P2, N=160, Active, not recruiting, French Innovative Leukemia Organisation | Recruiting --> Active, not recruiting | Trial primary completion date: Jan 2026 --> Aug 2025
1 day ago
Enrollment closed • Trial primary completion date
|
TP53 (Tumor protein P53) • IGH (Immunoglobulin Heavy Locus)
Longitudinal cfDNA analysis in ALR revealed clonal evolution during response and progression. This safe and active regimen is feasible as a time-limited initial therapy for MCL patients and warrants further evaluation in response-adapted strategy.
In the front-line setting important recent developments include (1) approval of the BTK inhibitor (BTKi) acalabrutinib in combination with the chemoimmunotherapy, (2) evidence that the BTKi ibrutinib given with induction chemotherapies and during maintenance phase is highly effective, (3) BTKi without chemotherapy has produced promising results, (4) BCL2 inhibitor venetoclax and BTKi can be combined to effectively treat high risk MCL with TP53 alterations, and (5) consolidation with autologous stem cell transplant (ASCT) may not provide additional efficacy benefit for patients who have received highly effective first-line treatments but may be associated with substantial toxicities. These results support a concerted effort to bring BTKi to the first-line treatment of MCL. This review focuses on key clinical trials that provide the above insights and provides a succinct review of relevant historical regimens to guide oncologists in the management of untreated MCL.
Drug sensitivity analysis revealed that tyrosine kinase inhibitors (e.g., ceritinib, imatinib) potently inhibited cancer cell lines in the high PC score group, while inhibitors like acalabrutinib were effective in the low PC score group. Expression of hub genes in KIRC patients was validated using a local cohort and single-cell sequencing. We identified key genes regulating PC infiltration in KIRC and proposed a predictive model that effectively identifies high-risk KIRC patients.
This is the first reported case in the literature of acalabrutinib use for consolidation and maintenance of PCNSL. We hope this can support clinical trial design for BTKi use in this setting in the future.
P1/2, N=24, Recruiting, Jonsson Comprehensive Cancer Center | Trial completion date: Oct 2026 --> Jan 2027 | Trial primary completion date: Oct 2025 --> Jan 2026
24 days ago
Trial completion date • Trial primary completion date