[The efficacy and safety of glofitamab combined with polatuzumab vedotin in the treatment of 9 cases of relapsed/refractory diffuse large B-cell lymphoma after failing CAR-T cell therapy].

Q3 Medicine
H Zhang, X Y He, X Xiao, H R Lyu, M F Zhao
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引用次数: 0

Abstract

To evaluate the efficacy and safety of glofitamab combined with polatuzumab vedotin in the treatment of relapsed/refractory diffuse large B-cell lymphoma (R/R DLBCL) after failure of chimeric antigen receptor T (CAR-T) cell therapy. Nine patients with R/R DLBCL who failed CAR-T therapy and received glofitamab combined with polatuzumab vedotin treatment at the Hematology Department of Tianjin First Central Hospital from March 2024 to April 2025 were selected for retrospective analysis of their clinical data. The overall response rate was 77.8%, and the complete response rate was 55.6% following six cycles of treatment. The median follow-up period was 12 (5-18) months. The 1-year progression-free survival rate and overall survival rate were 71.1% (95% CI: 56.3%-86.1%) and 76.2% (95% CI: 64.0%-94.2%), respectively. All 9 patients experienced cytokine release syndrome, with 7 cases at grade 1-2 and 2 cases at grade 3. One patient had grade 1 immune effector cell-associated neurotoxicity syndrome. Glofitamab combined with polatuzumab vedotin shows preliminary efficacy and a manageable safety in patients with R/R DLBCL after CAR-T cell therapy failure.

【格非他单抗联合polatuzumab vedotin治疗CAR-T细胞治疗失败后复发/难治性弥漫性大b细胞淋巴瘤9例的疗效和安全性】。
评价格非他单抗联合polatuzumab vedotin治疗CAR-T细胞治疗失败后复发/难治性弥漫性大b细胞淋巴瘤(R/R DLBCL)的疗效和安全性。选择2024年3月至2025年4月天津市第一中心医院血液科9例CAR-T治疗失败并接受格非他单抗联合polatuzumab vedotin治疗的R/R DLBCL患者,对其临床资料进行回顾性分析。治疗6个周期后,总有效率为77.8%,完全有效率为55.6%。中位随访期为12(5-18)个月。1年无进展生存率和总生存率分别为71.1% (95% CI: 56.3% ~ 86.1%)和76.2% (95% CI: 64.0% ~ 94.2%)。9例患者均出现细胞因子释放综合征,1-2级7例,3级2例。1例患者有1级免疫效应细胞相关神经毒性综合征。Glofitamab联合polatuzumab vedotin在CAR-T细胞治疗失败后的R/R DLBCL患者中显示出初步疗效和可管理的安全性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
0.80
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