Systematic review of therapy used in relapsed or refractory diffuse large B-cell lymphoma and follicular lymphoma.

Future Sci OA

Millennium Pharmaceuticals, Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited, 40 Landsdowne Street, Cambridge, MA 02139, USA.

Published: July 2018

AI Article Synopsis

  • The study reviewed literature from 2012 to 2016 to assess real-world outcomes for therapies in patients with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma (FL).
  • Among 33 articles, stem cell transplant (SCT) showed the highest overall survival rates, being regarded as the optimal treatment after initial relapse.
  • There is a notable care gap for DLBCL/FL patients who are ineligible for SCT, especially those treated with rituximab-based regimens, as they tend to have poorer prognoses.

Article Abstract

To identify real-world evidence on outcomes from therapies for relapsed/refractory diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma (FL), we systematically reviewed literature in Medline/Embase for DLBCL/FL-related articles on real-world results published during January 2012-May 2016. Among 33 included articles, therapies included stem cell transplant (SCT) and chemotherapy, including experimental regimens. The highest overall survival rates were observed for SCT, long considered an optimal strategy following initial relapse. Prognoses were inferior among DLBCL patients receiving rituximab-based regimens rather than SCT, particularly among studies that exclusively focused on those ineligible for SCT due to age or co-morbidity. A lack of viable treatment options for DLBCL/FL patients ineligible for SCT after relapse remains a significant gap in care.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6088264PMC
http://dx.doi.org/10.4155/fsoa-2018-0049DOI Listing

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