Table 2.

Comparison of published studies in which median OS in patients with clonally related and clonally unrelated RT-DLBCL has been compared by a statistical test

Author name, yInterventionNumber of patients (% clonally related)Median OS in clonally related patientsMedian OS in clonally unrelated patientsSignificant difference between groups (P value)Potential confounding factors in outcome assessment
Mao et al,15 2007 Not specified 23 (78.3%) Not specified Not specified No (not given) Related cases were thought to have higher rates of immunoblastic morphology and unmutated IgHV (although not statistically assessed). 
Rossi et al,10 2011 RCHOP, 65%
Fludarabine-based, 8.5%
Other, 26.5% 
63 (79.4%) 14.2 mo 62.5 mo Yes (P = .017) Related RT group enriched for cases with stereotyped B-cell receptor VH CDR3 (P = .009) and TP53 disruption (P = .018). 
Abrisqueta et al,19 2020 RCHOP, 60%
Other, 18%
None, 22% 
35 (85.7%) 5.4 mo 74.8 mo Yes (P = .05) Not assessed 
Wang et al,9 2020 RCHOP, 65%
Targeted therapies, 11%
Other, 19%
None, 5% 
21 (57.1%) Not specified Not specified No (P = .6) Not assessed 
Broséus et al,23 2023 RCHOP-like, 87%
Platinum-based, 7% 
58 (75.9%) 8 mo 35.5 mo Yes (P = .018) Multivariate analysis confirmed the significance of findings when controlled for IPI, TP53 disruption, and “double-hit” RT.
Related RT group was enriched for cases with more heavily pretreated CLL (P = .02), IgHV-unmutated CLL (P = 6.3 ×10–9), and MYD88wt (P = 7 ×10–3). 
Parry et al,7 2023 R chemotherapy, 77%
Allogeneic HSCT, 8%
Autologous HSCT, 7%
CAR-T, 3% 
52 (86.5%) 5.8 mo 56.4 mo Yes (P = .0094) Clonally unrelated RT tended to lack TP53 and NOTCH1 disruption and have underlying CLL, which was IgHV mutated (although not statistically assessed). 
Author name, yInterventionNumber of patients (% clonally related)Median OS in clonally related patientsMedian OS in clonally unrelated patientsSignificant difference between groups (P value)Potential confounding factors in outcome assessment
Mao et al,15 2007 Not specified 23 (78.3%) Not specified Not specified No (not given) Related cases were thought to have higher rates of immunoblastic morphology and unmutated IgHV (although not statistically assessed). 
Rossi et al,10 2011 RCHOP, 65%
Fludarabine-based, 8.5%
Other, 26.5% 
63 (79.4%) 14.2 mo 62.5 mo Yes (P = .017) Related RT group enriched for cases with stereotyped B-cell receptor VH CDR3 (P = .009) and TP53 disruption (P = .018). 
Abrisqueta et al,19 2020 RCHOP, 60%
Other, 18%
None, 22% 
35 (85.7%) 5.4 mo 74.8 mo Yes (P = .05) Not assessed 
Wang et al,9 2020 RCHOP, 65%
Targeted therapies, 11%
Other, 19%
None, 5% 
21 (57.1%) Not specified Not specified No (P = .6) Not assessed 
Broséus et al,23 2023 RCHOP-like, 87%
Platinum-based, 7% 
58 (75.9%) 8 mo 35.5 mo Yes (P = .018) Multivariate analysis confirmed the significance of findings when controlled for IPI, TP53 disruption, and “double-hit” RT.
Related RT group was enriched for cases with more heavily pretreated CLL (P = .02), IgHV-unmutated CLL (P = 6.3 ×10–9), and MYD88wt (P = 7 ×10–3). 
Parry et al,7 2023 R chemotherapy, 77%
Allogeneic HSCT, 8%
Autologous HSCT, 7%
CAR-T, 3% 
52 (86.5%) 5.8 mo 56.4 mo Yes (P = .0094) Clonally unrelated RT tended to lack TP53 and NOTCH1 disruption and have underlying CLL, which was IgHV mutated (although not statistically assessed). 

CAR-T, chimeric antigen receptor therapy; HSCT, hematopoietic stem cell transplant; IPI, International Prognostic Index; MYD88wt, MYD88 wild type; R, rituximab; RCHOP, rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone.

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