New Findings May Play Role in Development of Future DLBCL Treatments

Researchers from Weill Cornell Medicine led by Dr. Olivier Elemento, recently published results announcing the discovery of thousands of new genes from human samples of lymphoma. Known as IncRNAs these genes produce long non-coding RNAs and are involved in gene regulation. The IncRNAs appear to control whether other genes make proteins. The discovery of these genes could underline the processes of gene regulation that drives lymphomas, while in the future leading to possible targets for new  diffuse large B-cell lymphoma therapies.

“These genes produce long non-coding RNAs, known as lncRNAs. Unlike RNA that produces proteins that enable the body to do its work, the lncRNA appear to switch on — or off — other genes that make proteins, researchers say. They counted 2,632 different forms of these unusual RNA molecules. They also found a substantial number of the same or similar lncRNAs in canine lymphoma.”

The study’s senior author, Dr. Olivier Elemento commented,

“While we don’t know precisely what these molecules are doing, the fact that the majority — about two-thirds — of the long non-coding RNAs we found are expressed exclusively in lymphoma, and that many are found in both human and dog lymphoma, tells us that they are likely playing fundamental roles in this cancer…”

Findings like these exemplify the bench to bedside approach in the Lymphoma Program at Weill Cornell Medicine. Look to this space for future updates on this topic and other advances in the treatment of lymphoma. A full listing of available clinical trials for DLBCL lymphoma can be found on our Joint Clinical Trials website.

Dr. Richard Furman Describes Diffuse Large B-Cell Lymphoma Treatment Regimens

In this Onc Live video, Dr. Richard Furman, Director of the CLL Research Center describes the chemotherapy regimens available to patients with diffuse large B-cell lymphoma. (DLBCL)

A list of DLBCL trials at Weill Cornell Medicine is available on the Joint Clinical Trials website.

Dr. John Leonard Comments on the Use of Brentuximab Vedotin as a Monotherapy for Elderly Hodgkin Lymphoma Patients

The Oncology Times reported on results from a small prospective, Phase II open label study published in Blood, that found brentuximab vedotin may be of use for elderly Hodgkin lymphoma patients, who cannot tolerate harsher chemotherapy treatment options. From the 19 patients the objective response rate was 92% with 73% of patients achieving a complete response rate and 19% a partial remission rate. First author, Dr. Andres-Forero-Torres MD reported:

“We took patients who were older than 60 and not candidates for chemotherapy due to comorbidities or who did not want to receive chemotherapy, and we treated them with brentuximab vedotin as a single agent…We were able to show in this small but significant population of patients that older patients tolerated brentuximab vendotin very nicely. We found very high rates of response–almost everybody had a response, and a very good percentage had a complete remission.”

Lymphoma Program Director, Dr. John Leonard commented on the results:

“The issue is that the standard therapies in elderly and frail patients do have significant toxicity, so trying to come up with something that has less toxicity, if it can also be effective, is valuable…Brentuximab vedotin has less toxicity against the lungs, which is an issue with bleomycin, and less in the way of low blood count which you have in standard chemotherapy. It also avoids the cardiac toxicity of standard treatment as well.

Currently there are two trials comparing brentuximab vedotin to other treatment regimens open at Weill Cornell Medicine. The first trial is open to patients with advanced classical Hodgkin lymphoma and the second trial is open to patients with CD-30-positive mature T-cell lymphomas.