Case Report

Systemic Relapse in a Young Adult Patient with Primary CNS Diffuse Large B-Cell Lymphoma

Table 2

Agents with activity in R/R PCNSL.

AuthorAgentsStudy type of patientsORR (PR + CR)Median PFS, moMedian OS, mo

Fischer et al. [35]TopotecanProspective279/27 (33%)28.4
Voloschin et al. [36]TopotecanProspective156/15 (40%)2 (60 d)32.7
Reni et al. [37]TemozolomideProspective3611/36 (31%)2.83.9
Soussain et al. [38]CYVE + SCTProspective4320/40 (50%)11.618.3
Batchelor et al. [39]RituxProspective114/11 (36%)1.9 (57 d)20.9
Raizer et al. [40]PemetrexedProspective116/11 (55%)5.710.1
Dietrich et al. [41]PemetrexedProspective148/14 (57%)4.244.5+
Rubenstein et al. [42]IT Ritux + IT MTXProspective14 (6 PCNSL)6/14 (43%)1.2NR
Nayak et al. [43]Ritux + temozolomide+predProspective165/14 (36%)1.6 (7 wk)NR
Korfel et al. [44]TemsirolimusProspective3720/37 (54%)2.13.7
Grommes et al. [45]IbrutinibProspective20 (13 PCNSL)10/13 (77%)4.615 (PCNSL)
Grommes et al. [46]Ibrutinib + HD-MTX + RituxProspective1512/14 (80%)9.2NR
Roschewski et al. [47]TEDDi-R : ibrutinib + anthracyclineProspective189/13 (69%)15.2NR
Rubenstein et al. [48]LenalidomideProspective149/14 (64%)6NR
Ghesquieres et al. [49]Revri : Lenalidomide + RituxProspective5016/50 (32%)7.514.7
Tun et al. [50]Pomalidomide + dexamethasoneProspective2912/25 (48%)5.3NR
Fox et al. [51]Tier : Thiotepa + ifos + eto + RituxProspective2714/27 (52%)35
Kasenda et al. [52]HDAra-C + Thiotepa + Ritux + SCTProspective3928/39 (72%)12.4NR
Gavrilenko et al. [53]NivolumabProspective9 (8 PCNSL)7/9 (78%)1212
Siddiqi et al. [54]CD19 CAR-T-cell therapyProspective7 (3 PCNSL)4/7 (57%)NRNR
Li et al. [55]CD19/CD22 CAR-T-cell therapyProspective5 (1 PCNSL)5/5 (100%)3NR
Tu et al. [29]CD19/CD70 CAR-T-cell therapyCase study11/1 (100%)>17>17
Siddiqi et al. [56]CD19 CAR-T-cell therapyCase series53/5 (60%)NRNR

ORR, overall response rate; CR, complete response; PR, partial response; PFS, progression free survival; OS, overall survival; NR, not reported; IT, intrathecal; pred, prednisone; HDAra-C, high-dose cytarabine; CYVE, cytarabine + etoposide; SCT, stem cell transplant; HD-MTX, high-dose methotrexate; Ritux, rituximab; ifos, ifosfamide; eto, etoposide; CAR, chimeric antigen receptor.