Outcomes of pirtobrutinib for relapsed/refractory mantle cell lymphoma in compassionate use program in Europe

Author:

Aydilek Enver1ORCID,Wulf Gerald1,Schwarz Friedrich12ORCID,Bacher Ulrike3ORCID,Rummel Mathias4,Stiefel Olga5,Kerkhoff Andrea6,Maulhardt Markus1,Melchardt Thomas7,Pabst Thomas8,Lenz Georg6,Shumilov Evgenii6

Affiliation:

1. Department for Hematology and Medical Oncology University Medical Center Göttingen Göttingen Germany

2. Campus Institute for Dynamics of Biological Networks, Georg August University Göttingen Germany

3. Department of Hematology, Inselspital University Hospital Bern, University of Bern Bern Switzerland

4. Department of Hematology, Clinic for Haematology and Medical Oncology Justus Liebig University Hospital Gießen Germany

5. Division of Hematology With Stem Cell Transplantation, Hemostaseology and Medical Oncology, Department of Internal Medicine I Ordensklinikum Linz Linz Austria

6. Department of Medicine A, Hematology, Oncology and Pneumology University Hospital Muenster Muenster Germany

7. Department of Internal Medicine III with Haematology, Medical Oncology, Haemostaseology, Infectiology and Rheumatology Paracelsus Medical University Salzburg Austria

8. Department of Medical Oncology Inselspital Bern University Hospital Bern Switzerland

Abstract

AbstractBackgroundMantle cell lymphoma (MCL) is a type of B‐cell lymphoma that is currently incurable. Pirtobrutinib shows promising response rates in heavily pretreated MCL patients according to the approval study, but the real‐world data are scarce.MethodsIn this study, we retrospectively analyzed the efficacy and safety profile of pirtobrutinib in 10 relapsed/refractory MCL patients from compassionate use program (CUP).ResultsOn average, the patients underwent three lines of systemic therapy prior to pirtobrutinib and were predominantly BTKi exposed (9/10). The best overall response rate (BORR) was 67%. In a median follow‐up of 8.6 months, the mean duration of response (DOR), progression‐free survival (PFS), and overall survival (OS) were not reached. No new safety signals were documented.ConclusionsIn summary, pirtobrutinib represented a safe and effective treatment option in a small real‐world population.

Publisher

Wiley

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