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ASH 2024 | Five-year analysis of the POLARIX study: Pola-R-CHP in DLBCL

Gilles Salles, MD, PhD, Memorial Sloan Kettering Cancer Center, New York, NY, discusses the five-year update of the POLARIX study (NCT03274492), investigating Pola-R-CHP in patients with advanced-stage diffuse large B-cell lymphoma (DLBCL). The treatment regimen significantly reduced the risk of progression compared to R-CHOP, and also demonstrates a trend towards improved overall survival, particularly in patients with high-risk disease. This confirms the positive impact of Pola-R-CHP on outcomes, making it a standard regimen for patients with advanced-stage DLBCL. This interview took place at the 66th ASH Annual Meeting and Exposition, held in San Diego, CA.

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Transcript (AI-generated)

So we presented the data on the five years update of the POLARIX studies, the studies that compare R-CHOP vs. Pola-R-CHP, and has shown with the two years follow-up a significant benefit for the primary endpoint, which was progression-free survival. At five years, what we observed is that this benefit was confirmed and sustained with a hazard ratio of 0.77, showing then a reduction in the risk of progression of that of about 23% for this patient...

So we presented the data on the five years update of the POLARIX studies, the studies that compare R-CHOP vs. Pola-R-CHP, and has shown with the two years follow-up a significant benefit for the primary endpoint, which was progression-free survival. At five years, what we observed is that this benefit was confirmed and sustained with a hazard ratio of 0.77, showing then a reduction in the risk of progression of that of about 23% for this patient. We looked at overall survival which is still not significantly different, although it’s possible that the curve may eventually separate and diverge in the future. When we look in particular at the number of deaths that are lymphoma related, they seem to be rather similar during the two, three first years of the study but tend to diverge more recently and are more deaths related to lymphoma in the R-CHOP arms and in the Pola-R-CHP arm. Again, no significant difference but a numerical difference which is trending in the right direction. No new safety signal. Again, what was published in the New England is just confirmed with a longer follow-up. In terms of patients with high-risk disease, we observed a significant benefit in terms of progression survival 10% for patients with an IPI 3-5, almost 5% difference in overall survival. Same trend for patients for high-grade B-cell lymphoma, double hit, triple hit. And for those patients with a molecularly defined ABC subtype, the difference in PFS was 25% and the difference in OS is 15%. So clearly Pola-R-CHP appears to be a standard regimen for a category of patients with an advanced stage DLBCL, IPI-2-5, and may benefit to patients with more high-risk Thank you for your attention.

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Disclosures

BeiGene: Consultancy; AbbVie: Consultancy, Research Funding; Genentech/Roche: Consultancy, Honoraria, Research Funding; Incyte: Consultancy, Honoraria; BMS/Celgene: Consultancy; Genmab: Consultancy, Research Funding; Ipsen: Consultancy, Research Funding; Janssen: Consultancy, Research Funding; Kite/Gilead: Consultancy; Merck: Consultancy; Molecular Partners: Consultancy; Nurix: Research Funding; Debiopharm: Consultancy; Epizyme: Consultancy; Innate Pharma: Consultancy; Orna Therapeutics: Consultancy; Pfizer: Consultancy; Treeline: Consultancy; Owkin: Divested equity in a private or publicly-traded company in the past 24 months.