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Opinion|Videos|February 20, 2026

Key Perspectives on Real World CAR-T Use in R/R LBCL (DESCAR-T & REALYSA Registries)

Panelists examine real-world comparative data from the French DESCAR-T registry and REALYSA cohort evaluating second-line axicabtagene ciloleucel versus standard-of-care salvage therapy in early relapsed/refractory DLBCL. The discussion highlights the event-free survival with CAR T-cell therapy (1-year EFS 46% vs 16% in SOC). Faculty also discuss the impact of third-line CAR T use in the SOC arm and what these real-world registry data mean for routine second-line treatment decision-making.

Panelists discuss how to optimally integrate CAR T-cell therapy into second-line treatment for diffuse large B-cell lymphoma through a competitive, team-based format. The debates highlight real-world updates presented at the American Society of Hematology Annual Meeting 2025, explores evolving sequencing strategies versus salvage chemotherapy and transplant, and examines patient selection, referral timing, and outpatient delivery considerations. The program concludes with case-based analysis to translate emerging evidence into practical decision-making for community oncology practice.

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