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The progress of novel strategies on immune-based therapy in relapsed or refractory diffuse large B-cell lymphoma.

Authors :
Lu, Tingxun
Zhang, Jie
Xu-Monette, Zijun Y.
Young, Ken H.
Source :
Experimental Hematology & Oncology; 8/14/2023, Vol. 12 Issue 1, p1-38, 38p
Publication Year :
2023

Abstract

Diffuse large B-cell lymphoma (DLBCL) can be cured with standard front-line immunochemotherapy, whereas nearly 30–40% of patients experience refractory or relapse. For several decades, the standard treatment strategy for fit relapsed/refractory (R/R) DLBCL patients has been high-dose chemotherapy followed by autologous hematopoietic stem cell transplant (auto-SCT). However, the patients who failed in salvage treatment or those ineligible for subsequent auto-SCT have dismal outcomes. Several immune-based therapies have been developed, including monoclonal antibodies, antibody–drug conjugates, bispecific T-cell engaging antibodies, chimeric antigen receptor T-cells, immune checkpoint inhibitors, and novel small molecules. Meanwhile, allogeneic SCT and radiotherapy are still necessary for disease control for fit patients with certain conditions. In this review, to expand clinical treatment options, we summarize the recent progress of immune-related therapies and prospect the future indirections in patients with R/R DLBCL. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
21623619
Volume :
12
Issue :
1
Database :
Complementary Index
Journal :
Experimental Hematology & Oncology
Publication Type :
Academic Journal
Accession number :
169942399
Full Text :
https://doi.org/10.1186/s40164-023-00432-z