Volume 189, Issue 2 pp. 313-317
Short Report

Poor outcomes for double-hit lymphoma patients treated with curative-intent second-line immunochemotherapy following failure of intensive front-line immunochemotherapy

Daniel J. Landsburg

Corresponding Author

Daniel J. Landsburg

University of Pennsylvania, Philadelphia, PA, USA

Correspondence: Daniel J. Landsburg, University of Pennsylvania, 3400 Civic Center Boulevard, #12-182, Philadelphia, PA 19104, USA.

E-mail: [email protected]

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Emily C. Ayers

Emily C. Ayers

University of Pennsylvania, Philadelphia, PA, USA

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David A. Bond

David A. Bond

The Ohio State University, Columbus, OH, USA

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Kami J. Maddocks

Kami J. Maddocks

The Ohio State University, Columbus, OH, USA

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Reem Karmali

Reem Karmali

Northwestern University, Chicago, IL, USA

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Amir Behdad

Amir Behdad

Northwestern University, Chicago, IL, USA

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Madeira Curry

Madeira Curry

Johns Hopkins University, Baltimore, MD, USA

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Nina D. Wagner-Johnston

Nina D. Wagner-Johnston

Johns Hopkins University, Baltimore, MD, USA

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Dipenkumar Modi

Dipenkumar Modi

Wayne State University, Detroit, MI, USA

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Radhakrishnan Ramchandren

Radhakrishnan Ramchandren

Wayne State University, Detroit, MI, USA

University of Tennessee, Knoxville, TN, USA

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Sarit E. Assouline

Sarit E. Assouline

McGill University Jewish General Hospital, Montreal, QC, Canada

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Rawan Faramand

Rawan Faramand

Moffitt Cancer Center, Tampa, FL, USA

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Julio C. Chavez

Julio C. Chavez

Moffitt Cancer Center, Tampa, FL, USA

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Pallawi Torka

Pallawi Torka

Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA

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Angel Mier Hicks

Angel Mier Hicks

Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA

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L. Jeffrey Medeiros

L. Jeffrey Medeiros

The University of Texas MD Anderson Cancer Center, Houston, TX, USA

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Shaoying Li

Shaoying Li

The University of Texas MD Anderson Cancer Center, Houston, TX, USA

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First published: 05 December 2019
Citations: 9

Summary

While patients with double-hit lymphoma (DHL) are now frequently treated with intensive front-line immunochemotherapy, outcomes for those who fail these regimens and subsequently receive curative-intent second-line immunochemotherapy are unknown. We identified 55 such patients who achieved an overall/complete response rate of 29%/11%, median progression-free/overall survival (PFS/OS) of 2/5·1 months and one-year PFS/OS of 10/19% following the start of second-line therapy. These outcomes may serve as a standard against which future second-line treatment strategies for relapsed/refractory DHL can be measured and justify investigation of non-cytotoxic therapies in the second-line setting for these patients.

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