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Refractory Splenic Marginal Zone Lymphoma Responsive to Combination Venetoclax and Bortezomib (Velcade) (V2) Therapy
Kyle C Roche1, Peter A DeRosa2, Min-Ling Liu3,4
1Department of Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC 20037, USA.
Abstract:
Standard treatment regimens for the management of patients with refractory splenic marginal zone lymphoma (SMZL) are currently unavailable. Here, we report a case of SMZL, which, after failing multiple therapeutics, demonstrated an impressive clinical response to combined Venetoclax and Velcade (V2), a treatment combination currently being investigated in the setting of refractory multiple myeloma. We also report a unique histopathology and mutational profile that may have important implications for the characterization and prognosis of SMZL.
Insights
Standard treatments for refractory splenic marginal zone lymphoma (SMZL) are lacking. A patient with refractory SMZL showed a significant response to a combination of Venetoclax and Velcade (V2), a novel therapeutic approach.
Area of Science:
- Hematology
- Oncology
- Lymphoma Research
Background:
- Refractory splenic marginal zone lymphoma (SMZL) lacks established treatment protocols.
- Investigating novel therapeutic strategies for relapsed or refractory B-cell lymphomas is crucial.
Observation:
- A patient with refractory SMZL, previously treated with multiple therapies, was administered a combination of Venetoclax and Velcade (V2).
- The patient exhibited a notable clinical response to this V2 combination therapy.
Findings:
- The V2 combination demonstrated efficacy in a patient with refractory SMZL.
- A unique histopathological and mutational profile was identified in this SMZL case.
Implications:
- The V2 combination may represent a potential new treatment avenue for refractory SMZL.
- The identified histopathology and mutational profile could impact SMZL characterization and prognosis.

