Table 2. 90Y-ibritumomab tiuxetan treatment in diffuse large B cell lymphoma.
Trial design | Disease | No of patients | Response rate | Response duration |
---|---|---|---|---|
After 6 cycles of CHOP [30] | Chemonaïve DLBCL | 20 | ORR 100% CR 95% PR 5% |
2-year PFS 75% 2-year OS 95% |
After 6 cycles of R-CHOP [31] | Chemonaïve, elderly DLBCL | 63 | ORR 88% CR/CRu 86% PR 2% |
3.5-year PFS 75% 3.5-year OS 84% |
After 4 cycles of R-CHOP [32] | Chemonaïve, elderly DLBCL | 55 | ORR 80% CR 73% PR 7% |
2-year PFS 85% 2-year OS 86% |
After either 4 or 6 cycles of R-CHOP [34] | Chemonaïve, early stage DLBCL | 53 | ORR 98% CR/CRu 79% PR 19% |
5-year PFS 78% 5-year OS 94% |
Monotherapy [37] | R/R DLBCL | 104 | ORR 44% | mPFS 1.6 - 5.9 months mOS 4.6 – 22.4 months |
Monotherapy followed by 4 weekly doses of rituximab [39] | R/R DLBCL | 25 | ORR 31% CR 21% PR 13% |
mEFS 2.5 months mOS 8.1 months 5-year OS 53% (all patients) 81% (long-term responders) |
Z-BEAM [40] | R/R DLBCL | 43 | ORR 98% CR 98% |
2-year PFS 59% 2-year OS 91% |
Z-BEAM [41] | Transformed lymphoma | 63 | ORR 100% | 2-year PFS 68% 2-year OS 90% |
After 3 cycles of R-CHOP and in association with ASCT [42] | DLBCL patients in PR or CRu after first line treatmen | 37 | ORR 100% | mPFS 5.1 years mDFS 4.3 years mOS 7.8 years |
Abbreviations: DLBCL diffuse large B cell lymphoma; ORR overall response rate; CR complete response; PR partial response; mPFS median progression-free survival; mOS median overall survival; R-CHOP rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone; R/R relapsed/refractory; mEFS median event free survival; BEAM carmustine, etoposide, cytarabine, and melphalan; ASCT autologous stem cell transplantation; mDFS median disease free survival.