Tailored approaches in mantle cell lymphoma: refining treatment paradigms with an expert panel opinion
Mantle cell lymphoma (MCL) is a rare and aggressive subtype of non-Hodgkin B-cell lymphoma that presents significant clinical management challenges. Recent advancements in treatment strategies, such as Bruton's tyrosine kinase inhibitors (BTKi), chimeric antigen receptor T-cell (CAR-T) therapy, and chemo-free regimens, have transformed the therapeutic landscape. This expert opinion article, based on insights from 14 experts worldwide, explores the evolving role of autologous stem cell transplantation (ASCT) in MCL management, and the treatment approaches for ASCT-ineligible patients. It discusses the benefits and limitations of emerging therapies, emphasizing personalized treatment approaches to optimize clinical outcomes. Tailoring strategies to individual patient profiles, considering genetic markers, comorbidities, and regional healthcare resources, is crucial. The evolving MCL landscape prioritizes personalized care, with BTKi emerging as an effective first-line option for ineligible ASCT patients and a robust alternative to ASCT. Global collaboration and knowledge sharing are essential to advance MCL treatment and ensure optimal care.
Authors
- Miguel Arturo Pavlovsky (ORCID: https://orcid.org/0000-0003-4561-3153)
- Ashraf Elghandour (ORCID: https://orcid.org/0000-0002-8841-048X)
- Eliza A. Hawkes (ORCID: https://orcid.org/0000-0002-0376-2559)
- Danielle Leão Cordeiro de Farias (ORCID: https://orcid.org/0000-0002-3140-2235)
- Mubarak Al Mansour
- João Samuel de Holanda Farias (ORCID: https://orcid.org/0000-0002-8625-919X)
- Haiwen Huang
- Fernando Pérez Zincer
- Calvin Cheah
- Bor Sheng Ko
- Zhiming Li
- Shin Yeu Ong
- Yuqin Song
- Won Seog Kim
Institutions
- Gaertner (United States) (US)
- Sun Yat-sen University (CN)
- National Taiwan University (TW)
- The University of Western Australia (AU)
- National Taitung University (TW)
- King Saud bin Abdulaziz University for Health Sciences (SA)
- Singapore General Hospital (SG)
- Samsung Medical Center (KR)
- Sir Charles Gairdner Hospital (AU)
- Soochow University (CN)
- Hospital Erasto Gaertner (BR)
- Development Fund (NO)
- Beneficência Portuguesa de São Paulo (BR)
- Monash Health (AU)
- National Clinical Research (US)
- National Taiwan University Hospital (TW)
- Stomatology Hospital (CN)
- Sun Yat-sen University Cancer Center (CN)
- Ministry of Education (ET)
- First Affiliated Hospital of Soochow University (CN)
- Olivia Newton-John Cancer Wellness & Research Centre (AU)
- National Guard Health Affairs (SA)
- Monash University (AU)
- Alexandria University (EG)
- Sungkyunkwan University (KR)
Publication Details
- Journal
- Leukemia & lymphoma/Leukemia and lymphoma
- Published
- 2026-03-17
- DOI
- https://doi.org/10.1080/10428194.2026.2640453
- Primary Topic
- Lymphoma Diagnosis and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00