Alectinib combined with VRCD and BV monoclonal antibody for the treatment of ALK-positive large B-cell lymphoma: a case report and literature review

We report a case of a 53-year-old male patient who was diagnosed with anaplastic lymphoma kinase-positive large B-cell lymphoma. A pathological examination showed plasma-cell immunophenotype negative for mature B-lymphocyte markers. The patient received three cycles of an “alectinib + Vincristine +...

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Main Authors: Hongxia Wang, Junjun Bai, Bei Zhang, Zhixin Pei, Yingxin Zhao, Jingjing Gu, Zhiyu Fang, Miaomiao Liu, Xun Liang, Qinglin Song
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2024.1480880/full
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author Hongxia Wang
Junjun Bai
Bei Zhang
Zhixin Pei
Yingxin Zhao
Jingjing Gu
Zhiyu Fang
Miaomiao Liu
Xun Liang
Qinglin Song
author_facet Hongxia Wang
Junjun Bai
Bei Zhang
Zhixin Pei
Yingxin Zhao
Jingjing Gu
Zhiyu Fang
Miaomiao Liu
Xun Liang
Qinglin Song
author_sort Hongxia Wang
collection DOAJ
description We report a case of a 53-year-old male patient who was diagnosed with anaplastic lymphoma kinase-positive large B-cell lymphoma. A pathological examination showed plasma-cell immunophenotype negative for mature B-lymphocyte markers. The patient received three cycles of an “alectinib + Vincristine + Rituximab + Cyclophosphamide + Doxorubicin (VRCD) “ regimen. In the fourth cycle, brentuximab vedotin monoclonal antibody treatment was added to increase the efficacy of the treatment. Positron emission tomography-computed tomography and a bone marrow examination were carried out after four cycles, revealing a complete response. Stem cells were successfully harvested. Thus far, the patient has undergone six treatment cycles and successfully received autologous hematopoietic stem cell transplantation. Currently, the patient is receiving maintenance therapy with alectinib and lenalidomide and remains in a favorable clinical condition.
format Article
id doaj-art-dcc97dc9b7c44ee591a497085d4f1f77
institution Kabale University
issn 2234-943X
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj-art-dcc97dc9b7c44ee591a497085d4f1f772025-01-21T08:37:02ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-01-011410.3389/fonc.2024.14808801480880Alectinib combined with VRCD and BV monoclonal antibody for the treatment of ALK-positive large B-cell lymphoma: a case report and literature reviewHongxia Wang0Junjun Bai1Bei Zhang2Zhixin Pei3Yingxin Zhao4Jingjing Gu5Zhiyu Fang6Miaomiao Liu7Xun Liang8Qinglin Song9Department of Hematology, Jiaozuo People’s Hospital, Jiaozuo, Henan, ChinaDepartment of Hematology, Jiaozuo People’s Hospital, Jiaozuo, Henan, ChinaDepartment of Hematology, Jiaozuo People’s Hospital, Jiaozuo, Henan, ChinaDepartment of Hematology, Jiaozuo People’s Hospital, Jiaozuo, Henan, ChinaDepartment of Hematology, Jiaozuo People’s Hospital, Jiaozuo, Henan, ChinaDepartment of Hematology, Jiaozuo People’s Hospital, Jiaozuo, Henan, ChinaDepartment of Hematology, Jiaozuo People’s Hospital, Jiaozuo, Henan, ChinaDepartment of Hematology, Jiaozuo People’s Hospital, Jiaozuo, Henan, ChinaCollege of Resources and Environment, Henan Polytechnic University, Jiaozuo, Henan, ChinaDepartment of Hematology, Jiaozuo People’s Hospital, Jiaozuo, Henan, ChinaWe report a case of a 53-year-old male patient who was diagnosed with anaplastic lymphoma kinase-positive large B-cell lymphoma. A pathological examination showed plasma-cell immunophenotype negative for mature B-lymphocyte markers. The patient received three cycles of an “alectinib + Vincristine + Rituximab + Cyclophosphamide + Doxorubicin (VRCD) “ regimen. In the fourth cycle, brentuximab vedotin monoclonal antibody treatment was added to increase the efficacy of the treatment. Positron emission tomography-computed tomography and a bone marrow examination were carried out after four cycles, revealing a complete response. Stem cells were successfully harvested. Thus far, the patient has undergone six treatment cycles and successfully received autologous hematopoietic stem cell transplantation. Currently, the patient is receiving maintenance therapy with alectinib and lenalidomide and remains in a favorable clinical condition.https://www.frontiersin.org/articles/10.3389/fonc.2024.1480880/fullALK+ LBCLalectinibbortezomiblenalidomideBV monoclonal antibody
spellingShingle Hongxia Wang
Junjun Bai
Bei Zhang
Zhixin Pei
Yingxin Zhao
Jingjing Gu
Zhiyu Fang
Miaomiao Liu
Xun Liang
Qinglin Song
Alectinib combined with VRCD and BV monoclonal antibody for the treatment of ALK-positive large B-cell lymphoma: a case report and literature review
Frontiers in Oncology
ALK+ LBCL
alectinib
bortezomib
lenalidomide
BV monoclonal antibody
title Alectinib combined with VRCD and BV monoclonal antibody for the treatment of ALK-positive large B-cell lymphoma: a case report and literature review
title_full Alectinib combined with VRCD and BV monoclonal antibody for the treatment of ALK-positive large B-cell lymphoma: a case report and literature review
title_fullStr Alectinib combined with VRCD and BV monoclonal antibody for the treatment of ALK-positive large B-cell lymphoma: a case report and literature review
title_full_unstemmed Alectinib combined with VRCD and BV monoclonal antibody for the treatment of ALK-positive large B-cell lymphoma: a case report and literature review
title_short Alectinib combined with VRCD and BV monoclonal antibody for the treatment of ALK-positive large B-cell lymphoma: a case report and literature review
title_sort alectinib combined with vrcd and bv monoclonal antibody for the treatment of alk positive large b cell lymphoma a case report and literature review
topic ALK+ LBCL
alectinib
bortezomib
lenalidomide
BV monoclonal antibody
url https://www.frontiersin.org/articles/10.3389/fonc.2024.1480880/full
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