Management of relapsed/refractory marginal zone lymphoma: focus on ibrutinib

Nathan M Denlinger, Narendranath Epperla, Basem M William Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center (OSUCCC-James), The Ohio State University, Columbus, OH, USA Abstract: Marginal zone lymphomas (MZLs) consist of a diverse family of malignancies, which ar...

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Main Authors: Denlinger NM, Epperla N, William BM
Format: Article
Language:English
Published: Dove Medical Press 2018-03-01
Series:Cancer Management and Research
Subjects:
Online Access:https://www.dovepress.com/management-of-relapsedrefractory-marginal-zone-lymphoma-focus-on-ibrut-peer-reviewed-article-CMAR
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author Denlinger NM
Epperla N
William BM
author_facet Denlinger NM
Epperla N
William BM
author_sort Denlinger NM
collection DOAJ
description Nathan M Denlinger, Narendranath Epperla, Basem M William Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center (OSUCCC-James), The Ohio State University, Columbus, OH, USA Abstract: Marginal zone lymphomas (MZLs) consist of a diverse family of malignancies, which are derived from B-cells. The disease subtypes are recognized extranodal, nodal, and splenic MZLs. The disease characteristics, clinical course, and treatment vary considerably based on the site of involvement. In 2017, the US Food and Drug Administration approved ibrutinib, a first in class Bruton’s tyrosine kinase inhibitor that revolutionized the care of chronic lymphocytic leukemia patients; for, the treatment of relapsed/refractory MZL based on pivotal open-label Phase II trial demonstrated an overall response rate of 48%, with a complete response rate of 3%, median progression-free survival of 14.2 months, and median overall survival not yet reached at a median follow-up of 19.4 months. In this review, we aim to summarize the current conundrums in the management of MZL and the evolving role of ibrutinib in the treatment of MZL. Keywords: non-Hodgkin’s lymphoma, marginal zone, ibrutinib
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spelling doaj.art-2d843e12a67a413ca5234018da35ec672022-12-21T20:30:08ZengDove Medical PressCancer Management and Research1179-13222018-03-01Volume 1061562437441Management of relapsed/refractory marginal zone lymphoma: focus on ibrutinibDenlinger NMEpperla NWilliam BMNathan M Denlinger, Narendranath Epperla, Basem M William Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center (OSUCCC-James), The Ohio State University, Columbus, OH, USA Abstract: Marginal zone lymphomas (MZLs) consist of a diverse family of malignancies, which are derived from B-cells. The disease subtypes are recognized extranodal, nodal, and splenic MZLs. The disease characteristics, clinical course, and treatment vary considerably based on the site of involvement. In 2017, the US Food and Drug Administration approved ibrutinib, a first in class Bruton’s tyrosine kinase inhibitor that revolutionized the care of chronic lymphocytic leukemia patients; for, the treatment of relapsed/refractory MZL based on pivotal open-label Phase II trial demonstrated an overall response rate of 48%, with a complete response rate of 3%, median progression-free survival of 14.2 months, and median overall survival not yet reached at a median follow-up of 19.4 months. In this review, we aim to summarize the current conundrums in the management of MZL and the evolving role of ibrutinib in the treatment of MZL. Keywords: non-Hodgkin’s lymphoma, marginal zone, ibrutinibhttps://www.dovepress.com/management-of-relapsedrefractory-marginal-zone-lymphoma-focus-on-ibrut-peer-reviewed-article-CMARNon-Hodgkin’s Lymphomamarginal zoneibrutinib
spellingShingle Denlinger NM
Epperla N
William BM
Management of relapsed/refractory marginal zone lymphoma: focus on ibrutinib
Cancer Management and Research
Non-Hodgkin’s Lymphoma
marginal zone
ibrutinib
title Management of relapsed/refractory marginal zone lymphoma: focus on ibrutinib
title_full Management of relapsed/refractory marginal zone lymphoma: focus on ibrutinib
title_fullStr Management of relapsed/refractory marginal zone lymphoma: focus on ibrutinib
title_full_unstemmed Management of relapsed/refractory marginal zone lymphoma: focus on ibrutinib
title_short Management of relapsed/refractory marginal zone lymphoma: focus on ibrutinib
title_sort management of relapsed refractory marginal zone lymphoma focus on ibrutinib
topic Non-Hodgkin’s Lymphoma
marginal zone
ibrutinib
url https://www.dovepress.com/management-of-relapsedrefractory-marginal-zone-lymphoma-focus-on-ibrut-peer-reviewed-article-CMAR
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