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http://dx.doi.org/10.1182/bloodadvances.2022008634DOI Listing

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Ibrutinib and venetoclax combination therapy for mantle cell lymphoma: are two better than one?

Expert Rev Hematol

December 2024

Clinical Haematology, Alfred Hospital, Melbourne, Victoria, Australia.

Article Synopsis
  • * The article examines the effectiveness of combining ibrutinib and venetoclax in treating relapsed or refractory MCL based on findings from two clinical studies: the AIM study, which involves a run-in period with ibrutinib, and the SYMPATICO study, which administers both drugs simultaneously.
  • * It suggests that this combination therapy may be effective and could eventually allow for fixed-duration treatment; ongoing research into measurable residual disease may help determine which patients can safely stop treatment after
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Article Synopsis
  • Mantle cell lymphoma (MCL) is a cancer characterized by uncontrolled cell growth, and researchers studied how well palbociclib, a CDK 4/6 inhibitor, works alone and with venetoclax, a BCL2 inhibitor, on MCL cells.
  • They conducted experiments using both MCL cell lines and patient-derived models to evaluate the effectiveness, mechanisms, and potential markers that could indicate which patients might benefit from this combination therapy.
  • The findings showed that the combination treatment was more effective than either drug alone, particularly for patients with MCL that does not have RB1 deletion, suggesting a promising approach to treating this type of lymphoma without traditional chemotherapy.
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Article Synopsis
  • The study evaluated the effectiveness of ibrutinib for treating relapsed or refractory mantle cell lymphoma (MCL) in a group of 42 patients, showing a 69% overall response rate with notable survival outcomes.
  • Key findings include a median progression-free survival of 16.4 months and overall survival of 50.1 months, but older patients and those with certain risk factors had worse outcomes.
  • The study emphasizes the need to assess patient characteristics before using ibrutinib and suggests that early relapse indicates a need for new treatment options.
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Introduction: Treatment options in patients with mantle cell lymphoma (MCL) failing ibrutinib are limited, with no standard therapies defined. This study aimed to investigate real-world treatment patterns and outcomes for patients with MCL following ibrutinib.

Methods: This study utilized a de-identified hospital-based claims database (Medical Data Vision) in Japan.

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