Table 2. Cell-of-origin based therapy and outcome in diffuse large B-cell lymphoma.
Regimen [Reference] | DLBCL | Phase | Number | Stage | Response (ABC/non-GCB vs GCB) | Outcome (ABC/non-GCB vs GCB) |
---|---|---|---|---|---|---|
R-CHOP [23] | Untreated | 233 | II-IV | 3-yr PFS: 40% vs 74% | ||
DA-EPOCH-R [24] | Untreated | II | 71 | II-IV | 5-yr PFS: 56% vs 79% 5-yr OS: 64% vs 84% |
|
DA-EPOCH-R [25] | Untreated | II | 69 | II-IV | 5-yr TTP: 67% vs 100% 5-yr EFS: 58% vs 94% 5-yr OS: 68% vs 94% |
|
Bortezomib + DA-EPOCH [27] | Relapse/Refractory | II | 27 | ORR: 83% vs 13% CR: 42% vs 6% |
median OS: 10.8 mon vs 3.4 mon | |
Lanalidomide [29] | Relapse/Refractory | Retrospective | 40 | I-IV | ORR: 52.9% vs 8.7% CR: 29.4% vs 4.3% |
median PFS: 6.2 mon vs 1.7 mon median OS: 14 mon vs 13 mon |
Lanalidomide + R-CHOP [31] | Untreated | II | 32 | II-IV | ORR: 88% vs 88% CR: 88% vs 81% |
2-yr EFS: 74% vs 61% 2-yr PFS: 81% vs 71% 2-yr OS: 94% vs 88% |
Lanalidomide + R-CHOP [30] | Untreated | II | 64 | II-IV | 2-yr PFS: 60% vs 59% 2-yr OS: 83% vs 75% |
|
Ibrutinib [25] | Relapse/Refractory | I/II | 58 | ORR: 37% vs 5% CR: 16% vs 0% |
median PFS: 2.02 mon vs 1.31 mon median OS: 10.32 mon vs 3.35 mon |
|
Ibrutinib + R-CHOP [34] | Untreated | Ib | 11 | Bulky I-IV | ORR: 100% vs 100% CR: 100% vs 71% |
DLBCL, diffuse large B-cell lymphoma; ABC, activated B-cell like; GCB, germinal center B-cell like; yr, year; mon, months; R-CHOP, rituximab, cyclophosphamide, doxorubicin, vincristine, and prodnisone; DA-EPOCH, dose-adjusted etoposide, vincristine, doxorubicin, cyclophosphamide and predonisone; PFS, progression-free survival; OS, overall survival; TTP, time to progression survival; EFS, event-free survival; ORR, overall response rate; CR, complete response rate