PMID- 37202499 OWN - NLM STAT- MEDLINE DCOM- 20230614 LR - 20230614 IS - 1432-0584 (Electronic) IS - 0939-5555 (Linking) VI - 102 IP - 7 DP - 2023 Jul TI - Outcomes of polatuzumab vedotin-containing regimens in real-world setting of relapsed and or refractory diffuse large B-cell lymphoma patients: a matched-control analysis from the Thai Lymphoma Study Group (TLSG). PG - 1887-1895 LID - 10.1007/s00277-023-05273-8 [doi] AB - Relapsed/refractory diffuse large B-cell lymphoma (R/R DLBCL) is a challenging condition to treat, and there is an unmet clinical need for effective therapies. Recently, polatuzumab vedotin (Pola), an anti-CD79b antibody-drug-conjugate (ADC), combined with bendamustine-rituximab (BR), has been approved for R/R DLBCL patients. However, real-world data on Pola-based regimens in R/R DLBCL patients, especially in Thailand, are limited. This study aimed to evaluate the efficacy and safety of Pola-based salvage treatment in R/R DLBCL patients in Thailand. Thirty-five patients who received Pola-based treatment were included in the study, and their data were compared to 180 matched patients who received non-Pola-based therapy. The overall response rate (ORR) in the Pola group was 62.8%, with complete remission and partial remission rates of 17.1% and 45.7%, respectively. The median progression-free survival (PFS) and overall survival (OS) were 10.6 months and 12.8 months, respectively. The study found a significantly higher ORR in Pola-based salvage treatments compared to non-Pola-based therapy (62.8% vs. 33.3%). The survival outcomes were also significantly superior in the Pola group, with longer median PFS and OS than the control group. Grades 3-4 adverse events (AEs) were mainly hematological, and they were tolerable. In conclusion, this study provides real-world evidence of the efficacy and safety of Pola-based salvage treatment in R/R DLBCL patients in Thailand. The results of this study are promising and suggest that Pola-based salvage treatment could be a viable option for R/R DLBCL patients who have limited treatment options. CI - (c) 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Rattanathammethee, Thanawat AU - Rattanathammethee T AUID- ORCID: 0000-0003-2731-4889 AD - Division of Hematology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. thanawat.r@cmu.ac.th. FAU - Norasetthada, Lalita AU - Norasetthada L AUID- ORCID: 0000-0002-2223-5711 AD - Division of Hematology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. FAU - Bunworasate, Udomsak AU - Bunworasate U AUID- ORCID: 0000-0002-8887-4292 AD - Division of Hematology and Center of Excellence in Translational Hematology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. FAU - Wudhikarn, Kitsada AU - Wudhikarn K AUID- ORCID: 0000-0001-9528-8681 AD - Division of Hematology and Center of Excellence in Translational Hematology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. FAU - Julamanee, Jakrawadee AU - Julamanee J AUID- ORCID: 0000-0002-6526-9479 AD - Hematology Unit, Division of Internal Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand. FAU - Noiperm, Panarat AU - Noiperm P AUID- ORCID: 0000-0002-4967-7237 AD - Hematology Unit, Division of Internal Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand. FAU - Lanamtieng, Theerin AU - Lanamtieng T AD - Division of Hematology, Department of Internal Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. FAU - Phiphitaporn, Pisa AU - Phiphitaporn P AD - Division of Hematology, Department of Internal Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. FAU - Navinpipat, Manassamon AU - Navinpipat M AD - Division of Hematology, Department of Medicine, Chulabhorn Hospital, Bangkok, Thailand. FAU - Kanya, Piyapong AU - Kanya P AUID- ORCID: 0000-0001-8843-4003 AD - Division of Hematology, Department of Internal Medicine, Chiang Rai Prachanukroh Hospital, Chiang Rai, Thailand. FAU - Jit-Ueakul, Dusit AU - Jit-Ueakul D AUID- ORCID: 0000-0002-1073-8872 AD - Division of Hematology, Department of Medicine, Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand. FAU - Wongkhantee, Somchai AU - Wongkhantee S AD - Division of Hematology, Department of Medicine, Khon Kaen Hospital, Khon Kaen, Thailand. FAU - Suwannathen, Thanongsak AU - Suwannathen T AD - Division of Hematology, Department of Medicine, Khon Kaen Hospital, Khon Kaen, Thailand. FAU - Chaloemwong, Juthatip AU - Chaloemwong J AUID- ORCID: 0000-0002-6930-258X AD - Division of Hematology, Department of Internal Medicine, Nakornping Hospital, Chiang Mai, Thailand. FAU - Wong, Peerapon AU - Wong P AD - Division of Hematology, Department of Medicine, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand. FAU - Makruasi, Nisa AU - Makruasi N AD - Division of Hematology, Department of Medicine, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand. FAU - Khuhapinant, Archrob AU - Khuhapinant A AD - Division of Hematology, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. FAU - Prayongratana, Kannadit AU - Prayongratana K AD - Division of Hematology, Department of Internal Medicine, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand. FAU - Niparuck, Pimjai AU - Niparuck P AD - Division of Hematology, Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. FAU - Kanitsap, Nonglak AU - Kanitsap N AUID- ORCID: 0000-0002-1231-0212 AD - Division of Hematology, Department of Medicine, Thammasat University, Pathumthani, Thailand. FAU - Suwanban, Tawatchai AU - Suwanban T AD - Division of Hematology, Department of Medicine, Rajavithi Hospital, Bangkok, Thailand. FAU - Intragumtornchai, Tanin AU - Intragumtornchai T AD - Division of Hematology and Center of Excellence in Translational Hematology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. LA - eng PT - Journal Article DEP - 20230518 PL - Germany TA - Ann Hematol JT - Annals of hematology JID - 9107334 RN - KG6VO684Z6 (polatuzumab vedotin) RN - 0 (Immunoconjugates) RN - 4F4X42SYQ6 (Rituximab) SB - IM MH - Humans MH - Southeast Asian People MH - Thailand MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - *Lymphoma, Non-Hodgkin/drug therapy MH - *Lymphoma, Large B-Cell, Diffuse/drug therapy MH - *Immunoconjugates/therapeutic use MH - Rituximab OTO - NOTNLM OT - Diffuse large B-cell lymphoma OT - Polatuzumab vedotin OT - Real-world setting OT - Refractory OT - Relapse EDAT- 2023/05/19 01:04 MHDA- 2023/06/14 06:42 CRDT- 2023/05/18 23:21 PHST- 2023/04/07 00:00 [received] PHST- 2023/05/10 00:00 [accepted] PHST- 2023/06/14 06:42 [medline] PHST- 2023/05/19 01:04 [pubmed] PHST- 2023/05/18 23:21 [entrez] AID - 10.1007/s00277-023-05273-8 [pii] AID - 10.1007/s00277-023-05273-8 [doi] PST - ppublish SO - Ann Hematol. 2023 Jul;102(7):1887-1895. doi: 10.1007/s00277-023-05273-8. Epub 2023 May 18.