Impact of mutated CXCR4 on BTKi activity for ibrutinib and zanubrutinib in WM
Study . | Patient population . | Agent(s) . | Time to major response (CXCRMut vs CXCR4WT) . | MRR (%) (CXCRMut vs CXCR4WT) . | ≥VGPR rate (%) (CXCRMut vs CXCR4WT) . | PFS (%) (CXCRMut vs CXCR4WT) . |
---|---|---|---|---|---|---|
Pivotal study39 | R/R | Ibrutinib | 4.7 vs 1.8 mo | 68 vs 97 | 9 vs 47 | 38 vs 70 (60 mo) |
INNOVATE arm C40 | R/R | Ibrutinib | 3.6 vs 1.0 mo | 71 vs 88 | 14 vs 41 | 18 mo vs NR (60 mo) |
Phase 241 | TN | Ibrutinib | 7.3 vs 1.8 mo | 78 vs 94 | 14 vs 44 | 59 vs 92 (48 mo) |
INNOVATE arms A, B42 | TN, R/R | Ibrutinib Rituximab | 3 vs 2 mo | 77 vs 81 | 23 vs 41 | 63 vs 72 (54 mo) |
Phase 249 | R/R | Zanubrutinib | N/A | 91 vs 87 | 27 vs 59 | ∼90 vs ∼78 (42 mo) |
ASPEN cohort 144 | TN, R/R | Ibrutinib | 6.6 vs 2.8 mo | 65 vs 85 | 10 vs 31 | 49 vs 75 (42 mo) |
TN, R/R | Zanubrutinib | 3.4 vs 2.8 mo | 79 vs 83 | 21 vs 45 | 73 vs 81 (42 mo) |
Study . | Patient population . | Agent(s) . | Time to major response (CXCRMut vs CXCR4WT) . | MRR (%) (CXCRMut vs CXCR4WT) . | ≥VGPR rate (%) (CXCRMut vs CXCR4WT) . | PFS (%) (CXCRMut vs CXCR4WT) . |
---|---|---|---|---|---|---|
Pivotal study39 | R/R | Ibrutinib | 4.7 vs 1.8 mo | 68 vs 97 | 9 vs 47 | 38 vs 70 (60 mo) |
INNOVATE arm C40 | R/R | Ibrutinib | 3.6 vs 1.0 mo | 71 vs 88 | 14 vs 41 | 18 mo vs NR (60 mo) |
Phase 241 | TN | Ibrutinib | 7.3 vs 1.8 mo | 78 vs 94 | 14 vs 44 | 59 vs 92 (48 mo) |
INNOVATE arms A, B42 | TN, R/R | Ibrutinib Rituximab | 3 vs 2 mo | 77 vs 81 | 23 vs 41 | 63 vs 72 (54 mo) |
Phase 249 | R/R | Zanubrutinib | N/A | 91 vs 87 | 27 vs 59 | ∼90 vs ∼78 (42 mo) |
ASPEN cohort 144 | TN, R/R | Ibrutinib | 6.6 vs 2.8 mo | 65 vs 85 | 10 vs 31 | 49 vs 75 (42 mo) |
TN, R/R | Zanubrutinib | 3.4 vs 2.8 mo | 79 vs 83 | 21 vs 45 | 73 vs 81 (42 mo) |
Comparisons listed are for patients with MYD88 mutation.
Abbreviations are explained in Table 1.