Major Advances in the Fight Against Mantle Cell Lymphoma (SOHO 2023)
But at MD Anderson, rather than using intensive chemotherapy followed by autologous stem cell therapy, we used Hyper-CVAD rituximab alternating with rituximab plus methotrexate-cytarabine. For elderly patients over 65 years old, we formerly used R-CHOP, but now the international standard is bendamustine-rituximab...In the past 20 years, the FDA has approved many therapies for relapsed mantle cell lymphoma, including the protease inhibitor bortezomib, the cereblon-binding immunomodulator lenalidomide, the first-ever Bruton's tyrosine kinase (BTK) inhibitor ibrutinib, and the second-generation BTK inhibitors acalabrutinib and zanubrutinib...The FDA also approved brexucabtagene autoleucel, a CD19-targeted CAR-T cell therapy and, in January 2023, approved the novel non-covalent reversible BTK inhibitor pirtobrutinib...These included our Window approach, the acalabrutinib-venetoclax-rituximab trial,3 and the acalabrutiniblenalidomide-rituximab (ARL) trial.4 We now have many clinical trials employing rational combinations with targeted agents...We work closely with patients and their families, industry, NIH, and many collaborators within and outside of our institution. We are in the process of saving many lives from mantle cell lymphoma.