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Hematologic Oncology Update

What Clinicians Want to Know About the Management of Relapsed/Refractory Mantle Cell Lymphoma

Oct 19, 2023
Dr Toby A Eyre and Dr Brad S Kahl discuss the management of relapsed/refractory mantle cell lymphoma, including treatment options like BTK inhibitors and CAR T-cell therapy, ongoing clinical trials, toxicity analysis of BTK inhibitors, use of MRD in clinical practice, combination treatment, and side effect management.
01:01:33

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Quick takeaways

  • Opting for a BTK inhibitor is favored as second-line treatment for relapsed mantle cell lymphoma, considering other options like allogeneic transplant and CAR-T cell therapy.
  • Localized mantle cell lymphoma can be effectively managed with radiotherapy, especially in the eyelids.

Deep dives

Choosing BTK Inhibitors as Treatment for Relapsed Mantle Cell Lymphoma

When deciding between rechallenging with standard chemotherapy or opting for a BTK inhibitor as second-line treatment for relapsed mantle cell lymphoma, the use of a BTK inhibitor is generally favored. The BTK inhibitor of choice will depend on available options, with perturbtinib showing promising results in terms of tolerability and efficacy. However, considering other treatment options such as allogeneic transplant and CAR-T cell therapy, as well as enrolling patients in clinical trials, should also be considered in the overall treatment plan.

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