Journal Article DKFZ-2025-00304

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Brexucabtagene autoleucel versus allogeneic hematopoietic cell transplantation in relapsed and refractory mantle cell lymphoma.

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2025
American Association for Cancer Research Philadelphia, PA

Blood cancer discovery 6(3), 182-190 () [10.1158/2643-3230.BCD-24-0178]
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Abstract: Brexucabtagene autoleucel (brexu-cel) and allogeneic hematopoietic cell transplantation (alloHCT) are effective treatments for relapsed or refractory mantle cell lymphoma (r/r MCL), but the optimal choice remains unclear. We conducted an analysis of 64 r/r MCL patients aged ≥50 years treated with brexu-cel in the ZUMA-2 study, matching them 1:1 by propensity score to 64 (out of 272) r/r MCL patients who underwent alloHCT using data from the EBMT registry. Median follow-up time was 36.5 and 34.1 months for the brexu-cel and matched alloHCT cohort, respectively. Brexu-cel patients had a significantly higher overall survival (OS, 81.3% vs 59.2%, HR: 0.39, p=0.004) and lower non-relapse mortality (3.6% vs 21.2%, p=0.015) one year after treatment. Chronic graft-vs-host disease occurred in 26.9% of alloHCT patients within the first year. However, long-term progression-free survival and OS remain comparable. Despite limitations of this non-randomized study, it indicates a superior safety profile for brexu-cel in r/r MCL.

Classification:

Note: #EA:B340# / 2025 May 5;6(3):182-190

Contributing Institute(s):
  1. Translationale Medizinische Onkologie (B340)
  2. C060 Biostatistik (C060)
Research Program(s):
  1. 312 - Funktionelle und strukturelle Genomforschung (POF4-312) (POF4-312)

Appears in the scientific report 2025
Database coverage:
Medline ; Clarivate Analytics Master Journal List ; Emerging Sources Citation Index ; IF >= 10 ; JCR ; SCOPUS ; Web of Science Core Collection
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 Record created 2025-02-07, last modified 2025-05-11



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