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Information Journal Paper

Title

Liposomal Vincristine as a Bridge Therapy Prior to CAR-T Therapy in Relapsed and Refractory Diffuse Large B-Cell Lymphoma?

Pages

  102-107

Abstract

 We report a case of a 76-year-old male with a history of relapsed and refractory diffuse large B-cell lymphoma (DLBCL). Our patient was initially treated with front line chemotherapy along with central nervous system (CNS) prophylaxis with complete response. He subsequently relapsed, was sensitive to second-line chemotherapy, and underwent autologous stem cell transplantation achieving a complete remission. Only a few months after transplant, the patient suffered his second relapse and was deemed a candidate for Chimeric Antigen Receptor T-Cell Therapy (CAR-T). Given his aggressive disease, combined with the time needed to generate CAR-T cells, a multidisciplinary team recommended to treat our patient with Liposomal vincristine in combination with rituximab as a bridge therapy. Durable responses have been seen using Liposomal vincristine based on results from a recent phase II trial in Heavily pretreated patients with DLBCL1. This therapy was effective in stabilizing and reducing active disease in our patient. This case looks to illustrate the use of Liposomal vincristine in combination with immunotherapy in a novel setting bridging highly selected patients with active and refractory lymphoma prior to CAR-T. Moreover, we expanded an additional therapeutic point, highlighting the importance of optimal disease control prior to CAR-T cell harvesting, as recent literature has shown that residual malignant cells in the pheresis product may be inadvertently be transfected with the CAR gene, resulting in resistance and further relapse2.

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  • Cite

    APA: Copy

    Chadha, Juskaran, Hussein, Shafinaz, Zhan, Yougen, Shulman, Jonah, Brody, Joshua, Ratner, Lynn, & Steinberg, Amir. (2019). Liposomal Vincristine as a Bridge Therapy Prior to CAR-T Therapy in Relapsed and Refractory Diffuse Large B-Cell Lymphoma?. INTERNATIONAL JOURNAL OF HEMATOLOGY-ONCOLOGY AND STEM CELL RESEARCH (IJHOSCR), 13(2), 102-107. SID. https://sid.ir/paper/764305/en

    Vancouver: Copy

    Chadha Juskaran, Hussein Shafinaz, Zhan Yougen, Shulman Jonah, Brody Joshua, Ratner Lynn, Steinberg Amir. Liposomal Vincristine as a Bridge Therapy Prior to CAR-T Therapy in Relapsed and Refractory Diffuse Large B-Cell Lymphoma?. INTERNATIONAL JOURNAL OF HEMATOLOGY-ONCOLOGY AND STEM CELL RESEARCH (IJHOSCR)[Internet]. 2019;13(2):102-107. Available from: https://sid.ir/paper/764305/en

    IEEE: Copy

    Juskaran Chadha, Shafinaz Hussein, Yougen Zhan, Jonah Shulman, Joshua Brody, Lynn Ratner, and Amir Steinberg, “Liposomal Vincristine as a Bridge Therapy Prior to CAR-T Therapy in Relapsed and Refractory Diffuse Large B-Cell Lymphoma?,” INTERNATIONAL JOURNAL OF HEMATOLOGY-ONCOLOGY AND STEM CELL RESEARCH (IJHOSCR), vol. 13, no. 2, pp. 102–107, 2019, [Online]. Available: https://sid.ir/paper/764305/en

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