
Research Spotlight: Early Relapse Predicts Poor Outcomes in Aggressive Blood Cancer
Research Spotlight: Early Relapse Predicts Poor Outcomes in Aggressive Blood Cancer
Research Spotlight: Early Relapse Predicts Poor Outcomes in Aggressive Blood Cancer
By Katrina Fu
By Katrina Fu


Mark Sorial, PharmD, BCOP
In this Q&A, lead author Mark Sorial, PharmD, BCOP, Co-investigator and Biostatistician of PETAL Consortium at Massachusetts General Hospital, discusses his paper, “Early time-to-relapse as a survival prognosticator in mature T-cell/NK-cell lymphomas: results from the PETAL Consortium” published in Blood.
In this Q&A, lead author Mark Sorial, PharmD, BCOP, Co-investigator and Biostatistician of PETAL Consortium at Massachusetts General Hospital, discusses his paper, “Early time-to-relapse as a survival prognosticator in mature T-cell/NK-cell lymphomas: results from the PETAL Consortium” published in Blood.
How would you summarize your study?
How would you summarize your study?
This was a global effort involving more than 100 investigators and data from patients with nodal T-cell lymphoma (a rare and aggressive blood cancer) across three major research groups–PETAL Consortium (global with US predominance), GELL (Latin America), and LYSARC (Europe). We found that among patients who achieved complete remission after initial treatment, those whose disease relapsed within 12 months had significantly worse survival outcomes. However, for patients who relapsed within that period, survival was improved when they received targeted therapies rather than chemotherapy as their next line of treatment.
This was a global effort involving more than 100 investigators and data from patients with nodal T-cell lymphoma (a rare and aggressive blood cancer) across three major research groups–PETAL Consortium (global with US predominance), GELL (Latin America), and LYSARC (Europe). We found that among patients who achieved complete remission after initial treatment, those whose disease relapsed within 12 months had significantly worse survival outcomes. However, for patients who relapsed within that period, survival was improved when they received targeted therapies rather than chemotherapy as their next line of treatment.
What did your study investigate?
What did your study investigate?
We aimed to investigate how the time between initial treatment and disease relapse (time to relapse, or TTR) affects long-term survival in patients with nodal T-cell lymphoma. We focused on patients whose disease relapsed within 12 months of initial treatment (TTR12).
We aimed to investigate how the time between initial treatment and disease relapse (time to relapse, or TTR) affects long-term survival in patients with nodal T-cell lymphoma. We focused on patients whose disease relapsed within 12 months of initial treatment (TTR12).
What methods or approach did you use?
What methods or approach did you use?
We analyzed data from three international groups–PETAL Consortium, GELL, and LYSARC–comprising nearly 2,000 patients.
We looked at patient outcomes using landmark survival analysis–a method that compares long-term survival between different patient groups starting from a specific point in time. To ensure our findings were reliable, we also performed sensitivity analyses, which test whether the results stay consistent under different conditions. Finally, we confirmed our findings using data from two separate patient groups, including one from a phase 3 randomized trial–a large, carefully controlled study that helps determine whether a new treatment is safe and more effective than existing options.
We analyzed data from three international groups–PETAL Consortium, GELL, and LYSARC–comprising nearly 2,000 patients.
We looked at patient outcomes using landmark survival analysis–a method that compares long-term survival between different patient groups starting from a specific point in time. To ensure our findings were reliable, we also performed sensitivity analyses, which test whether the results stay consistent under different conditions. Finally, we confirmed our findings using data from two separate patient groups, including one from a phase 3 randomized trial–a large, carefully controlled study that helps determine whether a new treatment is safe and more effective than existing options.
What did you find?
What did you find?
We found that patients with TTR12 had significantly worse survival outcomes. This was consistent across all unique subgroups of the population. However, patients with TTR12 had improved survival when they received targeted therapies rather than chemotherapy as their next line of treatment.
We found that patients with TTR12 had significantly worse survival outcomes. This was consistent across all unique subgroups of the population. However, patients with TTR12 had improved survival when they received targeted therapies rather than chemotherapy as their next line of treatment.
What are the implications?
What are the implications?
There are multiple immediate impacts from this work. First, because there is limited data to guide how doctors choose or sequence treatments in nodal T-cell lymphoma–and no universally accepted standard of care–our findings can help identify patients with TTR12 as a high-risk group. These patients may have poorer outcomes and could benefit from the earlier use of non-chemotherapy agents in their treatment course.
Second, because nodal T-cell lymphomas are rare, it’s difficult to run large studies that follow patients over many years. For this reason, TTR12 may be a helpful early sign of how well patients might do overall, allowing researchers to see potential treatment benefits sooner. However, more research is needed to confirm that TTR12 can reliably serve as an early measure in clinical trials. It could also help improve how trials are designed by matching patients to studies where they’re most likely to benefit.
There are multiple immediate impacts from this work. First, because there is limited data to guide how doctors choose or sequence treatments in nodal T-cell lymphoma–and no universally accepted standard of care–our findings can help identify patients with TTR12 as a high-risk group. These patients may have poorer outcomes and could benefit from the earlier use of non-chemotherapy agents in their treatment course.
Second, because nodal T-cell lymphomas are rare, it’s difficult to run large studies that follow patients over many years. For this reason, TTR12 may be a helpful early sign of how well patients might do overall, allowing researchers to see potential treatment benefits sooner. However, more research is needed to confirm that TTR12 can reliably serve as an early measure in clinical trials. It could also help improve how trials are designed by matching patients to studies where they’re most likely to benefit.
Disclosures:
Disclosures:
See the paper for the conflict-of-interest statement.
See the paper for the conflict-of-interest statement.
Funding:
Funding:
This work was supported by Daiichi Sankyo, Secura Bio, Inc., Acrotech Biopharma, Kyowa Kirin, and Center for Lymphoma Research Funds. Jain is supported by the National Cancer Institute K08 Career Development Award (K08CA230498-01A1) and MGH Lymphoma Research Funds. Jacobsen is supported by the Reid Family Fund for Lymphoma Research. O’Connor is supported by the Translational Orphan Blood Cancer Research Center at UVA by the Scarlet Foundation and the National Cancer Institute R01 Research Grant (FD006814).
This work was supported by Daiichi Sankyo, Secura Bio, Inc., Acrotech Biopharma, Kyowa Kirin, and Center for Lymphoma Research Funds. Jain is supported by the National Cancer Institute K08 Career Development Award (K08CA230498-01A1) and MGH Lymphoma Research Funds. Jacobsen is supported by the Reid Family Fund for Lymphoma Research. O’Connor is supported by the Translational Orphan Blood Cancer Research Center at UVA by the Scarlet Foundation and the National Cancer Institute R01 Research Grant (FD006814).
Paper cited:
Paper cited:
Sorial, M et al. “Early time-to-relapse as a survival prognosticator in mature T-cell/NK-cell lymphomas: results from the PETAL Consortium” Blood DOI: 10.1182/blood.2025030149
Sorial, M et al. “Early time-to-relapse as a survival prognosticator in mature T-cell/NK-cell lymphomas: results from the PETAL Consortium” Blood DOI: 10.1182/blood.2025030149
For Healthcare Professionals
@2025 PETAL Consortium • All rights reserved
For Healthcare Professionals
@2025 PETAL Consortium • All rights reserved
For Healthcare Professionals
@2025 PETAL Consortium • All rights reserved

