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Study Identifies Optimal Sequential Therapy for Aggressive T- and NK-Cell Lymphomas

Mass General Brigham research confirms survival benefits of small molecule inhibitors followed by epigenetic modifiers for relapsed/refractory lymphomas.

Overview

  • A retrospective study of over 800 patients with relapsed/refractory T- and NK-cell lymphomas demonstrates improved survival using a sequential treatment strategy.
  • The optimal sequence involves second-line small molecule inhibitors, such as duvelisib, followed by third-line epigenetic modifiers.
  • Survival benefits were particularly significant in high-risk patients and those with angioimmunoblastic T-cell lymphoma, a challenging subgroup.
  • The study leveraged global PETAL Consortium data and machine learning to compare 12 treatment paths, providing robust evidence for this approach.
  • Researchers advocate for prospective clinical trials to validate findings and explore applications of this framework in other cancers.