How would you manage a transplant-eligible patient with DLBCL who relapsed 6-12 months following a CR1 to R-CHOP and then attained a CR2 to platinum-based salvage chemoimmunotherapy?
How do you choose between CAR-T and autoSCT, for example?
Answer from: Medical Oncologist at Academic Institution
In this case, given that the patient obtained a CR2 to salvage therapy, I would, if they are otherwise eligible, take this patient to transplant given the data presented by Shadman et al., PMID 34570879 which indicates that those with at least a PR from salvage chemotherapy appeared to benefit as mu...
Comments
Medical Oncologist at Cleveland Clinic Thanks for your reply, Dr. @Phillips. I also wonde...
Medical Oncologist at University of Maryland Cancer Center If the goal is to offer salvage treatment in order...
Agree with Dr. @Phillips. In this case, where the patient is in CR, despite early relapse, I would take to auto. I am not sure if she has seen the subgroup analyses from ZUMA-7 and TRANSFORM - I am guessing the patients randomized to SOC who got to a CR with salvage did well.
Thanks for your reply, Dr. @Phillips. I also wonde...
If the goal is to offer salvage treatment in order...