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**Zanubrutinib + lisocabtagene maraleucel** is an investigational combination therapy for hematologic malignancies, specifically studied in Richter’s syndrome (transformation of chronic lymphocytic leukemia/small lymphocytic lymphoma into aggressive lymphoma)[1][2][3][7]. Zanubrutinib is a next-generation covalent *Bruton’s tyrosine kinase (BTK) inhibitor* that blocks B-cell receptor signaling, reducing proliferation and survival of malignant B cells. Lisocabtagene maraleucel (liso-cel) is a *CD19-directed autologous chimeric antigen receptor (CAR) T cell therapy*: patients’ T cells are genetically engineered to express a CAR targeting CD19, then expanded and reinfused to attack cancerous B cells. The combination aims to exploit complementary mechanisms: zanubrutinib impairs B-cell malignancy signaling, while liso-cel provides targeted immune cytotoxicity against CD19+ tumor cells[1][2][3][6][7].
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