PMID- 34225420 OWN - NLM STAT- MEDLINE DCOM- 20210707 LR - 20210707 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 101 IP - 25 DP - 2021 Jul 6 TI - [Cohort study of efficacy and safety of polatuzumab vedotin combined with immunochemotherapy in patients with relapse/refractory diffuse large B cell lymphoma]. PG - 1985-1990 LID - 10.3760/cma.j.cn112137-20201030-02971 [doi] AB - Objective: To investigate the efficacy and tolerability of Polatuzumab vedotin+rituximab+/-bendamustine (Pola-(B)R) in relapse/refractory diffuse large B cell lymphoma (R/R DLBCL) patients. Methods: The clinical data of 21 patients enrolled in Chinese Pola compassionate use program (CUP) in 4 centers from November 2019 to August 2020 were collected. There were 15 males and 6 females, and the median age was 56 years (ranged 25-76 years). Of the patients, 10 cases received Pola-BR regimen and the other 11 received Pola-R. Their clinical features, regimens, efficacy, and adverse events (AEs) were retrospectively analyzed. Results: Twenty-one patients with at least one efficacy evaluation were included. At data analysis cut-off point (12 Aug. 2020), the best overall response (BOR) rate was 81.0% (17/21) and the complete response (CR) rate was 19.0% (4/21). Kaplan-Meier survival estimation was performed, at a median follow-up of 54 days, three patients (14.3%) had disease progressed, and 18 patients (85.7%) were censored; the median progression-free survival (mPFS) was estimated to be 148 days. The incidence of adverse effects (AEs) of any grade was higher in Pola-BR group than Pola-R group (80.0% vs 63.6%). However, the incidence of grade 3-4 AEs were close in the two groups (30.0% vs 29.3%). The most common hematological toxicities were thrombocytopenia (28.6%, 6/21), neutropenia (28.6%, 6/21) and anemia (14.3%, 3/21), respectively. One patient with pneumonia and 1 patient with hemophagocytic syndrome recovered after symptomatic treatment. No peripheral neuropathy of grade>/=2 was observed. Conclusions: The preliminary data suggested that, for heavily treated Chinese R/R DLBCL, the Pola-(B)R regimen still achieves promising efficacy and tolerable safety. FAU - Wu, J Q AU - Wu JQ AD - Department of Medical Oncology, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research/the Affiliated Cancer Hospital of Nanjing Medical University, Nanjing 210009, China. FAU - Liu, Y Y AU - Liu YY AD - Department of Internal Medicine, Henan Cancer Hospital, Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450008, China. FAU - Li, F AU - Li F AD - Department of Hematology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China. FAU - Wu, X Z J AU - Wu XZJ AD - Department of Hematology/Lymphoma Center, the First Affiliated Hospital of Hainan Medical University, Haikou 570102, China. FAU - Yao, Z H AU - Yao ZH AD - Department of Internal Medicine, Henan Cancer Hospital, Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450008, China. FAU - Kong, F C AU - Kong FC AD - Department of Hematology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China. FAU - Zhou, W L AU - Zhou WL AD - Department of Hematology/Lymphoma Center, the First Affiliated Hospital of Hainan Medical University, Haikou 570102, China. FAU - Tang, W Y AU - Tang WY AD - Department of Medical Oncology, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research/the Affiliated Cancer Hospital of Nanjing Medical University, Nanjing 210009, China. FAU - Teng, Y AU - Teng Y AD - Department of Medical Oncology, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research/the Affiliated Cancer Hospital of Nanjing Medical University, Nanjing 210009, China. FAU - Feng, J F AU - Feng JF AD - Department of Medical Oncology, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research/the Affiliated Cancer Hospital of Nanjing Medical University, Nanjing 210009, China. LA - chi GR - H2019100/Research Project of Jiangsu Commission of Health/ GR - Y-2019Roche-075/Xisike-Roche Oncology Research Fund/ PT - Journal Article PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 RN - 0 (Antibodies, Monoclonal) RN - 0 (Immunoconjugates) RN - 4F4X42SYQ6 (Rituximab) RN - KG6VO684Z6 (polatuzumab vedotin) SB - IM MH - Adult MH - Aged MH - Antibodies, Monoclonal MH - *Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Cohort Studies MH - Female MH - Humans MH - Immunoconjugates MH - *Lymphoma, Large B-Cell, Diffuse/drug therapy MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local MH - Retrospective Studies MH - Rituximab/therapeutic use MH - Treatment Outcome EDAT- 2021/07/06 06:00 MHDA- 2021/07/08 06:00 CRDT- 2021/07/05 22:36 PHST- 2021/07/05 22:36 [entrez] PHST- 2021/07/06 06:00 [pubmed] PHST- 2021/07/08 06:00 [medline] AID - 10.3760/cma.j.cn112137-20201030-02971 [doi] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 2021 Jul 6;101(25):1985-1990. doi: 10.3760/cma.j.cn112137-20201030-02971.