Publications by authors named "Victor Orellana-Noia"

Background: Glofitamab monotherapy induces durable remission in patients with relapsed or refractory diffuse large B-cell lymphoma after two or more previous therapies, but has not previously been assessed as a second-line therapy. We investigated the efficacy and safety of glofitamab plus gemcitabine-oxaliplatin (Glofit-GemOx) versus rituximab (R)-GemOx in patients with relapsed or refractory diffuse large B-cell lymphoma.

Methods: The phase 3, randomised, open-label STARGLO trial was done at 62 centres in 13 countries in Asia and Australia, Europe, and North America.

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Non-Hodgkin lymphoma and chronic lymphocytic leukemia (NHL/CLL) patients elicit inadequate antibody responses after initial SARS-CoV-2 vaccination and remain at high risk of severe COVID-19 disease. We investigated IgG, IgA, and IgM responses after booster vaccination against recent SARS-CoV-2 variants including Omicron BA.5 in 67 patients.

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Article Synopsis
  • A study analyzed the outcomes of different salvage therapies for patients with relapsed or refractory classic Hodgkin lymphoma (R/R cHL) before undergoing autologous stem cell transplant (ASCT) across 14 U.S. hospitals.
  • Among the treatments compared were conventional chemotherapy, brentuximab vedotin (BV) with or without chemotherapy, and checkpoint inhibitor (CPI)-based regimens.
  • Results showed that patients receiving CPI-based treatments had significantly better event-free survival (EFS) and progression-free survival (PFS) rates after 2 years compared to those receiving other therapies, indicating that early use of CPI may be beneficial in this patient population.
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Plasmablastic lymphoma (PBL) is a rare entity, commonly associated with immunosuppressed states such as human immunodeficiency virus (HIV) infection or solid organ transplant. The clinical course is characterized by high relapse rates and a poor prognosis, leading some clinicians to recommend aggressive frontline therapy. However, a specific review of limited stage (LS) PBL patients is not available to evaluate outcomes and justify treatment recommendations.

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Article Synopsis
  • Patients with double- and triple-hit lymphomas (DHL/THL) have poorer outcomes with standard R-CHOP treatment compared to higher-intensity regimens like DA-EPOCH-R.
  • A study analyzed the effects of dose adjustments and cumulative doses of DA-EPOCH-R on survival in 109 adult patients with DHL/THL, finding no significant links between these factors and overall or progression-free survival.
  • The research indicates that current dosing practices vary widely, suggesting a need for further studies to determine the effectiveness of dose adjustments for treating DHL/THL.
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Referring to any central nervous system (CNS) involvement with preceding or concurrent systemic disease, secondary CNS lymphoma (SCNSL) lacks a clear standard of care and historically carries a very poor prognosis. Aggressive histologies predominate, most notably diffuse large B cell lymphoma (DLBCL), with higher relative frequency in Burkitt lymphoma but lower absolute incidence. Therapeutic strategies commonly feature intensive CNS-penetrant chemotherapy, including methotrexate, cytarabine, and others.

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Purpose: Patients with non-Hodgkin lymphoma including chronic lymphocytic leukemia (NHL/CLL) are at higher risk of severe SARS-CoV-2 infection. We investigated vaccine-induced antibody responses in patients with NHL/CLL against the original SARS-CoV-2 strain and variants of concern including B.1.

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Prophylaxis is commonly used to prevent central nervous sy stem (CNS) relapse in diffuse large B-cell lymphoma (DLBCL), with no clear standard of care. We retrospectively evaluated 1162 adult patients across 21 US academic centers with DLBCL or similar histologies who received single-route CNS prophylaxis as part of frontline therapy between 2013 and 2019. Prophylaxis was administered intrathecally(IT) in 894 (77%) and using systemic high-dose methotrexate (HD-MTX) in 236 (20%); 32 patients (3%) switched route due to toxicity and were assessed separately.

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Article Synopsis
  • A multicenter study analyzed treatment outcomes of 244 patients aged ≥60 with classic Hodgkin lymphoma between 2010-2018, finding that those with loss of daily living activities had worse survival rates.
  • Most patients received conventional chemotherapy regimens, which significantly improved progression-free and overall survival compared to alternative therapies.
  • The research underscores the necessity of geriatric assessments in determining treatment fitness for older patients with Hodgkin lymphoma.
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Data addressing prognostication in patients with HIV related Burkitt lymphoma (HIV-BL) currently treated remain scarce. We present an international analysis of 249 (United States: 140; United Kingdom: 109) patients with HIV-BL treated from 2008 to 2019 aiming to identify prognostic factors and outcomes. With a median follow up of 4.

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Central nervous system (CNS) involvement in Burkitt lymphoma (BL) poses a major therapeutic challenge, and the relative ability of contemporary regimens to treat CNS involvement remains uncertain. We described prognostic significance of CNS involvement and incidence of CNS recurrence/progression after contemporary immunochemotherapy using real-world clinicopathologic data on adults with BL diagnosed between 2009 and 2018 across 30 US institutions. We examined associations between baseline CNS involvement, patient characteristics, complete response (CR) rates, and survival.

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We examined adults with untreated Burkitt lymphoma (BL) from 2009 to 2018 across 30 US cancer centers. Factors associated with progression-free survival (PFS) and overall survival (OS) were evaluated in univariate and multivariate Cox models. Among 641 BL patients, baseline features included the following: median age, 47 years; HIV+, 22%; Eastern Cooperative Oncology Group (ECOG) performance status (PS) 2 to 4, 23%; >1 extranodal site, 43%; advanced stage, 78%; and central nervous system (CNS) involvement, 19%.

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Article Synopsis
  • This text is about a study on patients with aggressive B-cell lymphoma who didn't get better after their first treatment and received a second treatment called platinum-based immunochemotherapy.
  • The study looked at how well this second treatment worked, focusing on how long patients lived without their disease getting worse (progression-free survival) and how long they lived overall (overall survival).
  • The results showed that 44% of patients responded to the second treatment, but those who had problems early on after the first treatment did much worse compared to those who had problems later.
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Purpose Of Review: Adolescent and Young Adult (AYA) Oncology is a relatively new field encompassing research in the unique pathophysiology, clinical care, and psychosocial issues facing patients between the ages of 15 and 40 with cancer. About 100,000 of the approximately 1.5 million people diagnosed annually with cancer in the USA are in this age range.

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