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. 2024 May 20;16(10):1937. doi: 10.3390/cancers16101937

Table 1.

Targeted Monotherapy in Relapsed/Refractory Mantle Cell Lymphoma.

Drug Study Number of Patients Median Lines of Therapy ORR (CR) % Median DOR (mos.) Median PFS (mos.) Most Common Grade ≥ 3 AEs Reference
Bortezomib Phase II 152 2 33 (8) 9.2 NR Neuropathy (13%), Fatigue (12%), Thrombocytopenia (11%) [28]
Lenalidomide Phase II 26 3 31 (8) 22.2 3.9 Neutropenia (62%), Thrombocytopenia (42%), Anemia (15%) [30]
Lenalidomide Phase II 57 3 35 (12) 16.3 8.8 Neutropenia (46%), Thrombocytopenia (30%), Anemia (13%) [31]
Lenalidomide Phase II 134 3 28 (8) 16.6 4.0 Neutropenia (43%), Thrombocytopenia (28%), Anemia (11%) [32]
Idelalisib Phase I 40 4 40 (5) 2.7 3.7 Elevated AST/ALT (20%), Diarrhea (17.5%), Decreased Appetite (15%), Neutropenia (10%) [33]
Parsaclisib Phase II 1 Diarrhea (13.9%), Neutropenia (8.3%), Hypokalemia (3.7%), Colitis (3.7%) [34]
BTKi pre-treated 53 30 (2) NR NR
BTKi-naïve 53 70 (16) 12.1 13.6
Ibrutinib Phase II 111 3 67 (23) 17.5 13.0 Neutropenia (17%), Thrombocytopenia (13%), Anemia (11%), Hemorrhage (6%), Atrial Fibrillation (5%) [22,35]
Ibrutinib Phase III 139 2 72 (19) NR 14.6 Neutropenia (13%), Thrombocytopenia (9%), Anemia (8%), Atrial Fibrillation (4%) [36]
Ibrutinib Meta-Analysis 370 2 70 (27) 21.8 12.5 Not reported [37,38]
Acalabrutinib Phase II 124 2 81 (40) NR NR Neutropenia (10%), Anemia (9%), Pneumonia (5%) [39]
Zanubrutinib Phase II 86 2 84 (68) 19.5 22.1 Neutropenia (20%), Pneumonia/Lung Infection (9.3%) [40]
Pirtobrutinib Phase I/II 3 Infections (17.1%), Neutropenia (13.4%), Thrombocytopenia (6.7%), Hemorrhage (4%), Atrial Fibrillation/Flutter (1%) [41]
BTKi pre-treated 90 58 (20) 21.6 7.4
BTKi-naïve 14 86 (36) NR NR
Venetoclax Phase I 28 3 75 (21) NR 14.0 Anemia (15%), Neutropenia (11%), Thrombocytopenia (9%) [42]
Venetoclax Retrospective 20 3 53 (18) 3.2 8.1 Pneumonia (15%), Thrombocytopenia (5%), Hemorrhage (5%), Sepsis (5%) [43]