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December 8, 2025BloodOpen Access

Two-year update of ZUMA-2 Cohort 3: Brexucabtagene autoleucel (Brexu-cel) in patients (pts) with relapsed/refractory mantle cell lymphoma (R/R MCL) who had not received prior Bruton tyrosine kinase inhibitor (BTKi) therapy

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Authors

GIGloria IacoboniGHGeorg HeßAMAlejandro Martı́n

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Overview

Phase 2 study shows high response rates in BTKi-naive R/R MCL, indicating brexu-cel's potential for earlier treatment.

Key Points

  • This research evaluates the safety and efficacy of brexu-cel in patients with relapsed/refractory mantle cell lymphoma who are naive to Bruton tyrosine kinase inhibitors.
  • Phase 2 study involving patients with R/R MCL who underwent leukapheresis, lymphodepleting chemotherapy, and brexu-cel infusion.
  • Primary endpoint was the objective response rate (ORR) assessed by independent radiology review.
  • Secondary endpoints included complete response rates, duration of response (DOR), progression-free survival (PFS), overall survival (OS), and safety analyses.
  • The ORR was 91% with a complete response rate of 79% after a median follow-up of 26.4 months.
  • Median DOR and PFS were not reached, with ongoing response rates consistently high across key subgroups.
  • The rate of adverse events increased slightly, with late onset toxicities remaining rare.

Cite This Study

Iacoboni et al. (2025) studied this question.

synapsesocial.com/papers/693624dd4fa91c937236d280https://doi.org/10.1182/blood-2025-1799
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