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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

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2018 Impact Factor: 1.847

Front. Med.    2022, Vol. 16 Issue (5) : 815-826    https://doi.org/10.1007/s11684-021-0891-0
CONSENSUS
Chinese expert consensus on oral drugs for the treatment of mature B-cell lymphomas (2020 edition)
Suning Chen1,2, Weili Zhao3, Jianyong Li4(), Depei Wu1,2(), on behalf of Lymphoid Disease Group, Chinese Society of Hematology, Chinese Medical Association1
1. National Clinical Research Center for Hematologic Diseases, Suzhou 215006, China
2. Jiangsu Institute of Hematology, the First Affiliated Hospital of Soochow University, Suzhou 215006, China
3. Shanghai Institute of Hematology, State Key Laboratory of Medical Genomics, National Research Center for Translational Medicine at Shanghai, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
4. Department of Hematology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Collaborative Innovation Center for Cancer Personalized Medicine, Nanjing 210029, China
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Abstract

Oral drugs such as ibrutinib play an important role in the treatment of mature B-cell lymphoma (BCL) due to their reliable efficacy, manageable safety, high accessibility, and convenience for use. Still, no guidelines or consensus focusing on oral drug therapies for BCL is available. To provide a reference of oral agent-based treatment for mature BCL, a panel of experts from the Lymphocyte Disease Group, Chinese Society of Hematology, Chinese Medical Association conducted an extensive discussion and reached a consensus on oral drugs for Chinese BCL patients on the basis of the current application status of oral drugs in China, combined with the latest authoritative guidelines in the world and current research reports. This consensus reviewed the application of oral drugs in the treatment of BCL and the latest research and provided appropriate recommendations on the use of oral drugs for indolent or aggressive BCL patients. With the deepening of research and the development of standardized clinical applications, oral medications will bring better treatment to BCL patients, enabling more patients to benefit from them.

Keywords B-cell lymphoma      oral drug      targeted therapy      immunotherapy      COVID-19 pandemic     
Corresponding Author(s): Jianyong Li,Depei Wu   
Just Accepted Date: 06 July 2022   Online First Date: 22 September 2022    Issue Date: 18 November 2022
 Cite this article:   
Suning Chen,Weili Zhao,Jianyong Li, et al. Chinese expert consensus on oral drugs for the treatment of mature B-cell lymphomas (2020 edition)[J]. Front. Med., 2022, 16(5): 815-826.
 URL:  
https://academic.hep.com.cn/fmd/EN/10.1007/s11684-021-0891-0
https://academic.hep.com.cn/fmd/EN/Y2022/V16/I5/815
  
  
  
  
  
  
  
Fig.1  Flowchart of oral drug treatment for mature B-cell lymphoma (BCL).
Classification Disease Application of oral drugs
Indolent BCL CLL/SLL TN:1. Ibrutinib (420 mg, orally, once daily)2. Zanubrutinib (160 mg, orally, twice daily) R/R:1. Ibrutinib (420 mg, orally, once daily)2. Zanubrutinib (160 mg, orally, twice daily)3. Lenalidomide (15–25 mg, orally, d1–d21, repeat every 28 days) ± rituximab
WM TN/R/R:Ibrutinib (420 mg, orally, once daily) ± rituximab
FL TN/R/R:Lenalidomide (20 mg, orally, d1–d21, repeat every 28 days) + rituximab
MZL TN:Lenalidomide (20 mg, orally, d1–d21, repeat every 28 days) + rituximab R/R:1. Ibrutinib (560 mg, orally, once daily)2. Lenalidomide (20 mg, orally, d1–d21, repeat every 28 days) + rituximab
Aggressive lymphoma MCL TN:No consensus R/R:1. Ibrutinib (560 mg, orally, once a day) ± rituximab2. Lenalidomide (15–25 mg, orally, d1–d21, repeat every 28 days) + rituximab3. Ibrutinib (560 mg, orally, once a day) + lenalidomide (15 mg, orally, once a day, d1–d21) + rituximab4. Zanubrutinib (160 mg, orally, twice daily)
DLBCL TN:Ibrutinib (560 mg, orally, once daily) + R-CHOP R/R:1. Ibrutinib (560 mg, orally, once daily)2. Lenalidomide (20–25 mg, orally, d1–d21, repeat every 28 days) + rituximab
PCNSL TN/R/R:Ibrutinib (560 mg, orally, once daily)
Tab.1  Summary of oral drugs for BCLa
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