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December 8, 2025Blood

Large B-cell lymphoma after CD19-CAR-T failure: Updated real-world outcomes, prognostic factors, and prediction models

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Authors

SKSmith KungwankiattichaiCOCraig OkadaBHBrandon Hayes‐Lattin

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Overview

Retrospective analysis shows poor progression-free survival in large B-cell lymphoma post CD19-CAR-T, highlighting bispecific antibodies' potential as targeted treatments.

Key Points

  • Overall response rates in subsequent therapies for large B-cell lymphoma were up to 55.6% for polatuzumab-based regimens, indicating variability in treatment efficacy.
  • Prognostic factors like LDH levels and ECOG performance status significantly influenced overall survival after CAR-T therapy failure.
  • A single-center retrospective analysis was performed involving 187 patients with relapsed/refractory large B-cell lymphoma.
  • Further investigation is needed to refine therapeutic strategies for large B-cell lymphoma after CD19-CAR-T failure.

Cite This Study

Kungwankiattichai et al. (2025) studied this question.

synapsesocial.com/papers/69362f694fa91c937236df5fhttps://doi.org/10.1182/blood-2025-3726
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