CD19 expression is maintained in DLBCL patients after treatment with tafasitamab plus lenalidomide in the L-MIND study
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F22%3A10157337" target="_blank" >RIV/00098892:_____/22:10157337 - isvavai.cz</a>
Alternative codes found
RIV/61989592:15110/22:73611165
Result on the web
<a href="https://www.tandfonline.com/doi/full/10.1080/10428194.2021.1986219" target="_blank" >https://www.tandfonline.com/doi/full/10.1080/10428194.2021.1986219</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1080/10428194.2021.1986219" target="_blank" >10.1080/10428194.2021.1986219</a>
Alternative languages
Result language
angličtina
Original language name
CD19 expression is maintained in DLBCL patients after treatment with tafasitamab plus lenalidomide in the L-MIND study
Original language description
CD19 is an important target for novel anti-lymphoma treatments as it is broadly and homogenously expressed across many B-cell malignancies. Approximately 30-50% of patients with diffuse large B-cell lymphoma (DLBCL) who do not respond to first-line therapy with R-CHOP have a poor prognosis and need effective treatment options, especially those ineligible for autologous stem cell transplant (ASCT). With the emergence of cellular- and antibody-based therapies targeting CD19, it is of scientific interest to study the expression of CD19 in this patient population with few treatment options. Salles et al. recently reported durable complete responses in a significant proportion of patients with relapsed or refractory (R/R) DLBCL from the phase II study (L-MIND; NCT02399085) of tafasitamab, an Fc-modified, anti-CD19 monoclonal antibody, in combination with lenalidomide, an immunomodulatory agent. Results from L-MIND led to the US FDA approval of the tafasitamab plus lenalidomide combination as a second and subsequent line treatment option for ASCT-ineligible patients with R/R DLBCL. However, changes in CD19 expression after tafasitamab treatment may impact subsequent CD19-targeted approaches, such as CAR T-cell therapy; understanding expression changes could inform optimal sequencing of treatment options and identify treatment feasibility. Available data on this question remain limited and appear to vary by drug class and indication. An anti-CD19 (antibody-drug conjugate) immunotherapy did not preclude subsequent responses to CD19-directed CAR T-cell therapy, with maintenance of CD19 expression. This contrasts with reports of CD19 expression loss after bispecific anti-CD19 treatment and CD19-directed CAR T-cell treatments. For approved anti-CD19 therapies, more data are needed to understand treatment impact on target expression. This is the first report on CD19 expression analyzed in tumor biopsies in R/R DLBCL patients before and after tafasitamab treatment.
Czech name
—
Czech description
—
Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
—
OECD FORD branch
30205 - Hematology
Result continuities
Project
—
Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2022
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Leukemia & Lymphoma
ISSN
1042-8194
e-ISSN
1029-2403
Volume of the periodical
63
Issue of the periodical within the volume
2
Country of publishing house
GB - UNITED KINGDOM
Number of pages
5
Pages from-to
468-472
UT code for WoS article
000718734500001
EID of the result in the Scopus database
2-s2.0-85119436073