Noninvasive minimal residual disease assessment in relapsed/refractory large B‐cell lymphoma using digital droplet PCR

Author:

Heger Jan‐Michel123ORCID,d'Hargues Yannick124,Kleinert Fanni1,Mattlener Julia12,Weiss Jonathan12,Franzen Fabian12,Becker Christian5,Becker Kerstin5,Gödel Philipp123,Schmiel Marcel6,Meinel Jörn6,Flümann Ruth123,Simon Florian12,Reinhardt H. Christian27,Borchmann Peter123,Borchmann Sven123,Balke‐Want Hyatt1238,Knittel Gero247,von Tresckow Bastian17

Affiliation:

1. Department I of Internal Medicine Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf, University of Cologne, Medical Faculty and University Hospital Cologne Cologne Germany

2. Cancer Center Cologne Essen, Cologne and Essen Cologne Germany

3. Cologne Lymphoma Working Group (CLWG) Cologne Germany

4. Mildred Scheel School of Oncology Aachen Bonn Cologne Düsseldorf (MSSO ABCD) Faculty of Medicine and University Hospital of Cologne Cologne Germany

5. West German Genome Center (WGGC), University of Cologne Cologne Germany

6. Department of Pathology University of Cologne, Medical Faculty and University Hospital Cologne Cologne Germany

7. Department of Hematology and Stem Cell Transplantation West German Cancer Center and German Cancer Consortium (DKTK partner site Essen), University Hospital Essen, University of Duisburg‐Essen Essen Germany

8. Stanford Center for Cancer Cell Therapy, Stanford Cancer Institute, Stanford University Stanford California USA

Abstract

AbstractAlthough several promising approaches for the treatment of relapsed/refractory diffuse large B‐cell lymphoma (rrDLBCL) have been approved recently, it remains unclear which patients will ultimately achieve long‐term responses. Circulating tumor (ct)DNA sequencing has emerged as a valuable tool to assess minimal residual disease (MRD). Correlations between MRD and outcomes have been shown in previously untreated DLBCL, but data on the repeated assessment of MRD in the dynamic course of rrDLBCL is limited. Here, we present an approach leveraging cost‐ and time‐sensitivity of digital droplet (dd)PCR to repeatedly assess MRD in rrDLBCL and present proof‐of‐principle for its ability to predict outcomes.

Funder

EKFS

Deutsche Krebshilfe

Deutsche Forschungsgemeinschaft

Novartis

Publisher

Wiley

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