In this episode, we explore the emerging entity of CAR Transgenic T-cell Lymphoproliferative Neoplasms (CTTLN), a rare but important complication of CAR T-cell therapy. Dr. Piers Blombery from Peter MacCallum Cancer Center joins us to dissect two cases from the CARTITUDE-4 trial where patients developed T-cell lymphomas expressing the chimeric antigen receptor following cilta-cel treatment for multiple myeloma. As a bonus, we also briefly discussed Dr. Blombery’s paper on menin inhibitors in UBTF tandem duplicated AML. Here are the papers we discussed:
1. CTTLN cases from CARTITUDE-4: https://pubmed.ncbi.nlm.nih.gov/39938094/
2. CTTLN case from MSKCC with insertional mutagenesis: https://pubmed.ncbi.nlm.nih.gov/39908432/
3. Other CTTLN cases in myeloma:
https://pubmed.ncbi.nlm.nih.gov/38865661/
https://pmc.ncbi.nlm.nih.gov/articles/PMC8417502/
4. Response and resistance to menin inhibitors in UBTF tandem duplication AML: https://pubmed.ncbi.nlm.nih.gov/38924737/
In this episode, we delve into the key clinically relevant abstracts in leukemia and myeloid neoplasms with Dr. Jayastu Senapati from the MD Anderson Cancer Center. Here are the links to the abstracts we discussed:
Older AML: Ven+HMA vs 7+3
Abstract 450: https://ash.confex.com/ash/2024/webprogram/Paper210320.html
Abstract 971: https://ash.confex.com/ash/2024/webprogram/Paper202801.html
Abstract 969: https://ash.confex.com/ash/2024/webprogram/Paper199267.html
Venetoclax resistance mechanisms
https://pubmed.ncbi.nlm.nih.gov/39478230/
FLAG-GO vs FLAG-IDA
CPX-351:
Abstract 55: https://ash.confex.com/ash/2024/webprogram/Paper207094.html
Abstract 60: https://ash.confex.com/ash/2024/webprogram/Paper200413.html
Menin Inhibitors
Abstract 211 https://ash.confex.com/ash/2024/webprogram/Paper194384.html
Abstract 212 https://ash.confex.com/ash/2024/webprogram/Paper207106.html
Abstract 213 https://ash.confex.com/ash/2024/webprogram/Paper194827.html
Abstracts 214 https://ash.confex.com/ash/2024/webprogram/Paper198218.html
Abstract 215 https://ash.confex.com/ash/2024/webprogram/Paper198218.html
Abstract 216 https://ash.confex.com/ash/2024/webprogram/Paper204375.html
FLT3 inhibitors
Abstract 221: https://ash.confex.com/ash/2024/webprogram/Paper201595.html
MDS
Abstract 349: https://ash.confex.com/ash/2024/webprogram/Paper194510.html
ATRA in MDS:
https://ash.confex.com/ash/2024/webprogram/Paper200433.html
In this episode, we discuss the management of CML with Dr. Hagop Kantarjian from MD Anderson Cancer Center. Here are the key articles we discussed:
1. ASC4FIRST RCT: Asciminib in newly diagnosed CML.
https://pubmed.ncbi.nlm.nih.gov/38820078/
2. 5-year follow-up of ENESTnd RCT (nilotinib):
https://pubmed.ncbi.nlm.nih.gov/26837842/
3. 10-year follow-up of ENESTnd RCT (nilotinib):
https://pubmed.ncbi.nlm.nih.gov/33414482/
4. 10-year follow-up of CML-IV RCT (imatinib):
https://pubmed.ncbi.nlm.nih.gov/25676422/
5. MD Anderson data on low-dose dasatinib (50 mg):
https://pubmed.ncbi.nlm.nih.gov/36054032/
https://pubmed.ncbi.nlm.nih.gov/31553487/
6. CML: 2025 update on diagnosis, therapy, and monitoring:
https://pubmed.ncbi.nlm.nih.gov/39093014/
In this episode, we dive into the hottest updates in myeloma and amyloidosis at ASH 2024 annual meeting with Dr. Rakesh Popat. Here are the abstracts we discussed:
1. AQUILA Trial in High-Risk SMM
2. Anito-Cel: New BCMA CAR T Therapy
3. CARTITUDE-4 Update
4. ANDROMEDA OS Data in AL Amyloidosis
5. OPTIMUM Trial in Ultra-High-Risk NDMM
6. GMMG-HD7 Trial PFS Update
7. Exciting New Drugs
In this episode, we discussed the top abstracts in lymphoma and CLL presented at the ASH 2024 annual meeting in San Diego with Dr. David A Russler-Germain from Washington University. Here are the key abstracts we discussed:
1. 3 RCTs in Mantle Cell Lymphoma:
a) Update on TRIANGLE: https://ash.confex.com/ash/2024/webprogram/Paper200735.html
b) ENRICH Trial (Continuous Ibrutinib-Rituximab vs CIT [R-CHOP or BR]): https://ash.confex.com/ash/2024/webprogram/Paper199710.html
c) ECOG-ACRIN EA4151 Trial (Auto-HCT vs Rituximab maintenance alone in patients with undetectable MRD after induction): https://ash.confex.com/ash/2024/webprogram/Paper212973.html
2. DLBCL:
a) Update on POLARIX Trial: https://ash.confex.com/ash/2024/webprogram/Paper197938.html
b) Predictive Value of Cell-of-Origin Subtype By Hans Algorithm in DLBCL Patients Receiving Polatuzumab Vedotin: https://ash.confex.com/ash/2024/webprogram/Paper202153.html
c) COALITION trial: https://ash.confex.com/ash/2024/webprogram/Paper204930.html
3. Follicular Lymphoma:
a) Phase 3 inMIND trial (Tafasitamab + R2 vs Placebo + R2): https://ash.confex.com/ash/2024/webprogram/Paper212970.html
b) Loncastuximab tesirine with rituximab in patients with R/R FL: https://www.thelancet.com/journals/lanhae/article/PIIS2352-3026(24)00345-4/abstract
4. CLL:
a) AMPLIFY Trial (Fixed-Duration Acalabrutinib Plus Venetoclax with or without Obinutuzumab Versus Chemoimmunotherapy in 1st line CLL): https://ash.confex.com/ash/2024/webprogram/Paper200701.html
5. Hodgkin Lymphoma:
a) Pembrolizumab Maintenance Instead of Auto-HCT for R/R HL: https://ash.confex.com/ash/2024/webprogram/Paper202537.html