Publications by authors named "Eva Gonzalez-Barca"

Article Synopsis
  • * A study involving 61 TLBCL patients analyzed their genetic characteristics compared to nodal DLBCL and primary CNS large B-cell lymphomas; findings indicated that TLBCL has fewer copy number changes but more somatic mutations than nodal DLBCL.
  • * The results highlight a unique genetic profile for TLBCL, with most cases classified as MCD, indicating genetic diversity, suggesting that this lymphoma type warrants targeted treatment strategies due to its distinct biology.
View Article and Find Full Text PDF

Background: BTK inhibitors have been concurrently administered with anti-CD20 monoclonal antibodies (mAbs) in chronic lymphocytic leukemia (CLL). However, the optimal regimen for combining these two drugs remains pending.

Methods: This multi-center phase 2 study aimed to analyze whether consolidation with ofatumumab improved the response in patients with CLL receiving front-line treatment with ibrutinib.

View Article and Find Full Text PDF

Background: Diffuse large B-cell lymphoma comprises nearly 30% of non-Hodgkin lymphoma cases and patients with relapsed or refractory diffuse large B-cell lymphoma who are ineligible for stem-cell transplantation have few treatment options and poor prognoses. We aimed to determine whether the novel combination of polatuzumab vedotin in combination with rituximab and lenalidomide (Pola+R+Len) would provide a tolerable treatment option with enhanced antitumour response in patients with relapsed or refractory diffuse large B-cell lymphoma.

Methods: This completed phase 1b/2, open-label, multicentre, single-arm study (GO29834) evaluated the safety and efficacy of Pola+R+Len in patients with relapsed or refractory diffuse large B-cell lymphoma at 19 sites in three countries (USA, Spain, and UK).

View Article and Find Full Text PDF

Diffuse large B-cell lymphoma (DLBCL) is an aggressive and biologically heterogeneous disease. Approximately 40% of patients with DLBCL will experience disease relapse or will be refractory to first-line chemo immunotherapy. In recent years, there have been several new therapeutic agents approved for the treatment of relapsed/refractory (R/R) DLBCL.

View Article and Find Full Text PDF

(A) Correlation matrix of unsupervised co-regulated genes, based on the 208 genes included in the NanoString platform. Some of the clusters of co-regulated genes corresponded to the following: Inflammatory cells; Epstein-Barr virus; B-cells; Cytotoxic T-cells; T-cells; and Proliferation. (B) Analysis of genomic alterations by targeted sequencing.

View Article and Find Full Text PDF

Introduction: Following hematopoietic stem cell transplantation or solid organ transplantation, patients are at risk of developing Epstein-Barr virus-positive post-transplant lymphoproliferative disease (EBV PTLD), which is an ultra-rare and potentially lethal hematologic malignancy. Common treatments for EBV PTLD include rituximab alone or combined with chemotherapy. Given specific considerations for this population, including severity of the underlying condition requiring transplant, the rigors of the transplant procedure, as well as risks to the transplanted organ, there is a group of patients with EBV PTLD for whom chemotherapy may be inappropriate; however, there is limited information characterizing these patients.

View Article and Find Full Text PDF

Fludarabine-cyclophosphamide-rituximab (FCR) has been the gold standard front-line treatment for fit CLL patients until novel agent's introduction. Decision between either time-limited FCR or "endless" Bruton's tyrosine kinase inhibitor (BTKi) therapy may be difficult in fit IGHV-mutated-non-TP53 cases. We describe the outcomes after front-line FCR in 110 CLL patients from 5 centres in Catalonia, Spain, over a period of more than 10 years.

View Article and Find Full Text PDF
Article Synopsis
  • The study focuses on aggressive B-cell non-Hodgkin lymphoma (B-NHL) in HIV patients, specifically exploring its characteristics according to the 2017 WHO classification.
  • Researchers analyzed 75 cases using various techniques to evaluate genetic features like MYC, BCL2, and BCL6 status, as well as to assess their influence on prognosis.
  • Findings indicate that while certain genetic rearrangements are similar in HIV-positive patients and the general population, a lower frequency of BCL2 rearrangements and specific coexpressions (MYC and BCL2 in DLBCL, MUM1 in Burkitt-like lymphoma) are linked to worse outcomes for those with HIV.
View Article and Find Full Text PDF

Diffuse large B-cell lymphoma (DLBCL), the most frequent non-Hodgkin's lymphoma subtype, is characterized by strong biological, morphological, and clinical heterogeneity, but patients are treated with immunochemotherapy in a relatively homogeneous way. Here, we have used a customized NanoString platform to analyze a series of 197 homogeneously treated DLBCL cases. The platform includes the most relevant genes or signatures known to be useful for predicting response to R-CHOP (Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone) in DLBCL cases.

View Article and Find Full Text PDF

Background: Brentuximab vedotin (BV) has been approved for CD30-expressing cutaneous T-cell lymphoma (CTCL) after at least one previous systemic treatment. However, real clinical practice is still limited.

Objectives: To evaluate the response and tolerance of BV in a cohort of patients with CTCL.

View Article and Find Full Text PDF
Article Synopsis
  • Diffuse large B-cell lymphoma is a severe type of cancer with varying biological behavior, treated primarily with R-CHOP, which successfully cures over 60% of patients.
  • For patients who relapse, high-dose chemotherapy and stem cell transplants are the standard approach, with newer treatments like CD19 CAR T-cells recently approved for certain cases.
  • Bispecific antibodies (BsAbs), designed to target CD20 on B cells while engaging T cells, show promising results in clinical trials, offering a favorable safety profile and potential effectiveness even in aggressive lymphomas, with ongoing research to further evaluate their use.
View Article and Find Full Text PDF

This retrospective study evaluated 66 patients diagnosed with relapsed and/or refractory mantle cell lymphoma (R/R MCL) treated with ibrutinib in Spain in routine clinical practice. At diagnosis, patients had a median age of 64.5 years, 63.

View Article and Find Full Text PDF

This open-label, multicenter, single-arm, phase 2 study assessed the safety and efficacy of blinatumomab consolidation therapy in adult patients with newly diagnosed, high-risk diffuse large B-cell lymphoma (DLBCL; International Prognostic Index 3-5 and/or double-/triple-hit or double MYC/BCL-2 expressors) who achieved complete response (CR), partial response (PR), or stable disease (SD) following run-in with 6 cycles of R-chemotherapy (NCT03023878). Of the 47 patients enrolled, 28 received blinatumomab. Five patients (17.

View Article and Find Full Text PDF
Article Synopsis
  • The study assessed the impact of ceftolozane-tazobactam (C/T) treatment on mortality and mechanical ventilation needs in neutropenic hematologic patients with Pseudomonas aeruginosa bloodstream infections (PA BSI), comparing it to other antibiotic treatments.
  • Out of 132 patients analyzed, a significant majority (91%) had multidrug-resistant PA strains, with pneumonia and endogenous sources being the most common origins for BSI.
  • Results showed that C/T treatment significantly reduced the need for mechanical ventilation and lowered both 7-day and 30-day mortality rates compared to alternative antibiotics in this vulnerable patient population.
View Article and Find Full Text PDF

Introduction: High-dose methotrexate (HDMTX) is administered for the treatment of some cancers. HDMTX is usually safe but may crystallize in renal tubules causing acute kidney injury (AKI). Consequently, MTX elimination is delayed, resulting in a severe and life-threatening condition.

View Article and Find Full Text PDF

Purpose: The need for an individualized management of indolent clinical forms in mantle cell lymphoma (MCL) is increasingly recognized. We hypothesized that a tailored treatment with ibrutinib in combination with rituximab (IR) could obtain significant responses in these patients.

Methods: This is a multicenter single-arm, open-label, phase II study with a two-stage design conducted in 12 Spanish GELTAMO sites (ClinicalTrials.

View Article and Find Full Text PDF

Bromodomain and extraterminal (BET) proteins are transcriptional activators for multiple oncogenic processes in diffuse large B-cell lymphoma (DLBCL), including MYC, BCL2, E2F, and toll-like receptor signaling. We report results of a phase 1b dose-escalation study of the novel, subcutaneous BET inhibitor RO6870810 (RO) combined with the BCL-2 inhibitor venetoclax, and rituximab, in recurrent/refractory DLBCL. RO was delivered for 14 days of a 21-day cycle, whereas venetoclax was delivered continuously.

View Article and Find Full Text PDF
Article Synopsis
  • * Recent studies using next-generation sequencing have highlighted significant mutations in genes like NOTCH1, SF3B1, and TP53 that are involved in crucial cellular functions like DNA repair and RNA processing.
  • * In our research, analyzing patients in the REM clinical trial, we found that, aside from mutations in the TP53 gene, other mutations do not significantly impact the effectiveness of maintenance therapy with rituximab following initial treatment with FCR.
View Article and Find Full Text PDF

Plasmablastic lymphoma (PBL) represents a rare and aggressive lymphoma subtype frequently associated with immunosuppression. Clinically, patients with PBL are characterized by poor outcome. The current understanding of the molecular pathogenesis is limited.

View Article and Find Full Text PDF
Article Synopsis
  • A study looked at how certain measurements from PET scans can help predict how long patients with a type of blood cancer called diffuse large B-cell lymphoma will survive without their disease getting worse.
  • It found that larger tumor volumes and glycolysis (how tumors use sugar) were linked to shorter survival times, even after considering other health factors.
  • The results showed that these measurements can help doctors identify which patients are at higher risk, but another measurement called maximum standardized uptake value didn’t provide useful information.
View Article and Find Full Text PDF

Tafasitamab (MOR208), an Fc-modified, humanized, anti-CD19 monoclonal antibody, combined with the immunomodulatory drug lenalidomide was clinically active with a good tolerability profile in the open-label, single-arm, phase II L-MIND study of patients with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) ineligible for autologous stem-cell transplantation. To assess long-term outcomes, we report an updated analysis with ≥35 months' follow-up. Patients were aged >18 years, had received one to three prior systemic therapies (including ≥1 CD20-targeting regimen) and Eastern Cooperative Oncology Group performance status 0-2.

View Article and Find Full Text PDF