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April 16, 2026Journal of Clinical MedicineOpen Access

Molecularly Adapted Antitumor Therapy for Newly Diagnosed Diffuse Large B-Cell Lymphoma: Two-Year Follow-Up Results

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Authors

MMMarat MingalimovSechenov UniversityEBElena BaryakhSechenov UniversityAMAndrey MisyurinVavilov Institute of General Genetics

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Overview

This prospective study demonstrates high response rates in newly diagnosed DLBCL with a genotype-directed therapy, suggesting better outcomes.

Key Points

  • Evaluate the feasibility and efficacy of molecularly adapted therapy in newly diagnosed diffuse large B-cell lymphoma (DLBCL).
  • Single-center, prospective, non-randomized study with 43 adults diagnosed with DLBCL.
  • Participants underwent tumor genotyping using a 19-gene or a 60-gene panel.
  • Initial R-CHOP therapy was followed by R-CHOP-X, incorporating agents based on molecular subtype.
  • Response assessed via PET/CT and adverse events recorded per NCI CTCAE v5.0.
  • Overall response rate was 100% with complete response rate also at 100% among those who finished therapy.
  • At two years, overall survival was 92% and progression-free survival was 94%.
  • Use of a 60-gene panel significantly reduced unclassifiable cases from 34% to 12%.
  • Notable adverse events included grade 3–4 neutropenia (26%) and thrombocytopenia (12%), but no treatment discontinuations were noted.

Cite This Study

Mingalimov et al. (2026) studied this question.

synapsesocial.com/papers/69e07cc02f7e8953b7cbdf14https://doi.org/10.3390/jcm15082983
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