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SOHO 2025 | Challenges associated with double-hit R/R Burkitt lymphoma & novel therapies being explored

In this video, Ariela Noy, MD, Memorial Sloan Kettering Cancer Center, New York, NY, comments on emerging therapies for patients with relapsed/refractory (R/R) and double-hit Burkitt lymphoma. Dr Noy emphasizes the poor survival rates for these patients, and highlights the potential of CAR T-cell therapy, but notes that its efficacy is limited. This interview took place at the 13th Annual Meeting of the Society of Hematologic Oncology (SOHO 2025) in Houston, TX.

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Transcript

So patients that have double-hit and Burkitt lymphoma in relapse generally do not do well. As I mentioned a little bit earlier, patients really almost rarely survive, at least if they have Burkitt. I would say survival rates are less than 10 percent, so we’re hoping to do better in the frontline setting to avoid that. But both, well, double-hit, we are trying to take those patients to CAR-T...

So patients that have double-hit and Burkitt lymphoma in relapse generally do not do well. As I mentioned a little bit earlier, patients really almost rarely survive, at least if they have Burkitt. I would say survival rates are less than 10 percent, so we’re hoping to do better in the frontline setting to avoid that. But both, well, double-hit, we are trying to take those patients to CAR-T. The results are not spectacular. And so sometimes those patients end up on clinical trials, looking at novel agents. I would say refer earlier than later to try to capitalize on that. It’s a difficult situation. And we see relapses right after the CAR-T as well. And the CAR-T is not very helpful in the Burkitt. There’s a paper in Blood by samples looking across many institutions. And the CAR-T efficacy for relapsed/refractory Burkitt is terrible, like 15 percent.

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