Evidence map›Paper›PMID 34196677›Full record

ArticleBlood advances2021

Polatuzumab vedotin as a salvage and bridging treatment in relapsed or refractory large B-cell lymphomas.

Nora Liebers, Johannes Duell, Donnacha Fitzgerald, Andrea Kerkhoff, Daniel Noerenberg, Eva Kaebisch, Fabian Acker, Stephan Fuhrmann, Corinna Leng, Manfred Welslau and 29 more

Abstract read
In one paragraph

Article in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed.

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  19. Reprogramming natural killer cells for cancer therapy.Molecular therapy : the journal of the American Society of Gene Therapy · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

39 authors.

Nora LiebersDepartment of Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Johannes DuellDepartment of Internal Medicine II, Würzburg University Hospital, University of Würzburg, Würzburg, Germany.
Donnacha FitzgeraldDepartment of Medicine V, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0003-4927-7484
Andrea KerkhoffDepartment of Medicine A, University Hospital Münster, Münster, Germany.
Daniel NoerenbergDepartment of Hematology, Oncology and Tumor Immunology (Campus Virchow-Klinikum), Charité University Medicine, Berlin, Germany.
Eva KaebischDepartment of Hematology, Oncology and Tumor Immunology (Campus Virchow-Klinikum), Charité University Medicine, Berlin, Germany.ORCID 0000-0001-7752-4126
Fabian AckerDepartment of Medicine 2, Hematology and Oncology, University Hospital Frankfurt, Frankfurt, Germany.ORCID 0000-0002-6207-0237
Stephan FuhrmannDepartment of Hematology, HELIOS Klinikum Berlin-Buch, Berlin, Germany.ORCID 0000-0002-7785-2565
Corinna LengDepartment of Hematology, Oncology, and Tumor Immunology (Campus Benjamin Franklin), Charité University Medicine, Berlin, Germany.
Manfred WelslauMVZ am Klinikum Aschaffenburg, Onkologie und Hämatologie, Aschaffenburg, Germany.
Jens ChemnitzGemeinschaftsklinikum Mittelrhein GmbH, Koblenz, Germany.
Jan-Moritz MiddekeUniversity Hospital Dresden, Dresden, Germany.
Thomas WeberDepartment of Medicine IV, Hematology and Oncology, University of Halle, Halle, Germany.ORCID 0000-0002-8724-9348
Udo HoltickDepartment I of Internal Medicine, Medical Faculty and University Hospital, Cologne, University of Cologne, Cologne, Germany.
Ralf TrappeDepartment of Hematology and Oncology, DIAKO Ev. Diakonie-Krankenhaus Bremen, Bremen, Germany.
Roald PfannesDepartment of Medicine I, Städtisches Klinikum Dessau, Dessau, Germany.
Ruediger LierschPraxis Medical Center, Gemeinschaftspraxis für Hämatologie und Onkologie Münster, Münster, Germany.
Christian SpoerMVZ am EVK Düsseldorf, Internistische Onkologie und Hämatologie, Düsseldorf, Germany.
Stefan FuxiusOnkologische Schwerpunktpraxis Heidelberg, Heidelberg, Germany.
Niklas GebauerDepartment of Haematology and Oncology, University Hospital of Schleswig-Holstein, Campus Lübeck, Germany.
Léandra CailléDepartment of Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Thomas GeerDiakonie Klinikum Schwäbisch-Hall, Innere Medizin III, Schwäbisch Hall, Germany.
Christian KoeneckeDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.ORCID 0000-0001-7025-1735
Ulrich KellerDepartment of Hematology, Oncology, and Tumor Immunology (Campus Benjamin Franklin), Charité University Medicine, Berlin, Germany.ORCID 0000-0002-8485-1958
Rainer ClausHematology and Oncology, Medical Faculty, University of Augsburg, Augsburg, Germany.ORCID 0000-0003-2617-8766
Dimitrios MougiakakosDepartment of Internal Medicine 5, Hematology and Clinical Oncology, Friedrich-Alexander University (FAU) of Erlangen-Nuremberg, Erlangen, Germany.
Stephanie MayerDepartment of Internal Medicine III, University Hospital of Regensburg, Regensburg, Germany.
Andreas HuettmannDepartment of Hematology, University Hospital of Essen, Essen, Germany.ORCID 0000-0003-2230-3873
Christiane PottSecond Medical Department, University Hospital Schleswig-Holstein, Campus Kiel, Germany.
Arne TrummerDepartment of Hematology and Oncology, Klinikum Braunschweig, Braunschweig, Germany.
Gerald WulfClinic for Hematology and Medical Oncology, University Medicine Göttingen, Germany; and.
Uta BrunnbergDepartment of Medicine 2, Hematology and Oncology, University Hospital Frankfurt, Frankfurt, Germany.
Lars BullingerDepartment of Hematology, Oncology and Tumor Immunology (Campus Virchow-Klinikum), Charité University Medicine, Berlin, Germany.
Georg HessDepartment of Hematology, Oncology and Pneumology, Johannes Gutenberg-University, Mainz, Germany.
Carsten Mueller-TidowDepartment of Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Bertram GlassDepartment of Hematology, HELIOS Klinikum Berlin-Buch, Berlin, Germany.
Georg LenzDepartment of Medicine A, University Hospital Münster, Münster, Germany.
Peter DregerDepartment of Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Sascha DietrichDepartment of Medicine V, Heidelberg University Hospital, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The antibody-drug conjugate polatuzumab vedotin (pola) has recently been approved in combination with bendamustine and rituximab (pola-BR) for patients with refractory or relapsed (r/r) large B-cell lymphoma (LBCL). To investigate the efficacy of pola-BR in a real-world setting, we retrospectively analyzed 105 patients with LBCL who were treated in 26 German centers under the national compassionate use program. Fifty-four patients received pola as a salvage treatment and 51 patients were treated with pola with the intention to bridge to chimeric antigen receptor (CAR) T-cell therapy (n = 41) or allogeneic hematopoietic cell transplantation (n = 10). Notably, patients in the salvage and bridging cohort had received a median of 3 prior treatment lines. In the salvage cohort, the best overall response rate was 48.1%. The 6-month progression-free survival and overall survival (OS) was 27.7% and 49.6%, respectively. In the bridging cohort, 51.2% of patients could be successfully bridged with pola to the intended CAR T-cell therapy. The combination of pola bridging and successful CAR T-cell therapy resulted in a 6-month OS of 77.9% calculated from pola initiation. Pola vedotin-rituximab without a chemotherapy backbone demonstrated encouraging overall response rates up to 40%, highlighting both an appropriate alternative for patients unsuitable for chemotherapy and a new treatment option for bridging before leukapheresis in patients intended for CAR T-cell therapy. Furthermore, 7 of 12 patients with previous failure of CAR T-cell therapy responded to a pola-containing regimen. These findings suggest that pola may serve as effective salvage and bridging treatment of r/r LBCL patients.

Indexed as

ImmunoconjugatesSalvage TherapyAntibodies, MonoclonalAntineoplastic Combined Chemotherapy ProtocolsHumansRetrospective StudiesAntibodies, MonoclonalImmunoconjugatespolatuzumab vedotin

Identifiers

PMID34196677
PMCPMC8288676

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.