BeOne Medicines MANGROVE Study Shows Brukinsa Significantly Improves MCL Patient Outcomes
BeOne Medicines announced positive topline results from the Phase 3 MANGROVE study evaluating foundational BTK inhibitor Brukinsa - zanubrutinib - plus rituximab versus bendamustine plus rituximab, or BR, in adult patients with previously untreated mantle cell lymphoma, or MCL. MANGROVE is the first Phase 3, global, randomized trial to evaluate a BTK inhibitor-based chemotherapy-free regimen against standard chemoimmunotherapy in this setting. This pivotal Phase 3 trial builds on the established clinical evidence for Brukinsa in MCL. MANGROVE met its primary endpoint of progression-free survival, demonstrating a highly statistically significant and clinically meaningful improvement for Brukinsa plus rituximab versus BR. This Brukinsa -based, chemotherapy-free regimen led to a 43% reduction in the risk of progression or death. The safety profile of Brukinsa plus rituximab was consistent with the known safety profile of both medicines, with no new safety signals identified. Overall survival, a key secondary endpoint, was immature at the time of this analysis; however, a strong trend in favor of Brukinsa plus rituximab was observed. OS will be tested as part of the final analysis. The company is in discussions with global regulatory authorities with planned submissions in 2H26.