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Efficacy

POLIVY-R-CHP was superior to R-CHOP, with significantly reduced risk of disease progression, relapse, or death1,*

Watch Expert Perspectives

Specialist views covering a range of POLARIX trial topics

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Dr Hervé Tilly,
University of Rouen, France

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Prof. Christopher Flowers,
MD, Anderson Cancer Center, University of Texas

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Dr Franck Morschhauser,
MD, PhD Professor of Hematology,
University of Lille

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Dr Laurie H. Sehn,
MD, MPH Clinical Assistant
Professor with the BC Cancer Agency and University
of British Columbia

POLIVY-R-CHP brings clinically meaningful improvement over R-CHOP1

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POLIVY-R-CHP was superior vs the current SoC: there was a 27% reduction of the risk of progression, relapse or death compared
to R-CHOP1

Stratified hazard ratio 0.73; 95% CI, 0.57–0.95; p=0.021

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At 24 months, there was a 6.5% improvement in progression-free survival with POLIVY-R-CHP vs R-CHOP1

 

76.7% (95% CI, 72.7– 80.8) vs. 70.2% (95% CI, 65.8-74.6)1

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“Out of every four patients that would potentially relapse on R-CHOP you’re now preventing one of those four patients from relapsing with the POLIVY-R-CHP combination.”

– Dr Laurie H. Sehn, MD, MPH

Clinical Assistant Professor with the BC Cancer
Agency and University of British Columbia

Investigator-assessed progression-free survival (PFS)1,2

Results of POLARIX (Clinical cut-off date: June 15, 2022) show a continued benefit of POLIVY treatment through 3 years1,2

Primary endpoint: Investigator-assessed PFS

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Investigator-assessed event-free survival (EFS) — a key secondary endpoint — confirmed the PFS results and hence the clinical benefit demonstrated by POLIVY-R-CHP (HR = 0.75 [95% CI: 0.58, 0.96], p-value = 0.02).1 EFS showed a 25% reduction in the risk of death, progression, relapse, or other events.1,‡

Primary endpoint:

Investigator-assessed PFS

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Investigator-assessed event-free survival (EFS) — a key secondary endpoint — confirmed the PFS results and hence the clinical benefit demonstrated by POLIVY-R-CHP (HR = 0.75 [95% CI: 0.58, 0.96], p-value = 0.02).1 EFS showed a 25% reduction in the risk of death, progression, relapse, or other events.1,‡

Similar efficacy was seen across patient subgroups3,4

Elderly patients ( 70 years)3

  • In patients aged >70–80 years, efficacy endpoints favoured POLIVY-R-CHP vs. R-CHOP, including progression-free survival as observed in the ITT population3
  • The analysis of this elderly population confirms the risk-benefit profile of POLIVY-R-CHP that was observed in the ITT population3

High-risk patients (young patients age ≤60 years, high‐risk aaIPI 2,3)4,§

  • No significant differences in efficacy were seen in high-risk patients receiving POLIVY-R-CHP or R-CHOEP4
  • Similar efficacy was seen across patient subgroups regardless of aaIPI 2 or 3 status4

§A retrospective analysis based on results from the POLIVY-R-CHP arm of POLARIX and the R-CHOEP arm of the Phase III Mega-CHOEP study4

POLIVY-R-CHP has the potential to decrease the burden of R/R disease1

Patients Receiving Subsequent Lymphoma Therapy (ITT Population)

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POLIVY-R-CHP has the potential to decrease the burden of R/R disease1

  • Fewer patients with POLIVY-R-CHP had subsequent lines of therapies (17.0% with POLIVY-R-CHP compared to 23.5% with R-CHOP)1
  • Amongst those patients, fewer needed intensive high-cost and high-risk therapies such as CAR-T and SCT (47 patients in the R-CHOP arm vs 26 patients in the POLIVY-R-CHP arm)1
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“What we want to do is try and cure them with front-line therapy, and we know that the stakes become a lot higher once they do relapse.”

– Dr Laurie H. Sehn, MD, MPH

Clinical Assistant Professor with the BC Cancer
Agency and University of British Columbia

In 1L DLBCL, PFS strongly predicts the treatment effects on overall survival5

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“We clearly established that progression-free survival is a surrogate for overall survival.”

– Prof. Christopher Flowers

University of Texas MD Anderson Cancer Center

Safety

How does the safety data for POLIVY-R-CHP compare to that of R-CHOP?

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*Stratified hazard ratio 0.73; 95% CI, 0.57–0.95; p=0.021

†EFS defined as the time from randomisation to the earliest occurrence of disease progression/relapse, death due to any cause, initiation of any non-protocol specified anti-lymphoma treatment, or biopsy-confirmed residual disease after treatment completion.

‡Events of progression or relapse were assessed by the investigator. Other events are subsequent therapy for lymphoma or biopsy-confirmed residual disease after treatment.

§A retrospective analysis based on results from the POLIVY-R-CHP arm of POLARIX and the R-CHOEP arm of the Phase III Mega-CHOEP study4

 

1L=first line; aaIPI=age-adjusted International Prognostic Index; CAR-T=chimeric antigen receptor T-cell therapy; DLBCL=diffuse large B-cell lymphoma; NE=not able to be evaluated; PFS=progression-free survival; POLIVY-R-CHP=polatuzumab vedotin + rituximab, cyclophosphamide, doxorubicin, prednisone; R/R=relapsed or refractory; R-CHOP=rituximab + cyclophosphamide, doxorubicin, vincristine, prednisone; SCT=stem-cell therapy; SoC=standard of care.

 

References:

  1. Tilly H, et al. N Engl J Med. 2022;386:351-63.
  2. Herrera A, et al. Poster presented at: 2022 ASH; December 2022; New Orleans, LA.
  3. Hu B, et al. Poster presented at: 17th ICML; June 2023; Lugano, Switzerland.
  4. Lenz G, et al. Poster presented at: 17th ICML; June 2023; Lugano, Switzerland. 2023.
  5. Shi Q, et al. J Clin Oncol. 2018;36:2593-602.