Ajay Major, MD, MBA

@majorajay.bsky.social

Lymphoma/CLL faculty at the University of Colorado School of Medicine. Patient-reported outcomes methodologist & #lymsm quality of life investigator. #medsky

TME may explain pola-R-CHP benefit in DLBCL #lymsm - post-hoc RNAseq analysis across 3 RCTs: >1200 pts - low M1-like macrophage infiltration = worse PFS/OS with R/GCHOP, but NOT prognostic with pola-R-CHP - in M1-low pts, pola-R-CHP improved PFS v R-CHOP: HR 0.59 1/2

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5-year CLL13/GAIA follow-up: - 5-yr PFS: GIV 81%, GV 70%, RV 57%, CIT 51% - no OS differences - figure has uIGHV (B) vs mIGHV (C) - cardiac AEs highest with GIV - GV/RV had faster QoL improvements vs CIT; GIV QoL gains occurred later (more tx-related side effects) 1/

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Super important data: PROs for R-pola-glo unfit 1L LBCL #lymsm - 80 pts, med age 80, 91% frail - high PRO completion >80% Despite frailty, clinically-meaningful QoL improvements: - global QoL during tx; 44% w/ sig improvement by C4 - physical function/fatigue maintained - emotional QoL improved 1/

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Frontline H. pylori eradication for extragastric ENMZL #lymsm - 26 pts, 46% conjunctival, 19% parotid - ORR 65% (CR 39%, PR 27%), time to CR 6 mos - 7-yr EFS 77%, OS 96% - HP+ dx with better responses (obv), t(11;18) less responses Provocative evidence re: HP+ in non-gastric sites...

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CD3xCD20 BsAb secondary CNS lymphoma (CUBIC Consortium) - 28 pts, most glofi, 64% active CNS dx, 64% prior CAR - active CNS: ORR 56% (CR 33%), CNS ORR 65% (CR 35%), 6-mo PFS 43% (CNS-PFS 53%) - no PD among pts achieving CR - responses in LM dx & post-CAR - 25% ICANS (incl G3-4) #lymsm #oncsky

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Prebiopsy steroids & diagnostic yield DLBCL #lymsm - 320 pts - yield unchanged w/ steroids (83% v 81%) - no association w/ dose/duration - no delay in time to treatment - FNA less diagnostic than excisional/incisional - core needle 12% less likely to be diagnostic jamanetwork.com/journals/jam...

Prebiopsy Steroids and Diagnostic Yield in Diffuse Large B-Cell Lymphoma

This cohort study evaluates whether corticosteroid use before biopsy is associated with the diagnostic yield in patients with newly diagnosed diffuse large B-cell lymphoma.

jamanetwork.com