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Novel Therapy Approaches to Follicular Lymphoma

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Abstract

Follicular lymphoma (FL) is the most common form of indolent non-Hodgkin lymphoma. It is a disease characterised by a long median overall survival and high response rates to currently available chemotherapy and anti-CD20 monoclonal antibody therapy combinations. However, for a sub-group of patients the disease behaves aggressively, fails to respond adequately to initial therapy or relapses early. For others, the disease becomes resistant following multiple lines of therapy, and despite recent advances the main cause of death for patients with FL remains their lymphoma. A wide landscape of novel therapies is emerging and the role of individual agents in the FL treatment paradigm is still being established. Some agents, including the cereblon modulator lenalidomide, the phosphatidylinositol 3-kinase inhibitors idelalisib, copanlisib and duvelisib, and the EZH2 inhibitor tazemetostat have received regulatory approval in the USA or European Union and have entered clinical practice for relapsed FL. Other developments, such as the emergence of immunotherapies including CAR-T cell therapy and bispecific antibodies, are expected to fundamentally change the approach to FL treatment in the future.

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  1. Department of Haematology, University College London Hospitals NHS Foundation Trust, London, UK

    Michael Northend & William Townsend

  2. Cancer Research UK and UCL Cancer Trials Centre, London, UK

    Michael Northend

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William Townsend has received consultancy fees and honoraria from Roche, Gilead, Celgene and Janssen. Michael Northend declares that he has no conflicts of interest that might be relevant to the contents of this manuscript.

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Concept and design: WT and ML. Literature search and manuscript writing: MN. Review of the manuscript, editing and final approval: WT.

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Northend, M., Townsend, W. Novel Therapy Approaches to Follicular Lymphoma. Drugs 81, 453–469 (2021). https://doi.org/10.1007/s40265-020-01446-1

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