Mantle cell lymphoma (MCL) is a rare subtype of B-cell non-Hodgkin lymphoma that is clinically characterized by its heterogeneous behavior, with courses ranging from indolent to highly aggressive cases with limited prognosis. Targeted treatment alternatives in first-line and relapse settings are more and more shaping the therapeutic landscape of MCL. The development and implementation of new targeted and immunotherapeutic approaches have already improved outcomes for patients with MCL with refractory or relapsed disease. However, long-term prognosis is still limited, and patients with relapsed/refractory (R/R) disease, especially those failing Bruton tyrosine kinase (BTK) inhibitor treatment, usually have a dismal outcome. This review summarizes the current and emerging treatment options for R/R MCL, focusing on the implementation of combined targeted treatment strategies such as BTK inhibitors and BCL2 inhibitors, as well as immune-therapeutic approaches including chimeric antigen receptor T cells and bispecific antibodies.
Skip Nav Destination
Mantle Cell Lymphoma|
February 13, 2025
Treatment of relapsed/refractory MCL
Clinical Trials & Observations
Elisabeth Silkenstedt,
Elisabeth Silkenstedt
Department of Medicine III, Ludwig Maximilian University Hospital, Munich, Germany
Search for other works by this author on:
Martin Dreyling
Martin Dreyling
Department of Medicine III, Ludwig Maximilian University Hospital, Munich, Germany
Search for other works by this author on:
Blood (2025) 145 (7): 673–682.
Article history
Submitted:
March 15, 2024
Accepted:
July 16, 2024
First Edition:
July 26, 2024
Connected Content
A related article has been published:
Frontline management of mantle cell lymphoma
A related article has been published:
Unraveling MCL biology to understand resistance and identify vulnerabilities
A related article has been published:
High-risk MCL: recognition and treatment
A related article has been published:
Introduction to a review series on mantle cell lymphoma: sands shifting in the darkness
Citation
Elisabeth Silkenstedt, Martin Dreyling; Treatment of relapsed/refractory MCL. Blood 2025; 145 (7): 673–682. doi: https://doi.org/10.1182/blood.2023022353
Download citation file:
My Account
Sign In
February 13 2025
Advertisement intended for health care professionals
Cited By
Advertisement intended for health care professionals
This feature is available to Subscribers Only
Sign In or Create an Account Close Modal