FDA approves duvelisib for CLL/SLL and FL

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Micrograph showing CLL
The U.S. Food and Drug Administration (FDA) has approved duvelisib (Copiktra™), a dual PI3K delta/gamma inhibitor, for two indications. Duvelisib has full FDA approval to treat adults with relapsed or refractory chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) who have received at least two prior therapies. Duvelisib also has accelerated approval to... [Read Article]
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Risks of watchful waiting in follicular lymphoma

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Micrograph showing
follicular lymphoma
A subset of follicular lymphoma (FL) patients managed with watchful waiting are vulnerable to organ dysfunction and transformation, according to research published in Clinical Lymphoma, Myeloma & Leukemia. In a retrospective study, about 24% of FL patients managed with watchful waiting developed significant organ dysfunction or transformation at first progression over... [Read Article]
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Regimens produce similar results in FL

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Micrograph showing
follicular lymphoma
Rituximab plus lenalidomide had efficacy similar to that of rituximab plus chemotherapy in the treatment of follicular lymphoma (FL) in a phase 3 trial. Patients with previously untreated FL had similar complete response (CR) rates and progression-free survival (PFS) rates whether they received rituximab-based chemotherapy or rituximab plus lenalidomide. These results... [Read Article]
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Treatment improves PFS in early stage FL

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Micrograph showing FL
A multidrug regimen can improve upon involved-field radiotherapy (IFRT) in patients with early stage follicular lymphoma (FL), according to research published in the Journal of Clinical Oncology. FL patients who received IFRT plus cyclophosphamide, vincristine, and prednisolone (CVP)—with or without rituximab—had a significant improvement in progression-free survival (PFS) compared to patients who... [Read Article]
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Health Canada expands approval of obinutuzumab

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Obinutuzumab (Gazyva)
Health Canada has expanded the approved use of obinutuzumab (Gazyva®). The anti-CD20 monoclonal antibody is now approved for use in combination with chemotherapy to treat patients with previously untreated follicular lymphoma (FL) that is advanced (stage II bulky, stage III, or stage IV). In patients who respond to this treatment, obinutuzumab monotherapy can... [Read Article]
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Transplant strategy not viable for aggressive B-NHL

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HSCT preparation
Photo by Chad McNeeley
Transplant with radioimmunotherapy (RIT)-based conditioning is a viable treatment option for patients with indolent—but not aggressive—B-cell non-Hodgkin lymphomas (NHLs), according to researchers. Long-term follow-up data showed “excellent” outcomes in patients with indolent B-NHL who received conditioning with 90Y-ibritumomab tiuxetan plus fludarabine and low-dose total body irradiation (TBI) prior... [Read Article]
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‘Excellent’ survival with HCT despite early treatment failure in FL

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Micrograph showing
follicular lymphoma
Autologous and allogeneic hematopoietic stem cell transplantation (HCT) both offer excellent long-term survival in follicular lymphoma (FL) patients who experience early treatment failure, an analysis of a large transplant registry suggests. Five-year survival rates exceeded 70% for patients who received autologous or matched sibling donor (MSD) transplants, according to... [Read Article]
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Chemo-free combo provides potential first-line option for FL

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Attendee at ASCO 2018
©ASCO/Scott Morgan 2018
A chemotherapy-free combination of lenalidomide plus rituximab shows similar efficacy and a different safety profile to chemotherapy plus rituximab (R-chemo) followed by rituximab maintenance in patients with previously untreated follicular lymphoma (FL). According to investigators, the multicenter, international phase 3 RELEVANCE trial is the first to evaluate the... [Read Article]
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Polatuzumab plus BR improves efficacy in DLBCL

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Attendees at ASCO 2018
©ASCO/Zach Boyden-Holmes 2018
Polatuzumab vedotin, when added to bendamustine (B) and rituximab (R), significantly improved response and survival rates in a cohort of patients with relapsed/refractory diffuse large B-cell lymphoma (DLBCL), according to a phase 2 study. By contrast, there were no such improvements in a cohort of follicular lymphoma (FL)... [Read Article]
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Umbralisib has ‘distinct’ safety profile

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Micrograph showing CLL
Phase 1 trial results suggest umbralisib, a PI3Kδ/CK1ε inhibitor, can be safe and active in patients with relapsed or refractory B-cell malignancies. Researchers said the safety profile of umbralisib “was distinct from that of other PI3Kδ inhibitors,” as it produced few immune-mediated adverse events (AEs). Umbralisib also produced an objective response... [Read Article]
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