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ICML 2025 | Approaching sequencing in DLBCL in the era of novel agents

In this video, Evgenii Shumilov, MD, University Hospital Münster, Münster, Germany, discusses the importance of sequencing in diffuse large B-cell lymphoma (DLBCL) and outlines how to approach the management of patients in the second and third-line settings in the era of novel agents. This interview took place during the 18th International Conference on Malignant Lymphoma (18-ICML) in Lugano, Switzerland.

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Transcript

Right now we have a plethora of new agents, so the sequencing is very important. It is simple and at the same time complicated. So simple is that we have long-term data of CAR T-cell therapy, which confirms that we cure around 40-55% of patients. So we don’t have long-term data of bispecific antibodies or combination like STARGLO. So we can say that we need to wait to confirm that we can also cure a significant part of patients by STARGLO combination, I mean Glofitamab and Gem-Ox...

Right now we have a plethora of new agents, so the sequencing is very important. It is simple and at the same time complicated. So simple is that we have long-term data of CAR T-cell therapy, which confirms that we cure around 40-55% of patients. So we don’t have long-term data of bispecific antibodies or combination like STARGLO. So we can say that we need to wait to confirm that we can also cure a significant part of patients by STARGLO combination, I mean Glofitamab and Gem-Ox. So our strategy is to achieve as deep a remission as possible with novel agents and then to go to CAR T-cell therapy in the second line. So for instance that could be a STARGLO bridging to CAR-T in CAR-T eligible patients. In the third line we have substances like bispecific antibodies or antibody-drug conjugates like loncastuximab tesirine. So second line CAR-T cell therapy in CAR-T cell eligible patients, in CAR T-cell non-eligible patients, glofitamab and Gem-Ox. In third line either monotherapy with bispecific antibodies or Gem-Ox again if it was not used, GemOx with glofitamab if it was not used before, or loncastuximab tesirine.

 

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