Venetoclax-based combination therapy in R/R DLBCL patients with failure of CAR-T therapy

Ann Hematol. 2023 Mar;102(3):597-601. doi: 10.1007/s00277-023-05088-7. Epub 2023 Jan 30.

Abstract

There are few effective therapeutic options available for R/R DLBCL patients who have undergone CAR-T therapy. We retrospectively assessed 10 R/R DLBCL patients with complete clinical records who received venetoclax-based combination therapy following CAR-T therapy failed in our center between July 2020 and December 2021. After receiving CAR-T therapy, they all relapsed within a few months. As salvage regimens, they were all given venetoclax-based combination therapy. The objective response rate (ORR) was 80 percent, and the complete response rate was 30 percent. At the time of the analysis, 7 patients were still living. Our research has demonstrated that venetoclax-based combination treatment for R/R DLBCL patients who failed CAR-T therapy has a high effectiveness and manageable toxicity.

Keywords: CAR-T therapy; DLBCL; Refractory; Relapsed; Venetoclax.

MeSH terms

  • Bridged Bicyclo Compounds, Heterocyclic
  • Humans
  • Lymphoma, Large B-Cell, Diffuse* / drug therapy
  • Receptors, Chimeric Antigen*
  • Retrospective Studies
  • Sulfonamides / therapeutic use

Substances

  • Receptors, Chimeric Antigen
  • venetoclax
  • Bridged Bicyclo Compounds, Heterocyclic
  • Sulfonamides