Graham Collins

@graham74gc.bsky.social

Lymphoma doctor and associate professor of Haematology at Oxford University Hospitals, UK. Husband, father, Christian.

Held et al - NIVEAU trial. Nivo-GemOx vs GemOx RR PTCL • 76 pts part of bigger trial • PFS no diff but was ⬆️ when MVA performed • responses ⬆️ • BUT ⬆️ toxic incl ‘infn’ (?hyperinfl state instead); ⬆️ deaths. Doubt there will be further development. #18ICML #ICML25 #lymsm

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Davison et al - PRO substudy of S1826 substudy. Interesting outputs: • NivoAVD showed more fatigued compared with BV-AVD on treatment but did not meet ‘clin significant’ threshold. • BV-AVD showed excess neuropathy which had a clinically meaningful impact. #ICML25 #lymsm

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A no. of trials in RR DLBCL with RGemOx as comparator all show: • PFS med 2-3 mo • OS med 12-13 mo Well known tox of neutropenia, PN, fatigue, thrombocytopenia etc. Beaten by exptl arms in StarGlo, Polargo, Sunmo Take home: no more RGemOx pls - it’s defeated! #18ICML #lymsm

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Shah et al - Zamto-cel 3L+ DLBCL • tandem CD19 / CD20 41BB construct • non cryopreserved, short vein-vein • 69 pts • ORR 73%, CRR 51% • no G3+ CRS, 4% G3+ ICANS Clearly active but is it better than current agents? #18ICML

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Sancho et al - POLARGO. • RGemOx vs Pola-RGemOx R/R DLBCL • 2L+ DLBCL (no ASCT eligible if 2L) • OS primary EP: signif adv 12.5mo vs 19.5mo • PFS & CMR rate better • tox modest - ⬆️ infn & PN • no effect of cell of origin Interesting but ? value if 1L PolaRCHP #18ICML

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Stathis et al - feasibility of PET & ctDNA response adaptation in 1L DLBCL. • operationally deliverable with ctDNA turnaround median 9d • low rate PET+ and ctDNA+ at interim • assessing whether acala addition benefits those with Myd88 &/or CD79b mutns SAKK38/19 trial #ICML18

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It’s the unboxing of the eighth edition of Hoffbrands Postgraduate Haematology. A real honour to be an editor alongside Adam Mead, Deborah Hay, Mike Lanffan and of course Victor Hoffbrand. Do get your copy!

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