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Tafasitamab + lenalidomide + rituximab is a three-drug combination regimen approved for the treatment of adults with relapsed or refractory follicular lymphoma. Tafasitamab is a humanized Fc-modified monoclonal antibody targeting CD19 on B cells, exerting direct cytotoxicity and enhancing immune-mediated cell killing. Lenalidomide is an immunomodulatory agent that can enhance T and NK cell function and has antiangiogenic and direct antineoplastic properties. Rituximab is a chimeric monoclonal antibody targeting CD20, leading to B cell depletion via antibody-dependent cellular cytotoxicity (ADCC), complement-dependent cytotoxicity (CDC), and direct apoptosis. This combination leverages dual targeting of CD19 and CD20 antigens on B cells and immune modulation, resulting in improved progression-free survival in follicular lymphoma compared with lenalidomide and rituximab alone. The combination was approved by the FDA in 2025 and is supported by phase 3 trial evidence[1][2][3][5][7].
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