Systematic review of outcomes and patient heterogeneity in relapsed or refractory diffuse large B-cell lymphoma
Publication: Journal of Comparative Effectiveness Research
Abstract
Aim: To evaluate trials of systemic therapies in transplant-ineligible or -experienced, relapsed/refractory diffuse large-B cell lymphoma and the impact of patient characteristics on overall response rate (ORR). Patients & methods: Systematically reviewed multiple databases through 22 July 2021. Analyzed variations in patient characteristics and their relationship with ORR across trials. Results: Among 17 included trials, key patient characteristics varied substantially: primary refractory (0–69%), refractory to last line of therapy (LOT) (12–100%), ≥2 prior LOTs (14–100%), ≥3 prior LOTs (0–64%), IPI ≥3 (23–73%), tumor stage III/IV (50–90%) and median age (56–74 years). ORRs varied substantially (25–83%), correlating with these characteristics. Conclusion: Differences in patient characteristics significantly contribute to the variability in ORR across these trials and should be considered when contextualizing efficacy data.
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Received: 10 August 2022
Accepted: 4 November 2022
Published online: 23 November 2022
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Systematic review of outcomes and patient heterogeneity in relapsed or refractory diffuse large B-cell lymphoma. (2022) Journal of Comparative Effectiveness Research. DOI: 10.2217/cer-2022-0146
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