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Ibrutinib in Refractory or Relapsing Primary Central Nervous System Lymphoma: A Systematic Review
Gaurav Nepal1, Mahika Khurana2, Domenica Herrera Bucheli3
1Department of Internal Medicine, Tribhuvan University Institute of Medicine, Maharajgunj, Kathmandu 44600, Nepal.
Ibrutinib shows promise for treating refractory or relapsed Primary Central Nervous System Lymphoma (PCNSL). This systematic review critically appraises the efficacy of this Bruton tyrosine kinase (BTK) inhibitor in R/R PCNSL patients.
Area of Science:
- Oncology
- Neurology
- Hematology
Background:
- Primary Central Nervous System Lymphoma (PCNSL) is a rare Non-Hodgkin Lymphoma (NHL) subtype.
- PCNSL affects the brain, spinal cord, leptomeninges, or eyes.
- Standard treatments often lead to relapses or refractoriness, with poor prognosis for R/R PCNSL.
Purpose of the Study:
- To systematically review and critically appraise the evidence on ibrutinib's efficacy.
- To evaluate ibrutinib as a novel treatment for Refractory or Relapsed (R/R) PCNSL.
Main Methods:
- Systematic review of studies on ibrutinib for R/R PCNSL.
- Critical appraisal of existing evidence regarding treatment efficacy.
Main Results:
- Preliminary studies suggest promising results for ibrutinib in R/R PCNSL.
- Evidence is based on limited sample sizes, requiring further investigation.
Conclusions:
- Ibrutinib demonstrates potential as a treatment option for R/R PCNSL.
- Further research with larger cohorts is needed to confirm efficacy and optimal use.
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