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使用戈利妥单抗成功治疗由滤泡性淋巴瘤转化而来的原发性难治性弥漫性大B细胞淋巴瘤/高级别B细胞淋巴瘤-MYC/BCL2:一例报告

Successful treatment of primary refractory DLBCL/HGBL - MYC/BCL2 transformed from FL using glofitamab: a case report.

作者信息

Chu Ming-Qiang, Zhang Ting-Juan, Feng Yuan, Shao Xun, Ji Yong-Hui, Qian Jun, Zhou Jing-Dong

机构信息

Department of Hematology, The Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, China.

Institute of Hematology, Jiangsu University, Zhenjiang, Jiangsu, China.

出版信息

Front Immunol. 2025 Mar 31;16:1566035. doi: 10.3389/fimmu.2025.1566035. eCollection 2025.


DOI:10.3389/fimmu.2025.1566035
PMID:40230856
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11994609/
Abstract

Diffuse large B-cell lymphoma/high-grade B-cell lymphoma with and rearrangements (DLBCL/HGBL-/) represents a distinct entity of mature aggressive B-cell lymphoma, constituting a substantial gap in the clinical management of DLBCL. Conventional R-CHOP-like chemoimmunotherapy regimens have demonstrated limited efficacy in DLBCL/HGBL-/, and the clinical outcome remains poor, with a median overall survival of less than 2 years, and even shorter in cases transformed from indolent lymphoma. We reported a 66-year-old female was firstly diagnosed with follicular lymphoma, but presented with disease progression to DLBCL/HGBL-/ during the treatment with BR regimen. Moreover, the patient was also primary refractory to Pola-R-CHP. The patient achieved partial response following treatment with the CD20×CD3 bispecific antibody glofitamab and maintained long-term remission. Although only one successful case is presented, glofitamab could be considered as salvage therapy for transformed relapsed/refractory DLBCL/HGBL-/.

摘要

伴有 和 重排的弥漫性大B细胞淋巴瘤/高级别B细胞淋巴瘤(DLBCL/HGBL-/ )是成熟侵袭性B细胞淋巴瘤的一个独特实体,在DLBCL的临床管理中存在很大差距。传统的类似R-CHOP的化疗免疫治疗方案在DLBCL/HGBL-/ 中疗效有限,临床结局仍然很差,中位总生存期不到2年,从惰性淋巴瘤转化而来的病例生存期甚至更短。我们报告了一名66岁女性,最初被诊断为滤泡性淋巴瘤,但在接受BR方案治疗期间病情进展为DLBCL/HGBL-/ 。此外,该患者对Pola-R-CHP也原发难治。患者接受CD20×CD3双特异性抗体glofitamab治疗后获得部分缓解并维持长期缓解。虽然仅展示了一例成功病例,但glofitamab可被视为转化型复发/难治性DLBCL/HGBL-/ 的挽救治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7642/11994609/0f07fe3ee128/fimmu-16-1566035-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7642/11994609/ac837a5f6dd0/fimmu-16-1566035-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7642/11994609/0f07fe3ee128/fimmu-16-1566035-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7642/11994609/ac837a5f6dd0/fimmu-16-1566035-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7642/11994609/0f07fe3ee128/fimmu-16-1566035-g002.jpg

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Successful treatment of primary refractory DLBCL/HGBL - MYC/BCL2 transformed from FL using glofitamab: a case report.

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引用本文的文献

[1]
Bispecific Antibodies and Antibody-Drug Conjugates in Relapsed/Refractory Aggressive Non-Hodgkin Lymphoma, Focusing on Diffuse Large B-Cell Lymphoma.

Cancers (Basel). 2025-7-26

本文引用的文献

[1]
Three-year follow-up analysis of first-line axicabtagene ciloleucel for high-risk large B-cell lymphoma: the ZUMA-12 study.

Blood. 2025-5-15

[2]
Safety and Efficacy of Glofitamab for Relapsed/Refractory Large B-Cell Lymphoma in a Multinational Real-World Study.

Blood Adv. 2024-12-11

[3]
Glofitamab plus gemcitabine and oxaliplatin (GemOx) versus rituximab-GemOx for relapsed or refractory diffuse large B-cell lymphoma (STARGLO): a global phase 3, randomised, open-label trial.

Lancet. 2024-11-16

[4]
The high-grade B-cell lymphomas: double hit and more.

Blood. 2024-12-19

[5]
Bispecific antibodies and CAR-T cells: dueling immunotherapies for large B-cell lymphomas.

Blood Cancer J. 2024-2-8

[6]
Glofitamab as a salvage treatment for B-cell lymphomas in the real world: A multicenter study in Taiwan.

Cancer. 2024-6-1

[7]
Glofitamab monotherapy induces high complete response rates and manageable safety in Chinese patients with heavily pretreated relapsed or refractory diffuse large B-cell lymphoma.

Haematologica. 2024-4-1

[8]
Glofitamab in relapsed/refractory diffuse large B-cell lymphoma: Real-world data.

Hematol Oncol. 2023-10

[9]
A retrospective study of MYC rearranged diffuse large B-cell lymphoma in the context of the new WHO and ICC classifications.

Blood Cancer J. 2023-4-18

[10]
Epcoritamab, a Novel, Subcutaneous CD3xCD20 Bispecific T-Cell-Engaging Antibody, in Relapsed or Refractory Large B-Cell Lymphoma: Dose Expansion in a Phase I/II Trial.

J Clin Oncol. 2023-4-20

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