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NCCN Guidelines for B-Cell Lymphomas V.1.2025

Request Number Guideline Page Specific change request Panel Decision Comment Institution Vote
3824 MANT-6: Mantle Cell Lymphoma | Relapsed/Refractory Disease
Pirtobrutinib Submission from Eli Lilly and Company on 03-22-2024

Please consider adding the following footnote wherever non-covalent Bruton's tyrosine kinase inhibitors (BTKi) are listed: “Pirtobrutinib may be used upon progression or intolerance to covalent BTKi therapy.”

Change not made Regimens on MANT-A Yes: 0
No: 26
Abstain:0
Absent:8
4277 MANT-A (1 of 5)
Acalabrutinib + Bendamustine + Rituximab Submission from AstraZeneca on 06-21-2024
Add Acalabrutinib + Bendamustine + Rituximab as a Category 2A preferred regimen for less aggressive induction therapy for Mantle Cell Lymphoma.  Change not made, additional data needed Yes: 0
No: 26
Abstain:0
Absent:8
2480 MANT-A, 5 OF 5
Ibrutinib + Venetoclax Submission from AbbVie Inc., Janssen Biotech, Inc. on 01-24-2024
Ibrutinib + Venetoclax: Clinical data from phase 3 SYMPATICO study are being submitted for your reference regarding ibrutinib + venetoclax for the treatment of R/R mantle cell lymphoma (MCL) to aid the Panel in making recommendations for the NCCN B-cell Lymphomas Guidelines Change not made Regimen already in Guidelines. Yes: 0
No: 26
Abstain:0
Absent:8
4489 Change requested to the following pages: MANT-A 3 of 5, BCEL-A 2 of 2, BCEL-B 1 of 3, BCEL-C 4 of 6, HGBL-1, BURK-A 1 of 3, HIVLYM-A 1 of 2, PTLD-A
Glucarpidase  Submission from BTG on 08-07-2024
We request that a footnote be added to the Systemic Therapy sections of the B-Cell Lymphomas Guidelines, specifically in sections where high-dose methotrexate is recommended. Our request is to add a footnote with the following statement “During systemic high-dose methotrexate treatment, consider glucarpidase for delayed methotrexate clearance due to renal impairment.” Change not made Yes: 0
No: 26
Abstain:0
Absent:8
4019 MANT-A
Zanubrutinib/Obinutuzumab/Venetoclax  Submission from BeiGene USA on 05-20-2024
Please list zanubrutinib/obinutuzumab/venetoclax x 24 cycles as a category 2A preferred regimen for aggressive induction therapy and less aggressive induction therapy in patients with TP53 mutation. Change not made, additional data needed Yes: 0
No: 26
Abstain:0
Absent:8
4556 - Internal Request MANT-A 2 of 5 Consider the addition of CD3 x CD20 BsAb glofitamab-gxbm as a treatment option for R/R MCL. Phillips T, et al. JCO 2024:42:Abstract 7008. 


Change made This is a category 2B recommendation Yes: 19
No: 7
Abstain:0
Absent:8