Journal
HEMATOLOGICAL ONCOLOGY
Volume 38, Issue 3, Pages 213-221Publisher
WILEY
DOI: 10.1002/hon.2711
Keywords
antibody-drug conjugate; anti-CD20 antibody; BCL2 inhibitor; bispecific antibody; CAR T-cell therapy; EZH2 inhibitor; follicular lymphoma; immune checkpoint inhibitor; macrophage checkpoint inhibitor; PI3K inhibitor
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Follicular lymphoma is the most common indolent non-Hodgkin lymphoma. Survival has improved over the last several decades, mainly because of the incorporation of the anti-CD20 antibody rituximab into preexisting or rediscovered agents. The disease has a relapsing and remitting pattern, coupled with a risk of transformation into an aggressive lymphoma, and considered incurable for most patients. Next-generation sequencing technologies have increased our understanding of the biology and genetic landscape of the disease, identifying potential druggable targets for treatment. Current prognostic models cannot accurately identify patients at risk of early progression and despite the availability of treatment options for relapsed/refractory disease, rational treatment selection balancing disease control, efficacy with toxicity, and quality of life remain unmet needs. This review provides an overview of biology, prognostication, treatment options, and emerging therapies that provide valid grounds for optimism.
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