Marginal zone lymphoma (MZL) is a condition wherein B cells in lymphoid tissue are affected by a rare class of slow-growing non-Hodgkin lymphoma. The second most frequent indolent non-Hodgkin's lymphoma, it accounts for around 8% of non-Hodgkin lymphoma patients. Marginal zone lymphoma can be categorized into three types, namely, extranodal, splenic, and nodal. Splenic MZL (SMZL) is limited to the spleen, bone marrow, and blood, whereas extranodal MZL (EMZL) can transpire in tissues devoid of lymphoid tissue. Only lymph nodes are affected by nodal MZL (NMZL), which is the least prevalent type. The affected tissues, clinical presentation, and management of the three types vary. Moreover, its rising prevalence is anticipated to positively impact the pipeline landscape for marginal zone lymphoma drugs.
Report Coverage
The Marginal Zone Lymphoma Drug Pipeline Insight Report by Expert Market Research gives comprehensive insights into marginal zone lymphoma therapeutics currently undergoing clinical trials. It covers various aspects related to the details of each of these drugs under development for marginal zone lymphoma. The marginal zone lymphoma report assessment includes the analysis of over 25 pipeline drugs and 10+ companies. The marginal zone lymphoma pipeline landscape will include an analysis based on efficacy and safety measure outcomes published for the trials including their adverse effects on patients suffering from the condition, and alignment with marginal zone lymphoma treatment guidelines to ensure optimal care practices.
The assessment part will include a detailed analysis of each drug, drug class, clinical studies, phase type, drug type, route of administration, and ongoing product development activities related to marginal zone lymphoma.
Marginal Zone Lymphoma Drug Pipeline Outlook
The pathophysiology of marginal zone lymphoma includes long-term B-cell stimulation from infection or autoimmune, which results in genetic abnormalities and B-cell receptor stimulation. Dysregulation of BCR signaling can activate the NF-κB pathway, which is essential for marginal zone lymphoma growth. Immune cross-reactions brought on by prolonged exposure to stimuli are frequently linked to extranodal marginal zone lymphoma. Chromosome translocations, proto-oncogene mutations, and changes in MALT1 and BCL10 levels are examples of genetic abnormalities that are essential for lymphomagenesis. The pathophysiology of splenic marginal zone lymphoma most likely include ongoing BCR signaling activation.
Anti-CD20 monoclonal antibodies, especially rituximab, are frequently preferred for treating marginal zone lymphoma, either in combination with chemotherapy or on its own. Because rituximab is an indolent drug, it is recommended for asymptomatic individuals to get it as a single drug. For symptomatic, advanced-stage marginal zone lymphoma, chemoimmunotherapy, such as bendamustine-rituximab (BR), is the primary line of treatment. The objective response rate among patients using the anti-CD20 monoclonal antibody therapy has shown to be around 81%. When compared to other regimens such as R with Chlorambucil and R-CVP, BR exhibits higher efficacy and safety. Further, the rising focus on the development of marginal zone lymphoma emerging drugs and the advances in the understanding of the molecular pathogenesis of the disease are expected to support the pipeline expansion in the coming years.
Marginal Zone Lymphoma Epidemiology
Making up around 7% of all occurrences, marginal zone lymphoma is a minor subset of non-Hodgkin lymphomas (NHL). Approximately 7,460 new diagnoses were made in the United States in 2016. The incidence of marginal zone lymphoma was 19.6 per 1,000,000 person-years, age-standardized. After nodal and splenic marginal zone lymphoma, extranodal marginal zone lymphoma is the most prevalent subtype. Men are slightly more likely to have splenic and nodal marginal zone lymphoma, and incidence rates rise with age. marginal zone lymphoma has a 5-year relative survival rate of about 89.8% in the United States.
Marginal Zone Lymphoma – Drug Pipeline Therapeutic Assessment
This section of the report covers the analysis of marginal zone lymphoma drug candidates based on several segmentations including:
By Phase
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