Ryan Haumschild, PharmD, MS, MBA, CPEL

Articles by Ryan Haumschild, PharmD, MS, MBA, CPEL

Experts featured in this series.

Tara Graff shared her enthusiasm for the remarkable expansion of second-line treatment options that has occurred within a single year providing community oncologists with multiple highly effective, non-chemotherapy regimens that can be meaningfully tailored to individual patient characteristics and preferences, moving definitively away from a one-size-fits-all approach and toward truly personalized RRFL care.

Experts featured in this series.

Tara Graff outlined a practical framework for community oncology practices looking to establish safe and successful programs with novel regimens, emphasizing that while tafasitamab-based combinations can be adopted with relatively minimal operational changes, bispecific antibodies require more deliberate infrastructure investment, but that every community site has the capacity to build this capability with the right approach.

Experts featured in this series.

Tara Graff highlighted the significance of 2025 as a landmark year for RRFL treatment, with the June 2025 approval of tafasitamab plus R² and the November 2025 approval of epcoritamab plus R² representing two major additions to the NCCN guidelines that meaningfully expand the second-line treatment options available to follicular lymphoma patients beyond the R² backbone and signaling a clear directional shift toward novel, non-chemotherapy combinations that can deliver progression-free survival measured in years.

Experts featured in this series.

Tara Graff discussed her experience with epcoritamab-based combinations in follicular lymphoma, noting that her practice's participation in both epcoritamab monotherapy and combination therapy trials has provided her with firsthand familiarity with the regimen and that the efficacy data, particularly the overall response and complete response rates associated with epcoritamab plus R², is compelling.

Experts featured in this series.

Tara Graff discussed how the introduction of tafasitamab into the R² backbone represents a natural next step for community oncologists who have already become comfortable with both components of the regimen, noting that many community practices gained experience with tafasitamab in the diffuse large B-cell lymphoma setting, meaning that adding it to a now-familiar R² backbone does not require learning an entirely new drug, but rather learning a new pairing with a well-understood side effect profile.

Experts featured in this series.

Tara Graff examined the evolution of R² in community oncology practice, reflecting on how the combination represented a genuine game changer when it emerged in the second-line follicular lymphoma setting approximately, offering patients a chemo-free option with meaningful improvements in PFS and time to next therapy that distinguished it from simply retreating patients with rituximab monotherapy.

Experts featured in this series.

Tara Graff described her approach to communicating PFS data with patients, explaining that rather than using clinical terminology, she frames progression-free survival in terms patients can connect with, presenting treatment options side by side and translating trial outcomes into plain language estimates of how long a given therapy is likely to keep their disease in remission.

Experts featured in this series.

Tara Graff noted that while RRFL patients themselves do not look fundamentally different between community and academic settings, what varies is how those patients are managed at relapse, with disease trajectory serving as one of the most critical and sometimes underappreciated factors in community practice treatment decision-making.

Experts featured in this series.

Led by the moderator, Christina Poh shared her closing reflections on the relapsed or refractory follicular lymphoma treatment landscape, expressing strong optimism about both the current state and near-term future of the field, noting that the development of many novel, highly effective treatment options over the past several years has fundamentally transformed what is possible for patients with this chronic, relapsing disease.

Experts featured in this series.

Christina Poh described the real-world data from eight CUBIC centers as highly encouraging, interpreting response rates that match or exceed those seen in pivotal trials in a heavily pretreated and older patient population as confirmation that bispecific antibodies are a broadly active and impressive class of treatment that already plays an important role in relapsed or refractory follicular lymphoma.

Experts featured in this series.

Christina Poh described the early phase efficacy data for golcadomide as highly impressive, noting that the high overall response rates and durability of responses a very promising signal that she expects will translate into a meaningful role for this first-in-class oral CELMoD agent in the relapsed or refractory follicular lymphoma treatment landscape in the near future.

Experts featured in this series.

Christina Poh discussed how the trial data reporting a PFS benefit of 88.9% versus 66.7% at 5 years and an OS advantage for IFRT plus rituximab maintenance in stage III follicular lymphoma does not entirely overturn the conventional view of radiation as a primarily early-stage tool, but does meaningfully challenge the assumption that radiotherapy has no role in advanced-stage disease while noting that additional studies are needed to confirm these findings and to evaluate radiation's role in combination with systemic therapies beyond rituximab.