| Literature DB >> 26239089 |
Sophie Bernard1, Lauriane Goldwirt2, Sandy Amorim1, Pauline Brice3, Josette Brière4, Eric de Kerviler5, Samia Mourah6, Hélène Sauvageon2, Catherine Thieblemont1.
Abstract
The risk of central nervous system (CNS) dissemination in mantle cell lymphoma (MCL) is low and occurs late in the course of the disease. However, prognosis in such cases remains extremely poor despite high-dose antimetabolite chemotherapy. Among novel drugs used to treat relapsing MCL patients, ibrutinib, an oral inhibitor of Bruton tyrosine kinase, shows great promise. Here we report the clinical observation of 3 MCL patients with symptomatic CNS relapse treated with single-agent ibrutinib. All 3 patients had dramatic and rapid responses with almost immediate recovery from symptoms. We also confirmed that ibrutinib crosses the blood-brain barrier with parallel pharmacokinetic analyses in plasma and cerebrospinal fluid using a validated LC-MS/MS method. All responses were ongoing after 2 months to 1 year of follow-up.Entities:
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Year: 2015 PMID: 26239089 PMCID: PMC4591793 DOI: 10.1182/blood-2015-05-647834
Source DB: PubMed Journal: Blood ISSN: 0006-4971 Impact factor: 22.113