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A new era for transplant-ineligible R/R LBCL patients: what's changing?

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Leukemia & lymphoma 📖 저널 OA 9.2% 2022: 1/1 OA 2025: 2/55 OA 2026: 15/137 OA 2022~2026 2026 Vol.67(5) p. 997-1004 CAR-T cell therapy research
TL;DR The phase II PILOT study demonstrated that liso-cel is effective in medically unfit individuals, supporting the definition of a distinct category of ASCT-ineligible patients, supporting the definition of a distinct category of ASCT-ineligible patients.
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PubMed DOI OpenAlex Semantic 마지막 보강 2026-05-01
OpenAlex 토픽 · CAR-T cell therapy research Lymphoma Diagnosis and Treatment Chronic Lymphocytic Leukemia Research

Tarantini G, Miccolis RM, Arcuti E, Buquicchio C, Carluccio V, Ceccarelli R

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The phase II PILOT study demonstrated that liso-cel is effective in medically unfit individuals, supporting the definition of a distinct category of ASCT-ineligible patients, supporting the definition

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APA Giuseppe Tarantini, Rosanna Maria Miccolis, et al. (2026). A new era for transplant-ineligible R/R LBCL patients: what's changing?. Leukemia & lymphoma, 67(5), 997-1004. https://doi.org/10.1080/10428194.2026.2636979
MLA Giuseppe Tarantini, et al.. "A new era for transplant-ineligible R/R LBCL patients: what's changing?." Leukemia & lymphoma, vol. 67, no. 5, 2026, pp. 997-1004.
PMID 41774434 ↗

Abstract

Most patients with large B-cell lymphoma (LBCL) are cured with frontline chemoimmunotherapy; however, 30-40% experience relapsed or refractory (R/R) disease. Historically, salvage chemotherapy followed by autologous stem cell transplantation (ASCT) represented the standard second-line treatment. Several studies have demonstrated that patients with primary refractory or early-relapsed LBCL derive limited benefit from ASCT. With the advent of chimeric antigen receptor (CAR) T-cell therapy, the prognosis of R/R LBCL has changed substantially. The TRANSFORM and ZUMA-7 trials, which showed superior efficacy and manageable toxicity, led to the approval of lisocabtagene maraleucel (liso-cel) and axicabtagene ciloleucel (axi-cel) as second-line options. Importantly, these trials required participants to be medically fit for ASCT. This review focuses on therapeutic options for transplant-ineligible patients with R/R LBCL. The phase II PILOT study demonstrated that liso-cel is effective in medically unfit individuals, supporting the definition of a distinct category of ASCT-ineligible patients. Additional active options include antibody-drug conjugates, bispecific antibodies in combination with chemotherapy, and other novel immunotherapies, which have shown promising response rates in this difficult-to-treat population.

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