Blood Cancer Talks

Oncology / Hematology

Drs. Ashwin Kishtagari, Rajshekhar Chakraborty, and Edward Cliff discuss the management of blood cancers and hematology in their podcast, Blood Cancer Talks. The twice-monthly episodes feature discussions with experts in the field.


Top 5 lymphoma abstracts of ASCO 2023

Hi friends,
Welcome to my lymphoma highlights from 
ASCO 2023!

I’ve picked out the five top practice-changing or practice-affirming studies in lymphoma presented at this year’s ASCO annual meeting in Chicago. Read on for abstracts that highlight nivolumab in upfront Hodgkin lymphoma, CAR T-cells in relapsed/refractory DLBCL, omitting radiation in PMBCL, maintenance rituximab in MCL and CAR T-cells in CLL.

Want to learn more about our show? Check out our podcast, Blood Cancer Talks, at https://feeds.transistor.fm/bloodcancertalks or on your favorite podcast streaming platform.


Cheers, Eddie


Articles
  • Mashup Score: 0

    At a median follow-up of 47.2 months, axi-cel as second-line treatment for patients with early relapsed or refractory large B-cell lymphoma resulted in significantly longer overall survival than standard care. (Funded by Kite; ZUMA-7 ClinicalTrials.gov number, NCT03391466.).

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    • The ZUMA-7 trial showed improved overall survival for axi-cel CAR T-cell therapy compared to salvage chemotherapy plus autologous transplant in relapsed/refractory DLBCL - the first trial to show an overall survival benefit in second line DLBCL in 30 years! The updated OS analysis was simultaneously published in NEJM.

  • Mashup Score: 3

    By The ASCO Post Staff Posted: 6/6/2023 10:09:00 AM Last Updated: 6/6/2023 11:42:09 AM Results from the largest prospective study of patients with primary mediastinal B-cell lymphoma (PMBCL) showed that radiation therapy may be omitted in patients who have a complete metabolic response after…

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    • The IELSG37 trial is the largest ever trial in Primary Mediastinal B-Cell Lymphoma, which is a rare subtype of aggressive lymphoma that is most common in young females. It provides evidence that it is likely to be safe to omit radiotherapy in patients with PMBCL achieving PET negativity after induction chemotherapy. A range of induction chemotherapy approaches were allowed, with variation between participating sites as to their chemotherapy backbone of choice.

  • Mashup Score: 5

    The phase III LYMA trial demonstrated the efficacy (OS, PFS, EFS) and safety of rituximab maintenance (RM) post autologous stem cell transplant (ASCT) in first line for young patients with mantle cell lymphoma (MCL) (Le Gouill et al, NEJM). Herein, we present the first long-term analysis of the LYMA trial.

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    • 7 year follow up of the LYMA trial, testing the addition of maintenance rituximab in mantle cell lymphoma, suggests that although a significant difference in 7 year event-free survival remains (76% vs 46%, p<0.0001), there is no longer an overall survival benefit (p = 0.088). This may be because patients who relapse on or after maintenance rituximab seem to have more aggressive relapses, perhaps due to clonal selection. Maintenance rituximab following upfront MCL treatment still seems reasonable, but warrants nuanced discussion with patients.

  • Mashup Score: 3

    Nivolumab plus AVD significantly prolonged progression-free survival and was better tolerated when compared with brentuximab vedotin plus AVD in patients with advanced-stage Hodgkin lymphoma ≥ 12 years of age.

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    • The SWOG S1826 trial was presented in the plenary session. In a randomized phase 3 trial of nivolumab plus AVD versus brentuximab vedotin plus AVD in 994 patients with untreated advanced stage Hodgkin lymphoma, nivolumab-AVD demonstrated superior progression-free survival to brentuximab-AVD (1 year PFS 94% vs 86%). Additionally, there was less peripheral neuropathy with N-AVD, and although there was more neutropenia, there was similar febrile neutropenia (5% N-AVD vs 7% BV-AVD) despite much lower use of GCSF in the N-AVD arm (54% vs 95%).