Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis - Takeaways - MDSpire
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Final Analysis of Second-Line Axicabtagene Ciloleucel for Large B-Cell Lymphoma Patients Not Eligible for Transplantation: ALYCANTE Study Results

  • By

  • Roch Houot

  • Jean Lemoine

  • Alexis Claudel

  • Emmanuel Bachy

  • Guillaume Cartron

  • François-Xavier Gros

  • Franck Morschhauser

  • Lucie Oberic

  • Thomas Gastinne

  • Pierre Feugier

  • Rémy Duléry

  • Catherine Thieblemont

  • Magalie Joris

  • Fabrice Jardin

  • Sylvain Choquet

  • Olivier Casasnovas

  • Gabriel Brisou

  • Morgane Cheminant

  • Jacques-Olivier Bay

  • Jules Coville

  • Francisco Llamas-Gutierrez

  • Karin Tarte

  • Cédric Portugues

  • Emmanuel Itti

  • Xavier Palard-Novello

  • Paul Blanc-Durand

  • Yassine Al Tabaa

  • Clément Bailly

  • Camille Laurent

  • François Lemonnier

  • September 22, 2026

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  • 1

    Axicabtagene ciloleucel (axi-cel) is a standard second-line treatment for patients with refractory/relapsed large B-cell lymphoma.

  • 2

    The ALYCANTE trial showed a 3-month complete metabolic response rate of 71.0% in patients ineligible for transplantation.

  • 3

    At a median follow-up of 37.4 months, the median progression-free survival was 18.0 months, while overall survival had not been reached.

  • 4

    Grade ≥3 adverse events occurred in 96.8% of patients, with neutropenia being the most frequent adverse event reported.

  • 5

    The final analysis confirmed durable responses to axi-cel, with no new safety signals identified across age and comorbidity subgroups.

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