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      <comment>Hématologie, Hospices Civils de Lyon and Université de Lyon, Lyon, France            
            Medizinische Klinik und Poliklinik II, Universitätsklinik Würzburg, Würzburg, Germany            
            Department of Hematology, Institut Catalá d'Oncologia, Hospital Duran i Reynals, Institut d'Investigacio Biomedica de Bellvitge, Barcelona, Spain            
            Service d'Hématologie Clinique et de Thérapie Cellulaire, Centres Hospitalier Universitaire Estaing, Clermont-Ferrand, France            
            Maria Skłodowska-Curie National Institute of Oncology, Kraków, Poland            
            Università degli Studi di Perugia, Azienda Ospedaliera Santa Maria di Terni, Terni, Italy            
            1st Department of Internal Medicine, Semmelweis University, Budapest, Hungary            
            Department of Hemato-Oncology, Palacký University and University Hospital, Olomouc, Czech Republic            
            Division of Hematology, Department of Translational Medicine, Università del Piemonte Orientale Amedeo Avogadro, Novara, Italy            
            Department of Haematology, Université Catholique de Louvain, CHU UCL Namur, Yvoir, Belgium            
            Molecular and Clinical Cancer Medicine, University of Liverpool and The Clatterbridge Cancer Centre, Liverpool, United Kingdom            
            Department of Medicine III, University Hospital Groβhadern, Ludwig Maximilians University, Munich, Germany            
            MorphoSys, Planegg, Germany            
            Department of Internal Medicine, Arthur G James Comprehensive Cancer Center, The Ohio State University, Columbus, OH, United States            
            Cited By :122            
            Export Date: 19 April 2022            
            CODEN: LOANB            
            Correspondence Address: Salles, G.; Hospices Civils de Lyon, France; email: gilles.salles@chu-lyon.fr            
            Chemicals/CAS: creatinine, 19230-81-0, 60-27-5; gamma glutamyltransferase, 85876-02-4; lenalidomide, 191732-72-6; tafasitamab, 1422527-84-1; Antibodies, Monoclonal, Humanized; Lenalidomide; tafasitamab</comment>
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      <title>Tafasitamab plus lenalidomide in relapsed or refractory diffuse large B-cell lymphoma (L-MIND): a multicentre, prospective, single-arm, phase 2 study</title>
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      <abstractText>Background: Patients with relapsed or refractory diffuse large B-cell lymphoma who are ineligible for autologous stem-cell transplantation have poor outcomes and few treatment options. Tafasitamab (MOR208) is an Fc-enhanced, humanised, anti-CD19 monoclonal antibody that has shown preclinical and single-agent activity in patients with relapsed or refractory B-cell malignancies. Preclinical data suggested that tafasitamab might act synergistically with lenalidomide. We aimed to assess the antitumour activity and safety of tafasitamab plus lenalidomide in patients with relapsed or refractory diffuse large B-cell lymphoma who were ineligible for autologous stem-cell transplantation. Methods: In this multicentre, open-label, single-arm, phase 2 study (L-MIND), patients older than 18 years with histologically confirmed diffuse large B-cell lymphoma, who relapsed or had refractory disease after previous treatment with one to three systemic regimens (with at least one anti-CD20 therapy), were not candidates for high-dose chemotherapy and subsequent autologous stem-cell transplantation, had an Eastern Cooperative Oncology Group performance status of 0–2, and had measurable disease at baseline were recruited from 35 academic and community hospitals in ten countries. Patients received coadministered intravenous tafasitamab (12 mg/kg) and oral lenalidomide (25 mg/day) for up to 12 cycles (28 days each), followed by tafasitamab monotherapy (in patients with stable disease or better) until disease progression. The primary endpoint was the proportion of patients with an objective response (centrally assessed), defined as a complete or partial response according to the 2007 International Working Group response criteria for malignant lymphoma. Antitumour activity analyses are based on all patients who received at least one dose of both tafasitamab and lenalidomide; safety analyses are based on all patients who received at least one dose of either study medication. Recruitment is complete, and the trial is in follow-up. This trial is registered with ClinicalTrials.gov, NCT02399085. Findings: Between Jan 18, 2016, and Nov 15, 2017, 156 patients were screened: 81 were enrolled and received at least one dose of either study medication, and 80 received at least one dose of both tafasitamab and lenalidomide. Median follow-up was 13·2 months (IQR 7·3–20·4) as of data cutoff on Nov 30, 2018. 48 (60%; 95% CI 48–71) of 80 patients who received tafasitamab plus lenalidomide had an objective response: 34 (43%; 32–54) had a complete response and 14 (18%; 10–28) had a partial response. The most common treatment-emergent adverse events of grade 3 or worse were neutropenia (39 [48%] of 81 patients), thrombocytopenia (14 [17%]), and febrile neutropenia (ten [12%]). Serious adverse events occurred in 41 (51%) of 81 patients. The most frequently reported serious adverse events (in two or more patients) were pneumonia (five [6%]), febrile neutropenia (five [6%]), pulmonary embolism (three [4%]), bronchitis (two [2%]), atrial fibrillation (two [2%]), and congestive cardiac failure (two [2%]). Interpretation: Tafasitamab in combination with lenalidomide was well tolerated and resulted in a high proportion of patients with relapsed or refractory diffuse large B-cell lymphoma ineligible for autologous stem-cell transplantation having a complete response, and might represent a new therapeutic option in this setting. Funding: MorphoSys. © 2020 Elsevier Ltd</abstractText>
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          <label>14. Ryan, M.C., Palanca-Wessels, M.C., Schimpf, B., Therapeutic potential of SGN-CD19B, a PBD-based anti-CD19 drug conjugate, for treatment of B-cell malignancies (2017) Blood, 130, pp. 2018-2026                    </label>
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          <label>15. Horton, H.M., Bernett, M.J., Pong, E., Potent in vitro and in vivo activity of an Fc-engineered anti-CD19 monoclonal antibody against lymphoma and leukemia (2008) Cancer Res, 68, pp. 8049-8057                    </label>
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          <label>16. Awan, F.T., Lapalombella, R., Trotta, R., CD19 targeting of chronic lymphocytic leukemia with a novel Fc-domain-engineered monoclonal antibody (2010) Blood, 115, pp. 1204-1213                    </label>
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          <label>17. Jurczak, W., Zinzani, P.L., Gaidano, G., Phase IIa study of the CD19 antibody MOR208 in patients with relapsed or refractory B-cell non-Hodgkin's lymphoma (2018) Ann Oncol, 29, pp. 1266-1272                    </label>
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          <label>18. Gribben, J.G., Fowler, N., Morschhauser, F., Mechanisms of action of lenalidomide in B-cell non-Hodgkin lymphoma (2015) J Clin Oncol, 33, pp. 2803-2811                    </label>
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          <label>20. Witzig, T.E., Vose, J.M., Zinzani, P.L., An international phase II trial of single-agent lenalidomide for relapsed or refractory aggressive B-cell non-Hodgkin's lymphoma (2011) Ann Oncol, 22, pp. 1622-1627                    </label>
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          <label>24. Wang, M., Fowler, N., Wagner-Bartak, N., Oral lenalidomide with rituximab in relapsed or refractory diffuse large cell, follicular and transformed lymphoma: a phase II clinical trial (2013) Leukemia, 27, pp. 1902-1909                    </label>
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          <label>25. Witzig, T.E., Nowakowski, G.S., Habermann, T.M., A comprehensive review of lenalidomide therapy for B-cell non-Hodgkin lymphoma (2015) Ann Oncol, 26, pp. 1667-1677                    </label>
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          <label>26. Wiernik, P.H., Lossos, I.S., Tuscano, J.M., Lenalidomide monotherapy in relapsed or refractory aggressive non-Hodgkin's lymphoma (2008) J Clin Oncol, 26, pp. 4952-4957                    </label>
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          <label>27. Rodgers, T.D., Baran, A.M., Reagan, P.M., Outcomes of lenalidomide in diffuse large B-cell (DLBCL) and high-grade NHL (HGBCL): a single-center retrospective analysis (2019) Proc Am Soc Clin Oncol, 37                    </label>
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          <link>/api/reference/2661062</link>
          <label>28. Broccoli, A., Casadei, B., Chiappella, A., Lenalidomide in pretreated patients with diffuse large B-cell lymphoma: an Italian observational multicenter retrospective study in daily clinical practice (2019) Oncologist, 24, pp. 1246-1252                    </label>
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          <link>/api/reference/2661063</link>
          <label>29. Wilson, W.H., Young, R.M., Schmitz, R., Targeting B cell receptor signaling with ibrutinib in diffuse large B cell lymphoma (2015) Nat Med, 21, pp. 922-926                    </label>
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          <link>/api/reference/2661064</link>
          <label>30. Lagrue, K., Carisey, A., Morgan, D.J., Chopra, R., Davis, D.M., Lenalidomide augments actin remodeling and lowers NK-cell activation thresholds (2015) Blood, 126, pp. 50-60</label>
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							&lt;span class=&quot;author-name&quot; mtid=&quot;10024022&quot;&gt;&lt;a 
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&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis Egyetem&quot;&gt;SE&lt;/span&gt;/&lt;span title=&quot;Általános Orvostudományi Kar&quot;&gt;AOK&lt;/span&gt;/&lt;span title=&quot;Klinikum&quot;&gt;K&lt;/span&gt;/Belgyógyászati és Onkológiai Klinika&lt;/span&gt;
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&lt;div class=&quot;title&quot;&gt;&lt;a href=&quot;/gui2/?mode=browse&amp;params=publication;31386187&quot; target=&quot;_blank&quot;&gt;Tafasitamab plus lenalidomide in relapsed or refractory diffuse large B-cell lymphoma (L-MIND): a multicentre, prospective, single-arm, phase 2 study&lt;/a&gt;&lt;/div&gt;    &lt;div&gt;		&lt;span class=&quot;journal-title&quot;&gt;LANCET ONCOLOGY&lt;/span&gt;

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    | &lt;span class=&quot;type-subtype&quot;&gt;Folyóiratcikk
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			)
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      		| &lt;span class=&quot;pub-category&quot;&gt;Tudományos&lt;/span&gt;
	| &lt;span class=&quot;publication-sourceOfData&quot;&gt;Scopus&lt;/span&gt;
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	&lt;div class=&quot;notDuplums&quot;&gt;&lt;a target=&quot;_blank&quot; href=&quot;/api/publication/31386187/notduplums&quot;&gt;2 Nem duplumnak jelölés&lt;/a&gt;
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&lt;div class=&quot;lastModified&quot;&gt;Utolsó módosítás: 2020.12.23. 13:34 Szuper Admin (admin)
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	&lt;pre class=&quot;comment&quot; style=&quot;margin-top: 0; margin-bottom: 0;&quot;&gt;&lt;u&gt;Megjegyzés&lt;/u&gt;: Hématologie, Hospices Civils de Lyon and Université de Lyon, Lyon, France            
            Medizinische Klinik und Poliklinik II, Universitätsklinik Würzburg, Würzburg, Germany            
            Department of Hematology, Institut Catalá d&apos;Oncologia, Hospital Duran i Reynals, Institut d&apos;Investigacio Biomedica de Bellvitge, Barcelona, Spain            
            Service d&apos;Hématolog...&lt;/pre&gt;

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