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Pola-R-CHP is a combination chemotherapy regimen used as a first-line treatment for patients with previously untreated large B-cell lymphoma (LBCL), including diffuse large B-cell lymphoma (DLBCL). It consists of the antibody-drug conjugate polatuzumab vedotin, the anti-CD20 monoclonal antibody rituximab, and the chemotherapy agents cyclophosphamide, doxorubicin, and prednisone. Polatuzumab vedotin targets CD79b, a protein expressed on B-cells, and delivers the cytotoxic payload monomethyl auristatin E (MMAE), which inhibits microtubule polymerization. Rituximab targets CD20 to induce B-cell lysis. The regimen was established as a standard of care following the Phase III POLARIX trial, which demonstrated improved progression-free survival compared to the traditional R-CHOP regimen by replacing vincristine with polatuzumab vedotin.
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