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Blood Cancer Talks

Episode 54. ASH 2024 Lymphoma and CLL Highlights

Dec 22, 2024
Dr. David A Russler-Germain, a lymphoma clinician scientist from Washington University, shares insights on groundbreaking lymphoma and CLL research from ASH 2024. They delve into the promising results of the TRIANGLE trial for mantle cell lymphoma, highlighting significant survival gains with ibrutinib. The discussion also covers the efficacy of Tafasitamab in follicular lymphoma and the impressive response rates for Longcast Tuximab Tessarine. Additionally, they evaluate new treatment strategies for CLL and the implications for patient care.
58:18

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Quick takeaways

  • The Triangle trial results suggest incorporating ibrutinib early in treatment for mantle cell lymphoma significantly enhances failure-free and overall survival rates.
  • The EA4151 trial highlights the significance of undetectable measurable residual disease in guiding personalized treatment decisions, potentially allowing patients to avoid autologous transplantation.

Deep dives

Triangle Trial Updates in Mantle Cell Lymphoma

The Triangle trial evaluated three treatment approaches for untreated mantle cell lymphoma, comparing a Nordic-style regimen of alternating chemotherapy with autologous transplantation and the addition of ibrutinib. The results demonstrated that the arm receiving ibrutinib during induction and maintenance exhibited a four-year failure-free survival rate of 81%, significantly higher than the 70% rate for the autologous transplant alone. Importantly, the combination of both autologous transplant and ibrutinib did not improve outcomes and led to increased toxicity. The compelling failure-free survival results suggest a shift in treatment practices, indicating that incorporating ibrutinib might alter the disease trajectory for many patients early in their treatment journey.

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