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

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单位: [1]Zhengzhou Univ, Henan Canc Hosp, Affiliated Canc Hosp, Zhengzhou 450003, Peoples R China [2]Chinese Acad Med Sci & Peking Union Med Coll, Inst Hematol & Blood Dis Hosp, Tianjin 300020, Peoples R China [3]Tongji Hosp, Tongji Med Coll, Wuhan 430032, Peoples R China [4]Fujian Med Univ, Union Hosp, Fuzhou 35000, Peoples R China [5]Zhejiang Canc Hosp, Hangzhou 310000, Peoples R China [6]Tianjin Med Univ Canc Inst & Hosp, Tianjin 300060, Peoples R China [7]Sichuan Univ, West China Hosp, Chengdu 610041, Peoples R China [8]Nanjing Med Univ, Jiangsu Prov Hosp, Affiliated Hosp 1, Nanjing 210029, Peoples R China [9]Zhejiang Univ, Coll Med, Affiliated Hosp 1, Hangzhou 310003, Peoples R China [10]Fudan Univ, Shanghai Canc Ctr, Shanghai 200032, Peoples R China [11]Southern Med Univ, Nanfang Hosp, Guangzhou 510515, Peoples R China [12]First Hosp Jilin Univ, Changchun 130031, Peoples R China [13]Chinese Acad Med Sci & Peking Union Med Coll, Peking Union Med Coll Hosp, Beijing 100730, Peoples R China [14]Univ Melbourne, St Vincents Hosp, Peter MacCallum Canc Ctr, Melbourne, Vic 3065, Australia [15]North Shore Hosp, Auckland 2065, New Zealand [16]Univ Texas MD Anderson Canc Ctr, Houston, TX 78701 USA [17]Univ Michigan, Ann Arbor, MI 48109 USA [18]Monash Univ, Monash Hlth, Clayton, Vic 3800, Australia [19]BeiGene Beijing Co Ltd, Beijing 102206, Peoples R China [20]Peking Univ Canc Hosp & Inst, Dept Lymphoma, Beijing 100142, Peoples R 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[2020]版:
大类 | 1 区 医学
小类 | 2 区 血液学 2 区 肿瘤学
最新[2025]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[2019]版:
Q1 HEMATOLOGY Q1 ONCOLOGY
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Q1 HEMATOLOGY Q1 ONCOLOGY

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第一作者单位: [1]Zhengzhou Univ, Henan Canc Hosp, Affiliated Canc Hosp, Zhengzhou 450003, Peoples R China
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