Durga B Dandamudi, Iwona M Konieczna, Kelly M Calabrese, Monica Wielgos-Bonvallet, Christiaan Kweekel, Elke Gresnigt-van den Heuvel, Ramesh Iyer, Paul Ellis, Luis Rodriguez, Apurvasena Parikh, Tommy Li, Madelon Paauwe, Cormac Cosgrove, Adam S Chervin, Edward B Reilly, Pearlie Epling-Burnette, Edith Szafer-Glusman
{"title":"Combinability of epcoritamab CD20-targeting T-cell engager and CD20 antibody-targeted therapies in B-cell non-Hodgkin lymphoma.","authors":"Durga B Dandamudi, Iwona M Konieczna, Kelly M Calabrese, Monica Wielgos-Bonvallet, Christiaan Kweekel, Elke Gresnigt-van den Heuvel, Ramesh Iyer, Paul Ellis, Luis Rodriguez, Apurvasena Parikh, Tommy Li, Madelon Paauwe, Cormac Cosgrove, Adam S Chervin, Edward B Reilly, Pearlie Epling-Burnette, Edith Szafer-Glusman","doi":"10.1080/10428194.2025.2504719","DOIUrl":"https://doi.org/10.1080/10428194.2025.2504719","url":null,"abstract":"<p><p>Epcoritamab, a subcutaneous CD3xCD20 bispecific antibody approved for relapsed/refractory diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma, is being evaluated in regimens containing CD20-targeted monoclonal antibodies (e.g. rituximab plus cylophosphamide, doxorubicin, vincristine, and prednisone [R-CHOP]). To demonstrate combinability of epcoritamab with CD20 monoclonal antibodies (mAbs), potential interference of rituximab or obinutuzumab with epcoritamab was investigated. While there was dose-dependent binding interference between CD20 mAbs and epcoritamab through steric hindrance, ex vivo assays using tumor cell lines, R-CHOP-treated patient samples, and an animal model showed this did not impair tumor cell killing. In a pharmacokinetic model, >90% maximal cytotoxicity was predicted after the first full epcoritamab dose in the presence of therapeutic rituximab concentrations due to effective tumor-epcoritamab-T-cell trimer formation. Immunoprofiling of R-CHOP-treated DLBCL patient samples showed emergence of less-differentiated CD8 memory T cells, further supporting the feasibility of the combination in ongoing studies of epcoritamab with rituximab-containing chemoimmunotherapy.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-12"},"PeriodicalIF":2.2,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317339","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}
Lisa Masucci, John Kuruvilla, Beate Sander, Anca Prica, William W L Wong, Kelvin K W Chan
{"title":"Real-world healthcare costs for patients treated with chimeric antigen receptor T-cell therapy in Canada.","authors":"Lisa Masucci, John Kuruvilla, Beate Sander, Anca Prica, William W L Wong, Kelvin K W Chan","doi":"10.1080/10428194.2025.2518440","DOIUrl":"https://doi.org/10.1080/10428194.2025.2518440","url":null,"abstract":"<p><p>Chimeric antigen receptor T-cell (CAR-T) therapy is a practice changing high-cost therapy; however, little is known about the real-world cost of CAR-T. We estimated the acute healthcare costs associated with CAR-T for patients with r/r DLBCL. We performed a retrospective cohort study of patients who received CAR-T between 1 January 2020 and 31 August 2021 at Princess Margaret Cancer Center, Toronto, Ontario. Costs were divided into distinct costing phases. Mean total costs per phase and by service category were calculated. Fifty-three patients received CAR-T. The mean age was 61 years and the majority were male (60%). The total mean costs per patient were: C$11,180 (95% CI: $7712-14,649) for the pretreatment phase (30 days), C$511,983 (average product cost C$473,127) (95% CI: $504,472-520,666) for the treatment phase, and C$41,620 (95% CI: $29,935-52,933) for the post-treatment phase (100 days). This cost information may inform cost-effectiveness analyses for CAR-T as well as reimbursement decisions.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-9"},"PeriodicalIF":2.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310129","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}
Maria Dimou, Maria Karypidou, Aikaterini Bitsani, Marina Belia, Anastasia Kopsaftopoulou, Kalliopi Zerzi, Andreas Kyriakopoulos, Sotirios Sachanas, Ilias Pessach, Aikaterini Kolotsiou, Maria K Angelopoulou, Marina Siakantaris, Theodoros P Vassilakopoulos, Panayiotis Panayiotidis
{"title":"Acalabrutinib resistance in a CLL patient harboring a C515 mutation in the BTK-C isoform.","authors":"Maria Dimou, Maria Karypidou, Aikaterini Bitsani, Marina Belia, Anastasia Kopsaftopoulou, Kalliopi Zerzi, Andreas Kyriakopoulos, Sotirios Sachanas, Ilias Pessach, Aikaterini Kolotsiou, Maria K Angelopoulou, Marina Siakantaris, Theodoros P Vassilakopoulos, Panayiotis Panayiotidis","doi":"10.1080/10428194.2025.2518434","DOIUrl":"https://doi.org/10.1080/10428194.2025.2518434","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-2"},"PeriodicalIF":2.2,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302430","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":"Familial aspects of multiple myeloma and Waldenström macroglobulinemia: understanding the predisposition in relatives and the importance of early diagnosis.","authors":"Neta Sternbach, Morie A Gertz","doi":"10.1080/10428194.2025.2516256","DOIUrl":"https://doi.org/10.1080/10428194.2025.2516256","url":null,"abstract":"<p><p>Multiple myeloma (MM) and Waldenström macroglobulinemia (WM) are B-cell malignancies with emerging evidence of familial predisposition. While most cases are sporadic, recent genomic studies have identified germline mutations and polygenic risk factors that contribute to familial clustering. This review synthesizes current data on inherited susceptibility to MM and WM, focusing on germline variants, polygenic risk scores, and familial patterns. We evaluate the functional relevance of implicated genes and explore biological mechanisms including DNA repair, telomere maintenance, and immune regulation. Germline variants in DNA repair genes (e.g. BRCA1/2, TP53), immune regulators (e.g. TNFRSF13B, TREX1), and telomere-related pathways (e.g. POT1, TERT) have been associated with familial cases. Polygenic inheritance also plays a significant role, with risk loci influencing plasma cell survival and transformation. These findings have direct implications for risk assessment, early diagnosis, and surveillance in at-risk relatives.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-8"},"PeriodicalIF":2.2,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144289485","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}
Catherine E Lai, Thomas P Leahy, Alex J Turner, Amber Thomassen, Lixia Wang, Aaron D Sheppard, Jorge Cortes
{"title":"Effectiveness of olutasidenib versus ivosidenib in patients with mutated isocitrate dehydrogenase 1 acute myeloid leukemia who are relapsed or refractory to venetoclax: the 2102-HEM-101 trial versus a US electronic health record-based external control arm.","authors":"Catherine E Lai, Thomas P Leahy, Alex J Turner, Amber Thomassen, Lixia Wang, Aaron D Sheppard, Jorge Cortes","doi":"10.1080/10428194.2025.2514894","DOIUrl":"https://doi.org/10.1080/10428194.2025.2514894","url":null,"abstract":"<p><p>First-line venetoclax (VEN) treatment for acute myeloid leukemia (AML) has high relapse rates, with limited evidence guiding subsequent therapy sequencing. This study evaluated the effectiveness of olutasidenib (OLU) versus ivosidenib (IVO) for patients withIDH1 relapsed/refractory (R/R) AML previously treated with VEN based therapy. Outcomes were compared between a subcohort of OLU-treated patients from the 2102-HEM-101 trial and an external control arm of IVO-treated patients from the Loopback Analytics electronic health record database. Entropy balancing was applied to align key prognostic variables. Risk differences (RD) for response/TI were estimated <i>via</i> logistic regression, and hazard ratios (HR) for OS <i>via</i> Cox regression. Following weighting, treatment with OLU versus IVO was associated with significantly higher rates of complete response (RD: 0.25; 95%CI: 0.01, 0.49), transfusion independence (RD: 0.27; 95%CI: 0.01, 0.53), and OS (HR: 0.33; 95%CI: 0.11, 0.94). Results suggest favorable effectiveness of OLU versus IVO in this population.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-12"},"PeriodicalIF":2.2,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285138","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":"Efficacy and safety of anti-CD38 monoclonal antibodies in patients with newly diagnosed multiple myeloma: an updated systematic review and meta-analysis based on randomized controlled trials.","authors":"Zujie Lin, Ruijun Dong, Wenxiang Zhang, Rui Liu, Bingjie Fu, Aili He","doi":"10.1080/10428194.2025.2512031","DOIUrl":"https://doi.org/10.1080/10428194.2025.2512031","url":null,"abstract":"<p><strong>This meta-analysis of eight phase 3 rcts assessed efficacy and safety of anti-cd38 monoclonal antibodies (mabs) in patients with newly diagnosed multiple myeloma (ndmm). anti-cd38 mabs significantly improved progression-free survival (pfs: </strong>HR 0.50, 95% CI 0.42-0.59) and overall survival (OS: HR 0.63, 95% CI 0.55-0.71) in the overall population, alongside enhanced minimal residual disease (MRD) negativity rates (RR 1.85, 95% CI 1.43-2.39). While PFS benefits were universal across subgroups, OS showed no improvement in high-risk, ISS-I, or hepatic impairment subgroups, and non-IgG subtypes lacked MRD benefit. Safety analyses demonstrated an elevated risk of multiple infection-related adverse events in the entire cohort. The risk of second primary malignancies (SPMs) also increased (RR 1.44, 95% CI 1.14-1.81). Although anti-CD38 mAbs enhance treatment efficacy with manageable toxicity, the absence of OS benefit in high-risk subgroups warrants attention, and the risk of SPMs needs further investigation.</p><p><strong>Prospero registration number: </strong>CRD42024599221.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-11"},"PeriodicalIF":2.2,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144275296","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":"Resistance to BTK inhibitors in leukemia: cysteine 481 in BTK equals cysteine 515 in the BTK isomer BTK-C.","authors":"C I Edvard Smith","doi":"10.1080/10428194.2025.2518433","DOIUrl":"https://doi.org/10.1080/10428194.2025.2518433","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-2"},"PeriodicalIF":2.2,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285139","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":"CAR-T cell-associated neurotoxicity during therapy of hematologic malignancies: incidence, clinical features, predictive biomarkers and management measures.","authors":"R Velasco, I Abad-Inchaurrondo, A Sureda","doi":"10.1080/10428194.2025.2502810","DOIUrl":"https://doi.org/10.1080/10428194.2025.2502810","url":null,"abstract":"<p><p>Chimeric antigen receptor T-cell therapy (CAR-T cell therapy)-associated neurotoxicity includes a range of neurological side effects following CAR-T cell infusion. While ICANS is already a well-recognized, widely described neurological complication, the spectrum of neurological toxicities associated with CAR-T cell therapy has widened to include other, less common but emerging neurotoxicity syndromes. These have been observed with its broader use and the development of new agents. Movement and neurocognitive toxicity represent a recently described and challenging syndrome associated with BCMA-directed CAR-T cell therapies. Cranial and peripheral neuropathies, as well as myelopathy have increasingly been identified. Rare forms of cerebellar toxicity have been described with under development agents as well. Furthermore, strokes or tumor inflammation-associated syndrome (TIAN) in patients with CNS disease may elicit an emergency consultation. Finally, classical forms of acute toxic leukoencephalopathy have been described in a few patients receiving fludarabine as lymphodepleting treatment before CAR-T cell infusion. These forms of neurotoxicity vary in severity, with some cases being severe and even life-threatening in the context of CAR-T cell therapy. The present review summarizes several types of neurotoxicity associated with CAR-T cell therapy in patients with hematologic malignancies, focusing on available data on incidence, clinical presentation, prediction, diagnostics and therapeutic management.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144275294","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}
Miao Zhong, Hailing Liu, Renfu Gui, Jing Zhang, Sanmei Wang, Yi Miao, Chongyang Ding, Lvwen Chen, Yuxiao Zhao, Xiran Wang, Xiaoyan Qu, Zhengxu Sun, Ran Li, Jianyong Li, Lei Cao, Lei Fan
{"title":"Progression of disease within 6 months: revised early disease progression threshold for ENKTL.","authors":"Miao Zhong, Hailing Liu, Renfu Gui, Jing Zhang, Sanmei Wang, Yi Miao, Chongyang Ding, Lvwen Chen, Yuxiao Zhao, Xiran Wang, Xiaoyan Qu, Zhengxu Sun, Ran Li, Jianyong Li, Lei Cao, Lei Fan","doi":"10.1080/10428194.2025.2516257","DOIUrl":"https://doi.org/10.1080/10428194.2025.2516257","url":null,"abstract":"<p><p>The progression of disease (POD) within 24 months is well-established as an early indicator in various lymphomas. However, the aggressive nature of extranodal NK/T-cell lymphoma (ENKTL) necessitates a shorter assessment period. In this study, we examined POD metrics in 170 newly diagnosed ENKTL patients receiving asparaginase-based regimens. Patients were divided into three groups based on relapse/progression timing: aggressive group (POD6), progressive group (POD6-24), and stable group (POD > 24). The median overall survival (OS) in the POD6 group was 16.5 months, while the median OS was not reached in the remaining two groups. Survival outcomes were comparable between the populations with POD6 and POD24. Cox regression analysis identified POD6 as an independent risk factor for OS, regardless of traditional risk stratification. In conclusion, POD6 is a valuable early prognostic marker for ENKTL, serving as a long-term prognosis surrogate for clinical studies.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144275297","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}