Emerging therapies in mantle cell lymphoma
Abstract Mantle cell lymphoma (MCL) is a rare, B cell non-Hodgkin’s lymphoma with highly heterogeneous clinical presentation and aggressiveness. First-line treatment consists of intensive chemotherapy with autologous stem cell transplant for the fit, transplant eligible patients, or less intensive c...
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doaj-0ca6b6e1e994419a8ab15d3a3536ab872020-11-25T03:11:31ZengBMCJournal of Hematology & Oncology1756-87222020-06-0113111810.1186/s13045-020-00914-1Emerging therapies in mantle cell lymphomaWalter Hanel0Narendranath Epperla1Division of Hematology, Department of Medicine, The James Cancer Hospital and Solove Research Institute, The Ohio State UniversityDivision of Hematology, Department of Medicine, The James Cancer Hospital and Solove Research Institute, The Ohio State UniversityAbstract Mantle cell lymphoma (MCL) is a rare, B cell non-Hodgkin’s lymphoma with highly heterogeneous clinical presentation and aggressiveness. First-line treatment consists of intensive chemotherapy with autologous stem cell transplant for the fit, transplant eligible patients, or less intensive chemotherapy for the less fit (and transplant-ineligible) patients. Patients eventually relapse with a progressive clinical course. Numerous therapeutic approaches have emerged over the last few years which have significantly changed the treatment landscape of MCL. These therapies consist of targeted approaches such as BTK and BCL2 inhibitors that provide durable therapeutic responses. However, the optimum combination and sequencing of these therapies is unclear and is currently investigated in several ongoing studies. Furthermore, cellular therapies such as chimeric antigen receptor (CAR) T cells and bispecific T cell engager (BiTe) antibodies have shown impressive results and will likely shape treatment approaches in relapsed MCL, especially after failure with BTK inhibitors. Herein, we provide a comprehensive review of past and ongoing studies that will likely significantly impact our approach to MCL treatment in both the frontline (for transplant eligible and ineligible patients) as well as in the relapsed setting. We present the most up to date results from these studies as well as perspectives on future studies in MCL.http://link.springer.com/article/10.1186/s13045-020-00914-1Mantle cell lymphomaBTKBCL2CARTBiTe |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Walter Hanel Narendranath Epperla |
spellingShingle |
Walter Hanel Narendranath Epperla Emerging therapies in mantle cell lymphoma Journal of Hematology & Oncology Mantle cell lymphoma BTK BCL2 CART BiTe |
author_facet |
Walter Hanel Narendranath Epperla |
author_sort |
Walter Hanel |
title |
Emerging therapies in mantle cell lymphoma |
title_short |
Emerging therapies in mantle cell lymphoma |
title_full |
Emerging therapies in mantle cell lymphoma |
title_fullStr |
Emerging therapies in mantle cell lymphoma |
title_full_unstemmed |
Emerging therapies in mantle cell lymphoma |
title_sort |
emerging therapies in mantle cell lymphoma |
publisher |
BMC |
series |
Journal of Hematology & Oncology |
issn |
1756-8722 |
publishDate |
2020-06-01 |
description |
Abstract Mantle cell lymphoma (MCL) is a rare, B cell non-Hodgkin’s lymphoma with highly heterogeneous clinical presentation and aggressiveness. First-line treatment consists of intensive chemotherapy with autologous stem cell transplant for the fit, transplant eligible patients, or less intensive chemotherapy for the less fit (and transplant-ineligible) patients. Patients eventually relapse with a progressive clinical course. Numerous therapeutic approaches have emerged over the last few years which have significantly changed the treatment landscape of MCL. These therapies consist of targeted approaches such as BTK and BCL2 inhibitors that provide durable therapeutic responses. However, the optimum combination and sequencing of these therapies is unclear and is currently investigated in several ongoing studies. Furthermore, cellular therapies such as chimeric antigen receptor (CAR) T cells and bispecific T cell engager (BiTe) antibodies have shown impressive results and will likely shape treatment approaches in relapsed MCL, especially after failure with BTK inhibitors. Herein, we provide a comprehensive review of past and ongoing studies that will likely significantly impact our approach to MCL treatment in both the frontline (for transplant eligible and ineligible patients) as well as in the relapsed setting. We present the most up to date results from these studies as well as perspectives on future studies in MCL. |
topic |
Mantle cell lymphoma BTK BCL2 CART BiTe |
url |
http://link.springer.com/article/10.1186/s13045-020-00914-1 |
work_keys_str_mv |
AT walterhanel emergingtherapiesinmantlecelllymphoma AT narendranathepperla emergingtherapiesinmantlecelllymphoma |
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