NCCN Guidelines Insights: B-Cell Lymphomas, Version 3.2019

Author:

Zelenetz Andrew D.1,Gordon Leo I.2,Abramson Jeremy S.3,Advani Ranjana H.4,Bartlett Nancy L.5,Caimi Paolo F.6,Chang Julie E.7,Chavez Julio C.8,Christian Beth9,Fayad Luis E.10,Glenn Martha J.11,Habermann Thomas M.12,Lee Harris Nancy3,Hernandez-Ilizaliturri Francisco13,Kaminski Mark S.14,Kelsey Christopher R.15,Khan Nadia16,Krivacic Susan17,LaCasce Ann S.18,Mehta Amitkumar19,Nademanee Auayporn20,Rabinovitch Rachel21,Reddy Nishitha22,Reid Erin23,Roberts Kenneth B.24,Smith Stephen D.25,Snyder Erin D.19,Swinnen Lode J.26,Vose Julie M.27,Dwyer Mary A.28,Sundar Hema28

Affiliation:

1. 1Memorial Sloan Kettering Cancer Center;

2. 2Robert H. Lurie Comprehensive Cancer Center of Northwestern University;

3. 3Massachusetts General Hospital Cancer Center;

4. 4Stanford Cancer Institute;

5. 5Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine;

6. 6Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute;

7. 7University of Wisconsin Carbone Cancer Center;

8. 8Moffitt Cancer Center;

9. 9The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute;

10. 10The University of Texas MD Anderson Cancer Center;

11. 11Huntsman Cancer Institute at the University of Utah;

12. 12Mayo Clinic Cancer Center;

13. 13Roswell Park Comprehensive Cancer Center;

14. 14University of Michigan Rogel Cancer Center;

15. 15Duke Cancer Institute;

16. 16Fox Chase Cancer Center;

17. 17Consultant;

18. 18Dana-Farber/Brigham and Women’s Cancer Center;

19. 19O’Neal Comprehensive Cancer Center at UAB;

20. 20City of Hope National Medical Center;

21. 21University of Colorado Cancer Center;

22. 22Vanderbilt-Ingram Cancer Center;

23. 23UC San Diego Moores Cancer Center;

24. 24Yale Cancer Center/Smilow Cancer Hospital;

25. 25University of Washington/Seattle Cancer Care Alliance;

26. 26The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins;

27. 27Fred & Pamela Buffett Cancer Center; and

28. 28National Comprehensive Cancer Network.

Abstract

Diffuse large B-cell lymphomas (DLBCLs) and follicular lymphoma (FL) are the most common subtypes of B-cell non-Hodgkin’s lymphomas in adults. Histologic transformation of FL to DLBCL (TFL) occurs in approximately 15% of patients and is generally associated with a poor clinical outcome. Phosphatidylinositol 3-kinase (PI3K) inhibitors have shown promising results in the treatment of relapsed/refractory FL. CAR T-cell therapy (axicabtagene ciloleucel and tisagenlecleucel) has emerged as a novel treatment option for relapsed/refractory DLBCL and TFL. These NCCN Guidelines Insights highlight important updates to the NCCN Guidelines for B-Cell Lymphomas regarding the treatment of TFL and relapsed/refractory FL and DLBCL.

Publisher

Harborside Press, LLC

Subject

Oncology

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