Evidence map›Paper›PMID 40944468›Full record

ReviewEuropean journal of haematology2025

Bruton Tyrosine Kinase Inhibitors in Mantle Cell Lymphoma: What Are the Current Options?

Santino Caserta, Enrica Antonia Martino, Ernesto Vigna, Antonella Bruzzese, Nicola Amodio, Eugenio Lucia, Virginia Olivito, Caterina Labanca, Francesco Mendicino, Fortunato Morabito and 1 more

Abstract readReview
In one paragraph

Review in European journal of haematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Santino CasertaHematology Unit, Department of Onco-Hematology, AO of Cosenza, Cosenza, Italy.
Enrica Antonia MartinoHematology Unit, Department of Onco-Hematology, AO of Cosenza, Cosenza, Italy.
Ernesto VignaHematology Unit, Department of Onco-Hematology, AO of Cosenza, Cosenza, Italy.
Antonella BruzzeseHematology Unit, Department of Onco-Hematology, AO of Cosenza, Cosenza, Italy.
Nicola AmodioDepartment of Experimental and Clinical Medicine, University of Catanzaro, Catanzaro, Italy.
Eugenio LuciaHematology Unit, Department of Onco-Hematology, AO of Cosenza, Cosenza, Italy.
Virginia OlivitoHematology Unit, Department of Onco-Hematology, AO of Cosenza, Cosenza, Italy.
Caterina LabancaHematology Unit, Department of Onco-Hematology, AO of Cosenza, Cosenza, Italy.
Francesco MendicinoHematology Unit, Department of Onco-Hematology, AO of Cosenza, Cosenza, Italy.
Fortunato MorabitoAIL Sezione di Cosenza, Cosenza, Italy.
Massimo GentileHematology Unit, Department of Onco-Hematology, AO of Cosenza, Cosenza, Italy.

Funding

PNRR-MAD-2022-12375673
6 · The paper itself

Abstract

Mantle Cell Lymphoma (MCL) is an aggressive B-cell non-Hodgkin lymphoma characterized by the hallmark t(11;14)(q13;q32) translocation, resulting in cyclin D1 overexpression. Predominantly affecting elderly males, MCL exhibits marked clinical and biological heterogeneity, ranging from indolent SOX11-negative variants to highly proliferative blastoid variants. Despite initial responsiveness to chemoimmunotherapy, relapse is frequent, and median overall survival remains limited. Aberrant B-cell receptor (BCR) signaling-mediated by kinases including Bruton's tyrosine kinase (BTK)-plays a central role in MCL pathogenesis. BTK inhibitors (BTKis) such as ibrutinib (as monotherapy or combined with R-CHOP/R-DHAP), acalabrutinib (with rituximab and bendamustine), and pirtobrutinib have significantly improved outcomes of relapsed/refractory disease. However, their efficacy is challenged by resistance mutations (e.g., BTK C481S) and off-target toxicities. Next-generation reversible BTKis represent an important advance, offering activity in the setting of resistance and improved tolerability. Resistance is further sustained by the tumor microenvironment through stromal support and immunosuppressive cellular interactions. Consequently, combination strategies incorporating BTKis with BCL-2 inhibitors, monoclonal antibodies, and cellular therapies are being investigated to enhance response depth and durability. In parallel, biomarker-driven approaches and precision-medicine strategies are emerging to personalize disease monitoring and treatment selection. Collectively, these developments underscore the evolving role of BTK inhibition within broader immune-based and targeted treatment paradigms in MCL.

Indexed as

Agammaglobulinaemia Tyrosine KinaseAntineoplastic Combined Chemotherapy ProtocolsLymphoma, Mantle-CellTyrosine Kinase InhibitorsAdenineBenzamidesCyclophosphamideDoxorubicinDrug Resistance, NeoplasmHumansMolecular Targeted TherapyPiperidinesPrecision MedicinePrednisoneProgression-Free SurvivalProto-Oncogene Proteins c-bcl-2acalabrutinibAdenineAgammaglobulinaemia Tyrosine KinaseBCL2 protein, humanBenzamidesBTK protein, humanCyclophosphamideDoxorubicinibrutinibPiperidinespirtobrutinibPrednisoneProto-Oncogene Proteins c-bcl-2PyrazinesPyrazolesR-CHOP protocolRituximabTyrosine Kinase InhibitorsVincristineBTKiMCLtherapy

Identifiers

PMID40944468
PMCPMC12582904

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.