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Blood Cancer Talks

Episode 35. Bispecific Antibodies in Lymphoma with Dr. Michael Dickinson

Nov 30, 2023
Dr. Michael Dickinson, a medical professional specializing in lymphomas, discusses the potential of bispecific antibodies in the clinical management of lymphoma, including their mechanism of action and side effects. He explores the challenges of treating relapse after CAR T cell therapy and the advantages of using biospecific antibodies in patients who have not responded to CAR T cell therapy. The podcast also delves into the toxicity management of bispecific antibodies and the complexities of funding and outpatient treatments for refractory lymphoma. Finally, it explores the difficulties in eliminating chemotherapy from lymphoma treatments and the challenges in running trials for chemo ineligible patients.
01:08:40

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Quick takeaways

  • Bi-specific antibodies show promise in providing effective and durable responses for lymphoma patients.
  • Patients treated with bi-specific antibodies have shown quick responses and potential for durable remission extending beyond two years.

Deep dives

The efficacy of bi-specific antibodies in treating lymphoma

Bi-specific T cell engaging antibodies, such as glofitomab, epratuzumab, and mocinatumab, have shown promising results in the treatment of lymphoma. These antibodies target CD3 and CD20, leading to T-cell activation and subsequent death of the target B-cells. They have demonstrated overall response rates of around 70% and complete remission rates of approximately 60% in relapsed/refractory diffuse large B-cell lymphoma (DLBCL) patients. Transformed follicular lymphoma and other aggressive subtypes of lymphoma have also shown positive responses to these bi-specific antibodies. Additionally, some early data suggests that mantle cell lymphoma may also benefit from this treatment approach. While there are some differences in efficacy and toxicity profiles among the different bi-specific antibodies, they all hold potential as effective treatment options for lymphoma.

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