Tulsi Patel, Nirja Shah, Benjamin Heyman, Thomas Kipps, Michael Choi
{"title":"Immunoglobulin kinetics and infection patterns across venetoclax-based regimens in chronic lymphocytic leukemia.","authors":"Tulsi Patel, Nirja Shah, Benjamin Heyman, Thomas Kipps, Michael Choi","doi":"10.1080/10428194.2026.2745238","DOIUrl":"https://doi.org/10.1080/10428194.2026.2745238","url":null,"abstract":"<p><p>CLL causes immune dysfunction, which drives infections and is responsible for significant morbidity. We sought to build on prior literature suggesting venetoclax-based treatments may restore humoral immunity. In a retrospective single-center study of 93 patients (98 treatment courses) across venetoclax monotherapy, venetoclax plus anti-CD20 monoclonal antibody (mAb), and venetoclax plus BTK inhibitor regimens, we tracked immunoglobulin levels and infections. We found Ig patterns over time differed by regimen, with IgA suppression most statistically significant with anti-CD20 combinations. Superior IgA reconstitution (SIR) occurred in 21% of patients and was not associated with undetectable minimal residual disease (uMRD). Despite Ig recovery, cumulative infection burden did not differ by MRD status. Our findings suggest that while there is reconstitution of humoral immunity, immunoglobulin levels alone do not determine infection susceptibility.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-12"},"PeriodicalIF":2.1,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zachariah DeFillipp, Nora K Horick, Kathleen M E Gallagher, Won-Ho Lee, J Graham Kiana, Brittany Diana, Ribeka Gebretsadik, Dana D Lee, Jooho Chung, Areej El-Jawahri, Matthew J Frigault, Steven McAfee, Richard A Newcomb, Paul V O'Donnell, Thomas R Spitzer, Peter Westervelt, Yi-Bin Chen
{"title":"PTCy, sirolimus, MMF and RGI-2001 to explore regulatory T-cell expansion following haploidentical peripheral blood stem cell transplantation: a pilot study.","authors":"Zachariah DeFillipp, Nora K Horick, Kathleen M E Gallagher, Won-Ho Lee, J Graham Kiana, Brittany Diana, Ribeka Gebretsadik, Dana D Lee, Jooho Chung, Areej El-Jawahri, Matthew J Frigault, Steven McAfee, Richard A Newcomb, Paul V O'Donnell, Thomas R Spitzer, Peter Westervelt, Yi-Bin Chen","doi":"10.1080/10428194.2026.2747545","DOIUrl":"https://doi.org/10.1080/10428194.2026.2747545","url":null,"abstract":"<p><p>In this single-arm pilot study, a novel regimen of post-transplant cyclophosphamide (PTCy), sirolimus, mycophenolate mofetil (MMF) and RGI-2001 was investigated to explore regulatory T-cell (T-reg) expansion in the setting of haploidentical allogeneic hematopoietic cell transplantation (HCT). RGI-2001 was infused at 100 ug/kg per dose, for six weekly doses. The primary endpoint was feasibility, assessed by the proportion of participants who were able to receive ≥4 doses of RGI-2001. Twenty-five participants enrolled. The primary endpoint was achieved by 80% of participants, deeming the regimen feasible. Longitudinal immune monitoring demonstrated recovery of T-reg subsets following HCT. The estimated probabilities of grades III-IV acute GVHD by day +180 was 12%, and moderate-severe chronic GVHD by 1 year was 28%. The regimen of PTCy, sirolimus, MMF and RGI-2001 was feasible. Future studies should evaluate optimized sequencing and dosing strategies to maximize the immunomodulatory effects of RGI-2001. This trial was registered at www.clinicaltrials.gov as NCT04473911.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer Yao, Anna Johnston, Jared Fairbank, Melissa Armstrong, Kate Manos, David Mathers, Mark Hertzberg, Amanda Tey, Ashley Whitechurch, Miles Ma, Anthony Jeffrey, Catelyn Cashion, Nicholas Parkes, Yao Ly, Eliza A Hawkes, Adrian Yeung, Andrew Grigg
{"title":"Outcomes and tolerability of bendamustine dose reductions when used in combination with anti-CD20 antibody as initial therapy in elderly patients with indolent lymphoproliferative disorders.","authors":"Jennifer Yao, Anna Johnston, Jared Fairbank, Melissa Armstrong, Kate Manos, David Mathers, Mark Hertzberg, Amanda Tey, Ashley Whitechurch, Miles Ma, Anthony Jeffrey, Catelyn Cashion, Nicholas Parkes, Yao Ly, Eliza A Hawkes, Adrian Yeung, Andrew Grigg","doi":"10.1080/10428194.2026.2745240","DOIUrl":"https://doi.org/10.1080/10428194.2026.2745240","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-4"},"PeriodicalIF":2.1,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sahana Kannan, Julia Jennings, Lloyd Hutchinson, Anne Higgins, Timothy Sannes, Shyam Ajay Patel, Jan Cerny, Laurie Pearson
{"title":"Oral azacitidine as time-limited, PCR-dependent maintenance in acute myeloid leukemia with inv(16): two case reports.","authors":"Sahana Kannan, Julia Jennings, Lloyd Hutchinson, Anne Higgins, Timothy Sannes, Shyam Ajay Patel, Jan Cerny, Laurie Pearson","doi":"10.1080/10428194.2026.2747547","DOIUrl":"https://doi.org/10.1080/10428194.2026.2747547","url":null,"abstract":"<p><p>Core-binding factor acute myeloid leukemia (CBF-AML) in fit patients is treated with curative-intent induction chemotherapy followed by 3-4 cycles of high-dose cytarabine (HiDAC) consolidation. No standard therapy exists for patients with contraindications to HiDAC consolidation. Oral azacitidine is approved as indefinite maintenance therapy for intermediate/high risk AML but has not been studied in CBF-AML, nor in a time-limited fashion. We present two patients with CBF-AML who achieved morphologic remission after induction but had medical (case 1) or psychiatric (case 2) contraindications to HiDAC, therefore receiving oral azacitidine in a minimal residual disease (MRD)-guided, time-limited fashion. In case 1, drug-induced liver injury precluded HiDAC therapy; after four cycles, CBFB::MYH11 became PCR-undetectable, and azacitidine continued for a year. In case 2, a suicide attempt related to anticipated hospitalization precluded HiDAC; azacitidine was administered intermittently. Both patients remain MRD-negative 1.5 years post-treatment suggesting time-limited, MRD-guided azacitidine as a potential alternative to HiDAC consolidation.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-6"},"PeriodicalIF":2.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149195112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Inna Y Gong, Matthew C Cheung, Kelvin K W Chan, Andrew Calzavara, Ning Liu, Hari S Raman, Oreofe O Odejide, Paul Kurdyak, Michael J Raphael, Anca Prica, Lee Mozessohn
{"title":"Long-term mental health service utilization among patients with diffuse large B-cell lymphoma: a population-based study.","authors":"Inna Y Gong, Matthew C Cheung, Kelvin K W Chan, Andrew Calzavara, Ning Liu, Hari S Raman, Oreofe O Odejide, Paul Kurdyak, Michael J Raphael, Anca Prica, Lee Mozessohn","doi":"10.1080/10428194.2026.2746186","DOIUrl":"https://doi.org/10.1080/10428194.2026.2746186","url":null,"abstract":"<p><p>Mental health disorders are common in diffuse large B-cell lymphoma (DLBCL), yet long-term mental health service utilization (MHU) remains poorly characterized. We evaluated MHU rates and associated sociodemographic factors in patients undergoing curative treatment. This population-based retrospective matched-cohort study used Ontario administrative data; patients treated with rituximab-based chemotherapy (2005-2017) were matched 1:4 (age/sex) to non-cancer controls and followed up to 15 years. Difference-in-differences Poisson regression compared MHU between groups, adjusting for sociodemographic variables. Among 10,132 patients and 40,528 controls, DLBCL patients had significantly higher adjusted MHU at 5 years: outpatient visits (aRR 1.22), emergency visits (aRR 1.75), and hospitalizations (aRR 1.97). Elevated rates persisted at 10 and 15 years. Higher MHU was associated with younger age, female sex, lower income, and urban residence. DLBCL patients demonstrated persistently elevated MHU for up to 15 years post-treatment, underscoring the need for mental health integration into survivorship care.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tiana Huynh, Sonia Rodriguez-Rodriguez, Alexey V Danilov
{"title":"Emerging drug profile: bexobrutideg.","authors":"Tiana Huynh, Sonia Rodriguez-Rodriguez, Alexey V Danilov","doi":"10.1080/10428194.2026.2743355","DOIUrl":"https://doi.org/10.1080/10428194.2026.2743355","url":null,"abstract":"<p><p>Bruton's tyrosine kinase (BTK) plays an important role in B-cell development and has become a well-established target in B-cell malignancies. Over the past two decades, BTK inhibitors (BTKis) have transformed the treatment landscape for chronic lymphocytic leukemia (CLL) and other B-cell lymphoid malignancies. Despite their efficacy, acquired resistance to BTKis remains a significant challenge, highlighting the need for alternative therapeutic strategies. Targeted protein degradation has emerged as a promising approach to eliminate BTK and thereby inhibit both its kinase and non-kinase (i.e. scaffold) functions. Bexobrutideg (NX-5948) is a novel BTK degrader that was designed to overcome limitations associated with BTKis while maintaining favorable selectivity. In this review, we summarize the rationale for BTK degradation, discuss the preclinical and clinical evidence supporting bexobrutideg, and highlight remaining challenges and future directions for this emerging class of therapeutics.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fernando De la Garza-Salazar, Diana Lorena Lankenau Vela, Daena Guadalupe Muñoz Cruz
{"title":"Clinical outcomes with azole and other CYP3A4 inhibitor coadministration during venetoclax plus azacitidine or decitabine therapy in newly diagnosed acute myeloid leukemia: a systematic review and meta-analysis.","authors":"Fernando De la Garza-Salazar, Diana Lorena Lankenau Vela, Daena Guadalupe Muñoz Cruz","doi":"10.1080/10428194.2026.2742608","DOIUrl":"https://doi.org/10.1080/10428194.2026.2742608","url":null,"abstract":"<p><p>Venetoclax plus azacitidine or decitabine (VEN-HMA) is a frontline option for newly diagnosed acute myeloid leukemia (AML). Venetoclax is metabolized by CYP3A4 and in practice is frequently coadministered with CYP3A4 inhibitors, yet whether this affects outcomes is unknown. We systematically searched four databases (PROSPERO CRD420251152772) for newly diagnosed AML treated with VEN-HMA reporting composite complete remission (CRc), invasive fungal infection or survival by CYP3A4-inhibitor status, through August 2026. Nineteen studies (2021-2026) were included, twelve contributing to the quantitative syntheses. Across five comparative cohorts, the pooled odds ratio for CRc was 0.81 (95% CI 0.58-1.13; I<sup>2</sup>=0%); among six single-arm cohorts, the pooled CRc proportion was 67.1% (62.0-71.9%), matching no-inhibitor and trial benchmarks (∼66-67%). Fungal infection was pooled but uninformative; survival was not pooled. Overall certainty was very low. Concomitant CYP3A4-inhibitor exposure was not associated with compromised remission, consistent with the feasibility of reduced-dose regimens pending prospective confirmation.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-17"},"PeriodicalIF":2.1,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Antti Turunen, Outi Kuittinen, Ville Varmavuo, Esa Jantunen, Anu Partanen
{"title":"Delayed platelet recovery in lymphoma patients after autologous hematopoietic cell transplantation - risk factors and prognostic significance.","authors":"Antti Turunen, Outi Kuittinen, Ville Varmavuo, Esa Jantunen, Anu Partanen","doi":"10.1080/10428194.2026.2738355","DOIUrl":"https://doi.org/10.1080/10428194.2026.2738355","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-5"},"PeriodicalIF":2.1,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Raajit K Rampal, Claire N Harrison, Ruben Mesa, Alessandro M Vannucchi, Kazuya Shimoda, Andrew Perkins, Jacqueline S Garcia, Andreas Reiter, Atanas Radinoff, Fabrizio Pane, Francesca Palandri, Elza Lomaia, Sung-Eun Lee, Hun S Chuah, Francesco Passamonti, Guray Saydam, Mehmet Turgut, Sung-Soo Yoon, Earle E Bain, Hung Lam, Shilpa Jain, Jalaja Potluri, Jean-Jacques Kiladjian
{"title":"Navitoclax monotherapy or in combination with ruxolitinib in patients with JAK2 inhibitor-treated myelofibrosis: results from the phase 2 REFINE and phase 3 TRANSFORM-2 studies.","authors":"Raajit K Rampal, Claire N Harrison, Ruben Mesa, Alessandro M Vannucchi, Kazuya Shimoda, Andrew Perkins, Jacqueline S Garcia, Andreas Reiter, Atanas Radinoff, Fabrizio Pane, Francesca Palandri, Elza Lomaia, Sung-Eun Lee, Hun S Chuah, Francesco Passamonti, Guray Saydam, Mehmet Turgut, Sung-Soo Yoon, Earle E Bain, Hung Lam, Shilpa Jain, Jalaja Potluri, Jean-Jacques Kiladjian","doi":"10.1080/10428194.2026.2739358","DOIUrl":"https://doi.org/10.1080/10428194.2026.2739358","url":null,"abstract":"<p><strong>(clinicaltrials.gov identifier: </strong>NCT03222609 [REFINE]; NCT04468984 [TRANSFORM-2]).</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-11"},"PeriodicalIF":2.1,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluating YouTube videos for Hodgkin lymphoma patient education.","authors":"Stephanie Quon, Sandy Lum-Wang, Paris-Ann Ingledew","doi":"10.1080/10428194.2026.2741486","DOIUrl":"https://doi.org/10.1080/10428194.2026.2741486","url":null,"abstract":"<p><p>Hodgkin lymphoma (HL) is a highly treatable malignancy. As patients and families seek information online, educational resources are essential. YouTube is widely used for health information, but the quality of HL-specific content is unclear. We evaluated the characteristics, content, and reliability of YouTube videos for HL patient education. Search terms generated a list of 50 relevant videos. Data were extracted and analyzed using validated video assessment tools. Two independent reviewers evaluated reliability; accuracy was assessed using a structured consensus document across five domains. Videos most commonly covered treatment options, diagnosis, prognosis, and symptoms; follow-up, prevention, and complementary therapies were less frequently addressed. Most videos were produced by nonprofit organizations or healthcare facilities. Overall reliability was moderate, with higher scores for educational videos. While many videos provide reliable content, follow-up care, screening, prevention, and transparency about information sources remain limited. More comprehensive online resources are needed for HL patient education.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-7"},"PeriodicalIF":2.1,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}