and autologous transplant
Involved field radiation
Glofitamab
Mosunetuzumab
Which of the following statements best describes the findings of the phase 2 LOTIS-2 trial investigating loncastuximab tesirine in patients with R/R DLBCL?
The most common treatment-emergent adverse event was nausea
More than one-fourth of patients achieved a complete response
Patients with double-hit DLBCL were not included in the study
Nearly half of patients who achieved complete response were event free for ≥1 year
Martin is a 64-year-old male who has primary refractory advanced stage GCB DLBCL. He has previously been treated with R-DA-EPOCH, followed by Pola-BR and axi-cel. You determine now that he may be a viable candidate for a bispecific antibody. When counseling the patient about adverse events related to treatment with this class of agents, your discussion should include which of the following?
The patient may expect low frequency of grades 1-4 CRS events
The patient may expect low frequency of grade 3+ CRS events
The patient may expect high frequency of grades 1-4 ICANS events
The patient may expect high frequency of grades 3+ ICANS events
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