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rituximab + lenalidomide + zanubrutinib + dexamethasone + cytarabine + cisplatin

Development stage
Unknown
Lead developer
Zhejiang Province Cancer Hospital
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Oral, Intravenous
01

Overview

ZR2 + RDHAP is a sequential chemo-immunotherapy regimen being evaluated for the treatment of newly diagnosed mantle cell lymphoma (MCL). The regimen consists of an induction phase with ZR2 (rituximab, lenalidomide, and zanubrutinib) followed by RDHAP (rituximab, dexamethasone, cytarabine, and cisplatin). Rituximab is a monoclonal antibody targeting CD20; lenalidomide is an immunomodulatory agent targeting the cereblon E3 ubiquitin ligase complex; zanubrutinib is a potent, selective inhibitor of Bruton's tyrosine kinase (BTK). The RDHAP component adds dexamethasone (a corticosteroid), cytarabine (an antimetabolite), and cisplatin (a platinum-based alkylating agent) to provide intensive cytotoxic therapy. This strategy aims to achieve deep molecular remissions in MCL patients.

Other names
ZR2-RDHAP regimenZR-2-RDHAP regimenZR 2-RDHAP regimenZR2 followed by RDHAPZR-2 followed by RDHAPZR 2 followed by RDHAP
02

Targets

DNA polymerase familyCD20 (B-lymphocyte antigen CD20)CRBN (Cereblon)BTK (Bruton tyrosine kinase)GR (Glucocorticoid receptor)DNA

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