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Zanubrutinib monotherapy in relapsed/refractory mantle cell lymphoma: a pooled analysis of two clinical trials

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机构: [1]Afliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou 450003, China [2]Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, China [3]Tongji Hospital, Tongji Medical College, Wuhan 430032, China [4]Fujian Medical University Union Hospital, Fuzhou 35000, China [5]Zhejiang Cancer Hospital, Hangzhou 310000, China [6]Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China [7]West China Hospital of Sichuan University, Chengdu 610041, China [8]The First Afliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing 210029, China [9]The First Afliated Hospital, Zhejiang University College of Medicine, Hangzhou 310003, China [10]Fudan University Shanghai Cancer Center, Shanghai 200032, China [11]Nanfang Hospital of Southern Medical University, Guangzhou 510515, China [12]The First Hospital of Jilin University, Changchun 130031, China [13]Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China [14]Peter MacCallum Cancer Centre, St.Vincent’s Hospital, University of Melbourne, Melbourne, VIC 3065, Australia [15]North Shore Hospital, Auckland 2065, New Zealand [16]The University of Texas MD Anderson Cancer Center, Houston, TX 78701, USA [17]University of Michigan, Ann Arbor, MI 48109, USA [18]Monash Health, Monash University, Clayton,VIC 3800, Australia [19]BeiGene (Beijing) Co.,Ltd, Beijing 102206, China [20]Department of Lymphoma, Peking University Cancer Hospital and Institute, Beijing 100142, China
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关键词: Complete response rate Mantle cell lymphoma Progression-free survival Second-line therapy Zanubrutinib

摘要:
Mantle cell lymphoma (MCL) is a mature B-cell neoplasm with a high initial response rate followed almost invariably by relapse. Here we report the pooled data from 2 studies, BGB-3111-AU-003 and BGB-3111-206, to explore the efficacy of zanubrutinib monotherapy in relapsed/refractory (R/R) MCL. A total of 112 patients were included. Median follow-up durations were 24.7 and 24.9 months for BGB-3111-AU-003 and BGB-3111-206, respectively. Overall response rate (ORR) and complete response (CR) rate were 84.8% and 62.5%, and median duration of response, progression-free survival (PFS) and overall survival (OS) were 24.9, 25.8 and 38.2 months, respectively. After weighting, the PFS (median: NE vs. 21.1 months, P = 0.235) and OS (median: NE vs. 38.2 months, P = 0.057) were similar but numerically better in the second-line than later-line group. Zanubrutinib was well-tolerated with treatment discontinuation and dose reduction for adverse events in 12.5% and 2.7% of patients, respectively. Hypertension, major hemorrhage and atrial fibrillation/flutter rates were 11.6%, 5.4% and 1.8%, respectively. Zanubrutinib is efficacious in R/R MCL, with a favorable safety profile.

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出版当年[2021]版:
大类 | 1 区 医学
小类 | 1 区 肿瘤学 1 区 血液学
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 血液学 1 区 肿瘤学
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出版当年[2021]版:
Q1 HEMATOLOGY Q1 ONCOLOGY
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Q1 HEMATOLOGY Q1 ONCOLOGY

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第一作者机构: [1]Afliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou 450003, China
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