BTK Inhibitors and CAR T-Cell Therapy in Treating Mantle Cell Lymphoma—Finding a Dancing Partner

Javier L. Munoz, Yucai Wang, Preetesh Jain, Michael Wang

Research output: Contribution to journalReview articlepeer-review

9 Scopus citations

Abstract

Purpose of Review: This review focuses on the feasibility of combining Bruton’s tyrosine kinase (BTK) inhibitors (BTKis) with chimeric antigen receptor (CAR) T-cell therapy in patients with relapsed or refractory (R/R) mantle cell lymphoma (MCL). Potential scenarios for combination treatment with these agents are presented. Recent Findings: BTKis and CAR T-cell therapy have revolutionized the treatment paradigm for R/R MCL. Ibrutinib, acalabrutinib, and zanubrutinib are covalent irreversible BTKis approved for R/R MCL. Brexucabtagene autoleucel was the first CAR T-cell therapy approved for R/R MCL based on findings from the ZUMA-2 trial. There is evidence to suggest that combination treatment with BTKis and CAR T-cell therapy may improve CAR T-cell efficacy. Summary: As BTKis and CAR T-cell therapy become mainstays in R/R MCL therapy, combination treatment strategies should be evaluated for their potential benefit in R/R MCL.

Original languageEnglish (US)
Pages (from-to)1299-1311
Number of pages13
JournalCurrent oncology reports
Volume24
Issue number10
DOIs
StatePublished - Oct 2022

Keywords

  • Bruton’s tyrosine kinase
  • Chimeric antigen receptor T-cell therapy
  • Combination therapy
  • Relapsed/refractory mantle cell lymphoma

ASJC Scopus subject areas

  • Oncology

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