Division of Hematology-Oncology and Blood and Marrow Transplantation Program, Mayo Clinic, Jacksonville, Florida.
Department of Internal Medicine, Research Methodology and Biostatistics Core, Office of Research, University of South Florida Morsani College of Medicine, Tampa, Florida.
Transplant Cell Ther. 2024 Sep;30(9):832-843. doi: 10.1016/j.jtct.2024.06.025. Epub 2024 Jul 6.
Follicular lymphoma (FL) is the most common indolent B-cell non-Hodgkin lymphoma (NHL), accounting for nearly one-third of all NHL. The therapeutic landscape for patients with FL has significantly expanded over the past decade, but the disease continues to be considered incurable. Hematopoietic cell transplantation (HCT) is potentially curative in some cases. Recently, the emergence of chimeric antigen receptor T-cell therapy (CAR-T) for patients with relapsed/refractory (R/R) FL has yielded impressive response rates and long-term remissions, but definitive statement on the curative potential of CAR-T is currently not possible due to limited patient numbers and relatively short follow up. A consensus on the contemporary role, optimal timing, and sequencing of HCT (autologous or allogeneic) and cellular therapies in FL is needed. As a result, the American Society of Transplantation and Cellular Therapy (ASTCT) Committee on Practice Guidelines endorsed this effort to formulate consensus recommendations to address this unmet need. The RAND-modified Delphi method was used to generate 15 consensus statements/recommendations. These clinical practice recommendations will help guide clinicians managing patients with FL. Of note, the use of bispecific antibodies in R/R FL was not in the scope of this project.
滤泡性淋巴瘤(FL)是最常见的惰性 B 细胞非霍奇金淋巴瘤(NHL),占所有 NHL 的近三分之一。在过去的十年中,滤泡性淋巴瘤患者的治疗领域已经显著扩大,但该疾病仍被认为无法治愈。造血细胞移植(HCT)在某些情况下可能具有治愈性。最近,嵌合抗原受体 T 细胞疗法(CAR-T)在复发/难治性(R/R)FL 患者中的应用取得了令人印象深刻的反应率和长期缓解,但由于患者数量有限且随访时间相对较短,目前尚无法对 CAR-T 的治愈潜力做出明确的结论。因此,需要就 HCT(自体或同种异体)和细胞疗法在 FL 中的当代作用、最佳时机和顺序达成共识。作为回应,美国移植和细胞治疗学会(ASTCT)实践指南委员会支持这一努力,制定共识建议以满足这一未满足的需求。使用 RAND 改良 Delphi 方法生成了 15 条共识声明/建议。这些临床实践建议将有助于指导临床医生管理 FL 患者。值得注意的是,双特异性抗体在 R/R FL 中的应用不在本项目范围内。
Cochrane Database Syst Rev. 2012-1-18
Cochrane Database Syst Rev. 2021-9-13
Transplant Cell Ther. 2025-5-19
Am J Cancer Res. 2024-12-15