Opinion

Video

Overview of ZUMA-2 Cohorts 1-3: Use of Brexu-cel in R/R MCL

Panelists discuss how the 5-year follow-up data from the ZUMA-2 trial reveal sustained clinical benefit and durable responses for patients with relapsed/refractory mantle cell lymphoma (R/R MCL) treated with brexucabtagene autoleucel, potentially reshaping treatment paradigms by demonstrating long-term efficacy of CAR T-cell therapy in a historically challenging hematologic malignancy.

Video content above is prompted by the following:

Five-Year Outcomes of Brexucabtagene Autoleucel in R/R MCL

Key Findings

  • Long-term data from ZUMA-2 study demonstrate sustained efficacy of brexucabtagene autoleucel (brexu-cel) in patients with R/R MCL.
  • Extended follow-up provides critical insights into the durability of response and long-term treatment outcomes.

Clinical Implications

  • Continued durable responses suggest brexu-cel may represent a potentially transformative therapy for heavily pretreated patients with MCL.
  • Five-year data challenge previous perceptions about the limited treatment options for R/R MCL.

Potential Treatment Sequencing Considerations

  • The sustained response rates may:
  • Encourage earlier consideration of CAR T-cell therapy in the treatment algorithm

  • Prompt reevaluation of traditional sequential therapy approaches

  • Support brexu-cel as a potentially meaningful bridge to subsequent interventions

Limitations and Considerations

  • Long-term toxicity profile remains an important area of ongoing assessment.
  • Patient selection criteria and individual variability remain critical factors in treatment decision-making.

Recommended Clinical Approach

  • Carefully evaluate individual patient characteristics.
  • Consider brexu-cel as a potentially promising option for patients with R/R MCL with limited alternative treatments.

Continued monitoring and individualized treatment planning remain paramount.

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