{"title":"Threading through the data for chemotherapy-free alternatives in the treatment of hairy cell leukemia.","authors":"Danielle Brazel, David J Hermel, Alan Saven","doi":"10.1080/10428194.2025.2548373","DOIUrl":"https://doi.org/10.1080/10428194.2025.2548373","url":null,"abstract":"<p><p>Hairy cell leukemia (HCL) is a rare, indolent lymphoproliferative disorder that is highly responsive to purine analog therapy. While agents such as cladribine and pentostatin remain standard front-line therapies, their long-term toxicities-particularly myelosuppression and immune dysfunction-have led to growing interest in chemotherapy-free agents. Recent advances in molecular characterization of HCL, including the near-universal presence of BRAF V600E mutations, have led to an era of targeted therapeutics for the treatment of this disease. In this review, we summarize existing and emerging treatment strategies for HCL, including BRAF and MEK inhibitors, Bruton tyrosine kinase (BTK) inhibitors, anti-CD20 monoclonal antibodies, and venetoclax. These approaches offer therapeutic promise for patients with relapsed/refractory disease and for those ineligible to receive traditional chemotherapy. These regimens also result in high rates of minimal residual disease (MRD) negativity, potentially bringing us closer to the cure for HCL.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-8"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959533","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}
Leukemia & LymphomaPub Date : 2025-09-01Epub Date: 2025-05-07DOI: 10.1080/10428194.2025.2496333
Tamer Othman, Mimi M Lo, Charalambos B Andreadis, Lloyd E Damon, Timothy T Ferng, Karin M L Gaensler, Jerry C Lee, Thomas G Martin, Rebecca L Olin, Peter H Sayre, Catherine C Smith, Aaron C Logan
{"title":"Single-center experience with nelarabine, etoposide, and cyclophosphamide in adults with relapsed/refractory T-acute lymphoblastic leukemia/lymphoma.","authors":"Tamer Othman, Mimi M Lo, Charalambos B Andreadis, Lloyd E Damon, Timothy T Ferng, Karin M L Gaensler, Jerry C Lee, Thomas G Martin, Rebecca L Olin, Peter H Sayre, Catherine C Smith, Aaron C Logan","doi":"10.1080/10428194.2025.2496333","DOIUrl":"10.1080/10428194.2025.2496333","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1749-1752"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023372","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":"Palmitic acid adjunctive therapy upregulates bax/bcl-2 ratio and displays apoptosis as mode of anti-tumorigenic effects in multiple myeloma cells.","authors":"Shraddha Kapoor, Nidhi Gupta, Karuppasamy David Raja, Imteyaz Qamar, Archana Singh, Alpana Sharma","doi":"10.1080/10428194.2025.2547246","DOIUrl":"https://doi.org/10.1080/10428194.2025.2547246","url":null,"abstract":"<p><p>The promising role of palmitic acid (PA) as a tumor-suppressing agent is gaining increasing evidence. Studies support its function demonstrating a wide spectrum of anti-tumor effects, enhanced sensitivity to anti-tumor drugs, and immunity-boosting properties, which contribute to its role as a broad anti-neoplastic agent. Our study encompassed on the molecular mechanisms of Palmitic acid specifically against multiple myeloma, a hematological malignancy. We investigated its complementary effects with known chemotherapeutic agent, Lenalidomide, <i>in vitro.</i> In this study, the cytotoxicity of PA on myeloma cells correlated in a dose-dependent manner and significant apoptotic effects (<i>p</i> < 0.001) with PA were achieved in combination with Lenalidomide even at the lower doses and cell arrest at G1 phase. The apoptosis occurred successively with rise in Bax/Bcl-2 ratio & through mitochondrion membrane potential dysregulation. This study intends toward Palmitic acid as a candidate molecule having potent anti-cancer efficacy for multiple myeloma.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959386","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}
Leukemia & LymphomaPub Date : 2025-09-01Epub Date: 2025-05-19DOI: 10.1080/10428194.2025.2506505
J Wesley Hill, Jennifer Marvin-Peek, Koji Sasaki, Sara Bresser, Bouthaina Shbib Dabaja, Nitin Jain, Gautam Borthakur, Hussein A Abbas
{"title":"Central nervous system relapse of core-binding factor acute myeloid leukemia.","authors":"J Wesley Hill, Jennifer Marvin-Peek, Koji Sasaki, Sara Bresser, Bouthaina Shbib Dabaja, Nitin Jain, Gautam Borthakur, Hussein A Abbas","doi":"10.1080/10428194.2025.2506505","DOIUrl":"10.1080/10428194.2025.2506505","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1745-1748"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leukemia & LymphomaPub Date : 2025-09-01Epub Date: 2025-05-21DOI: 10.1080/10428194.2025.2504156
Brian T Hill, Pallawi Torka, Francisco Hernandez-Ilizaliturri, Robert Dean, Deepa Jagadeesh, Kasra Karamlou, Chieh-Lin Fu, Allison M Winter, Wesam Ahmed, Mitchell Smith, Alex Mejia Garcia, Brenda Cooper, Ethan Krauspe, Jonathan Zhou, Taylor Brooks, Merve Kacar, Jenna Thomas, Hong Li, Xuefei Sophie Jia, Yanwen Chen, Paolo Caimi
{"title":"Carfilzomib in combination with R-CHOP for initial treatment of patients with non-germinal center diffuse large B-cell lymphoma: a multicenter, single arm, phase 1/2 study.","authors":"Brian T Hill, Pallawi Torka, Francisco Hernandez-Ilizaliturri, Robert Dean, Deepa Jagadeesh, Kasra Karamlou, Chieh-Lin Fu, Allison M Winter, Wesam Ahmed, Mitchell Smith, Alex Mejia Garcia, Brenda Cooper, Ethan Krauspe, Jonathan Zhou, Taylor Brooks, Merve Kacar, Jenna Thomas, Hong Li, Xuefei Sophie Jia, Yanwen Chen, Paolo Caimi","doi":"10.1080/10428194.2025.2504156","DOIUrl":"10.1080/10428194.2025.2504156","url":null,"abstract":"<p><p>We performed a phase I/II trial to explore the safety and efficacy of carfilzomib (K) in combination with R-CHOP (KR-CHOP) in patients with diffuse large B cell lymphoma (DLBCL). A total of 48 patients were enrolled and 47 were treated. The overall response rate (ORR) was 89% (70% complete response). At a median follow-up of 31 months, 3-year Kaplan-Meier estimates of PFS and OS were 79% and 87%, respectively. Treatment with KR-CHOP for non-GC DLBCL was associated with a decreased risk of disease progression and death relative to standard of care treatment with R-CHOP with hazard ratios (HR) of 0.16 [95% confidence interval (CI) 0.04-0.58, <i>p</i> = 0.002] and 0.31 [(95% CI, 0.09 - 0.99), <i>p</i> = 0.02], respectively. The most common grade 3 or 4 adverse events (AEs) were anemia (13%), thrombocytopenia (9%) and febrile neutropenia (9%). KR-CHOP is safe and may have preferential activity in non-GC DLBCL.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1700-1709"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120223","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}
Leukemia & LymphomaPub Date : 2025-09-01Epub Date: 2025-06-22DOI: 10.1080/10428194.2025.2495369
Michael J Mauro, Rüdiger Hehlmann, Loretta A Williams, Stuart L Goldberg, Mauricette Michallet, Carlo Gambacorti-Passerini, Derek Tang, Irene S DeGutis, Ali McBride, Lori Parsons, Monica Montelongo, Jorge E Cortes
{"title":"Five-year molecular response and overall survival with first- and second-generation tyrosine kinase inhibitors in patients with chronic myeloid leukemia in the chronic phase: a prospective, observational study - SIMPLICITY.","authors":"Michael J Mauro, Rüdiger Hehlmann, Loretta A Williams, Stuart L Goldberg, Mauricette Michallet, Carlo Gambacorti-Passerini, Derek Tang, Irene S DeGutis, Ali McBride, Lori Parsons, Monica Montelongo, Jorge E Cortes","doi":"10.1080/10428194.2025.2495369","DOIUrl":"10.1080/10428194.2025.2495369","url":null,"abstract":"<p><p>SIMPLICITY (NCT01244750) was an observational study evaluating first-line (1 L) tyrosine kinase inhibitors (TKIs; dasatinib, nilotinib, imatinib) in patients with chronic myeloid leukemia in the chronic phase in routine clinical practice. At data cutoff (January 28, 2020), 810 prospective US patients were included/analyzed (dasatinib, 302; nilotinib, 264; imatinib, 244). Within 5 years, 95.4% of patients (dasatinib, 96.5%; nilotinib, 93.5%; imatinib, 95.9%) had major molecular response (<i>BCR</i>::<i>ABL1</i> ≤ 0.1%), and 79.2% (dasatinib, 79.8%; nilotinib, 81.7%; imatinib, 75.9%) deep molecular response (MR<sup>4.5</sup>; <i>BCR</i>::<i>ABL1</i> < 0.0032%) demonstrating major improvement during the study period. Of 734 patients followed for 5 years, 5-year overall survival rate was 89.8% (dasatinib, 92.9%; nilotinib, 88.6%; imatinib, 87.0%); similar to that in randomized studies. Patients who switched treatment had a poorer outcome regardless of TKI, indicating that non-kinase domain mutations may play a role. Despite missing data on outcomes in routine care, these results demonstrate excellent response and survival rates.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1615-1624"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144368976","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}
Leukemia & LymphomaPub Date : 2025-09-01Epub Date: 2025-04-28DOI: 10.1080/10428194.2025.2496339
Rory M Shallis, Julian J Weiss, Eric S Winer, Talha Badar, Alok Swaroop, Peter Doukas, Emily Geramita, Henry Le, Sonal Agarwal, Man Yee Merl, Yasmin Abaza, Annie Im, Mark R Litzow, Nikolai A Podoltsev
{"title":"Feasibility and safety of outpatient hypomethylating agent and venetoclax initiation with and without ramp-up for newly diagnosed acute myeloid leukemia: results from the Consortium on Myeloid Malignancies and Neoplastic Diseases (COMMAND).","authors":"Rory M Shallis, Julian J Weiss, Eric S Winer, Talha Badar, Alok Swaroop, Peter Doukas, Emily Geramita, Henry Le, Sonal Agarwal, Man Yee Merl, Yasmin Abaza, Annie Im, Mark R Litzow, Nikolai A Podoltsev","doi":"10.1080/10428194.2025.2496339","DOIUrl":"10.1080/10428194.2025.2496339","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1735-1739"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989940","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}
Leukemia & LymphomaPub Date : 2025-09-01Epub Date: 2025-04-28DOI: 10.1080/10428194.2025.2497392
Alessandro Laganà, Deborah Kasmi, Daniela Diverio, Maria Laura Bisegna, Ida Carmosino, Emilia Scalzulli, Clara Minotti, Maria Laura Milani, Sonia Buffolino, Maurizio Martelli, Massimo Breccia, Maria Stefania De Propris
{"title":"CD99 expression in acute myeloid leukemia with FLT3 internal tandem duplications (FLT3-ITD<sup>mut</sup>-AML): a flow-cytometric marker for an accurate diagnostic workup.","authors":"Alessandro Laganà, Deborah Kasmi, Daniela Diverio, Maria Laura Bisegna, Ida Carmosino, Emilia Scalzulli, Clara Minotti, Maria Laura Milani, Sonia Buffolino, Maurizio Martelli, Massimo Breccia, Maria Stefania De Propris","doi":"10.1080/10428194.2025.2497392","DOIUrl":"10.1080/10428194.2025.2497392","url":null,"abstract":"<p><p>Internal tandem duplications of FLT3 (FLT3-ITD) in acute myeloid leukemia (AML) are associated with poor outcomes. CD99 is frequently overexpressed in AML and emerged as potential diagnostic marker. Ninety consecutive newly diagnosed AML patients were retrospectively analyzed. Immunophenotypic profiles were correlated with molecular assessment. Patients were categorized into FLT3-ITD<sup>mut</sup> (28.9%) and FLT3<sup>wt</sup> (71.1%). CD99 was expressed in 100% of FLT3-ITD<sup>mut</sup>-AML compared to 48% in FLT3<sup>wt</sup> cases. FLT3-ITD<sup>mut</sup>-AML exhibited higher CD99 expression percentage. CD34 expression was lower in FLT3-ITD<sup>mut</sup>-AML, with a positivity rate of 31% versus 83% in FLT3<sup>wt</sup> cases. Multivariate analysis confirmed that CD99 positivity (OR 17.67; <i>p</i> = 0.010) and CD34 negativity (OR 10.00; <i>p</i> = 0.039) were independently associated with FLT3-ITD<sup>mut</sup>-AML. CD99 and CD34 displayed NPVs of 100% and 86.9%, respectively, with moderate PPVs (45.6% and 62.1%) for the diagnosis of FLT3-ITD<sup>mut</sup>-AML. CD99 is a highly reliable marker in FLT3-ITD<sup>mut</sup>-AML and its absence virtually excludes the presence of a FLT3-ITD mutation.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1669-1674"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971258","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}
Leukemia & LymphomaPub Date : 2025-09-01Epub Date: 2025-06-12DOI: 10.1080/10428194.2025.2518433
C I Edvard Smith
{"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":"10.1080/10428194.2025.2518433","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1762-1763"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","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}
Leukemia & LymphomaPub Date : 2025-09-01Epub Date: 2025-05-16DOI: 10.1080/10428194.2025.2501269
Maria Dimou, Maria Karypidou, Aikaterini Bitsani, Marina Belia, Anastasia Kopsaftopoulou, Kalliopi Zerzi, Andreas Kiriakopoulos, Sotirios Sachanas, Ilias Pessach, Aikaterini Kolotsiou, Maria K Angelopoulou, Marina Siakantaris, Theodoros P Vassilakopoulos, Panayiotis Panayiotidis
{"title":"Novel isolated mutations at the C515 residue of BTK in a CLL patient associated with acalabrutinib resistance.","authors":"Maria Dimou, Maria Karypidou, Aikaterini Bitsani, Marina Belia, Anastasia Kopsaftopoulou, Kalliopi Zerzi, Andreas Kiriakopoulos, Sotirios Sachanas, Ilias Pessach, Aikaterini Kolotsiou, Maria K Angelopoulou, Marina Siakantaris, Theodoros P Vassilakopoulos, Panayiotis Panayiotidis","doi":"10.1080/10428194.2025.2501269","DOIUrl":"10.1080/10428194.2025.2501269","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1753-1755"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078964","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}