Table 2.

Impact of mutated CXCR4 on BTKi activity for ibrutinib and zanubrutinib in WM

StudyPatient populationAgent(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) 
StudyPatient populationAgent(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.

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