The treatment landscape for relapsed/refractory diffuse large B-cell lymphoma (DLBCL) has evolved with the introduction of anti-CD19 CAR T-cell therapy and other novel agents. Despite these advancements, challenges such as patient eligibility, access to care, and treatment logistics persist. A phase III trial, ECHELON-3, evaluated the efficacy of Brentuximab vedotin (BV) combined with lenalidomide and rituximab (R) in patients with R/R DLBCL, showing improved overall survival compared to placebo plus Len + R. However, the study raises questions about the role of CD30 targeting in DLBCL treatment and the optimal sequencing of therapies.