Systematic review of outcomes and patient heterogeneity in relapsed or refractory diffuse large B-cell lymphoma

被引:2
作者
Miller, Sally D. [1 ]
Lozano-Ortega, Greta [1 ]
Mutebi, Alex [2 ]
Briggs, Owanate [2 ]
Sail, Kavita [3 ]
Elliott, Brian [2 ]
Kalsekar, Anupama [2 ]
机构
[1] Broadstreet HEOR, 201-343 Railway St, Vancouver, BC V6A 1A4, Canada
[2] Genmab, 777 Scudders Mill Rd, Plainsboro, NJ 08536 USA
[3] AbbVie, 1 N Waukegan Rd, Chicago, IL 60064 USA
关键词
clinical trials; comparative effectiveness research; diffuse large B-cell lymphoma; nonrandomized trials; oncology; randomized controlled trials; refractory; relapsed; systematic review; NON-HODGKIN-LYMPHOMA; EFFECTIVE SALVAGE REGIMEN; ELDERLY-PATIENTS; SINGLE-ARM; OPEN-LABEL; PHASE-II; CHOP CHEMOTHERAPY; RESPONSE CRITERIA; PLUS RITUXIMAB; MULTICENTER;
D O I
10.2217/cer-2022-0146
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
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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页数:14
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