Disease Briefing

Mantle cell lymphoma: research and therapeutic landscape

A live synthesis of what is being targeted, what is being trialled, which datasets exist, and where the actionable gaps sit — assembled from public APIs, with every figure traceable to its source.

Generated 2026-09-16Sources Open Targets · ClinicalTrials.gov · openFDA · GEO · PubMed · Europe PMC · iCite · RePORTERRanked 82 studies · 2,214 GEO samples
Reading as
Reorders emphasis only — nothing is hidden or loaded on demand.

Answer block

12 genes recurrently implicated in mantle cell lymphoma — CCND1, BTK, SOX11, TP53, ATM, CDKN2A, KMT2D, NSD2, BCL2, CD19, MS4A1, NOTCH1 — triaged for what can actually be aimed at them, alongside the trials, public datasets, literature and funding around the disease. Every figure below carries its source and retrieval date in the section it comes from.

7
drugs carry an FDA label naming mantle cell lymphoma: Acalabrutinib, Bortezomib, Brexucabtagene Autoleucel, Lenalidomide, Lisocabtagene Maraleucel, Pirtobrutinib and 1 more. This counts labels, not treatment — the disease is also treated with agents approved under broader indications
2
of the 12 genes above carry a drug that is approved in mantle cell lymphoma itself — BTK, CD19. Across all of them 75 drug entries reach these genes, 68 distinct once salt forms are merged
48
registered CD19 cell-therapy trials in mantle cell lymphoma, 25 active and 2 withdrawn. Counted from ClinicalTrials.gov across 9 synonyms, deduplicated by NCT id, interventional studies only — the query is published in the JSON beside this page so the number can be re-derived
5
targets carry an Open Targets tractability signal and have no clinical programme of any kind: SOX11, ATM, KMT2D, NSD2, NOTCH1. BTK, BCL2, CD19, MS4A1 all have cell-therapy trials, so they are undrugged rather than untouched
214
human GEO series match the disease; 82 survive on-topic filtering, and only 1 are patient cohorts of 100+ samples
43
Europe PMC full-text papers name GSE93291 — the highest accession-mention count in the set. A mention is not proof of reanalysis, so read it as reach rather than reuse
$3.8M
NIH obligations in FY2025, up 45% since 2013 — while distinct core projects went 12 to 8. Larger awards rather than more distinct core projects; core projects are not the same unit as laboratories

Target landscape

Open Targets · retrieved 2026-09-16 · weekly

12 genes recurrently implicated in mantle cell lymphoma, triaged for whether anything can actually be aimed at them. The zeros are the informative rows.

Of 12 recurrently implicated genes, 7 carry any drug at all. That is a statement about these 12 gene targets, not about the disease: Mantle cell lymphoma does have labelled therapy — 7 drugs, listed in the next section.

Two different questions

The table below asks what can be aimed at 12 recurrently implicated genes. That is narrower than what is approved for the disease, and narrower again than what mantle cell lymphoma is actually treated with, which includes agents approved under broader indications. All three are on this page and they are kept apart deliberately.

GeneDrugsApproval, and whether it reached this diseaseOpen Targets tractabilitycomputed from protein features and literature — a signal that a modality is worth trying, not evidence that it worksCell therapy here
CCND1 across cancers → 2 1 approvedPalbociclibApproved in breast cancer, breast carcinoma, breast neoplasm. No mantle cell lymphoma indication appears on these drugs’ labels.2 active of 4 mantle cell lymphoma trials protein degrader, small molecule
BTK across cancers → 20 8 approvedAcalabrutinib, Ibrutinib, Orelabrutinib, Pirtobrutinib, Rilzabrutinib, Ritlecitinib, Tirabrutinib, ZanubrutinibApproved in mantle cell lymphoma: Acalabrutinib, Pirtobrutinib.103 active of 187 mantle cell lymphoma trials antibody, protein degrader, small molecule 5 active of 7 trials
SOX11 0 No drug antibody, protein degrader
TP53 across cancers → 8 Phase 3Alrizomadlin, Cenersen, Contusugene Ladenovec, Eprenetapopt, Idasanutlin, Navtemadlin, Siremadlin, Teprasiran3 trials, none active other clinical modality, protein degrader, small molecule
ATM across cancers → 0 No drug protein degrader, small molecule
CDKN2A across cancers → 0 No drug
KMT2D across cancers → 0 No drug antibody, protein degrader, small molecule
NSD2 across cancers → 0 No drug protein degrader, small molecule
BCL2 across cancers → 5 3 approvedNavitoclax, Oblimersen, VenetoclaxApproved in B-cell chronic lymphocytic leukemia. No mantle cell lymphoma indication appears on these drugs’ labels.23 active of 48 mantle cell lymphoma trials antibody, other clinical modality, protein degrader, small molecule 1 active of 1 trial
CD19 across cancers → 14 9 approvedAxicabtagene Ciloleucel, Blinatumomab, Brexucabtagene Autoleucel, Inebilizumab, Lisocabtagene Maraleucel, Loncastuximab Tesirine, Obecabtagene Autoleucel, Tafasitamab, TisagenlecleucelApproved in mantle cell lymphoma: Brexucabtagene Autoleucel, Lisocabtagene Maraleucel.10 active of 22 mantle cell lymphoma trials antibody, other clinical modality, protein degrader 25 active of 48 trials
MS4A1 across cancers → 18 11 approvedEpcoritamab, Glofitamab, Mosunetuzumab, Obinutuzumab, Ocrelizumab, Odronextamab, Ofatumumab, Rituximab, Tositumomab, Ublituximab, Yttrium Y 90 Ibritumomab TiuxetanApproved in follicular lymphoma, B-cell non-Hodgkin lymphoma, diffuse large B-cell lymphoma and 10 other indications. No mantle cell lymphoma indication appears on these drugs’ labels.75 active of 288 mantle cell lymphoma trials antibody, other clinical modality, protein degrader, small molecule 8 active of 17 trials
NOTCH1 across cancers → 1 Phase 1BrontictuzumabNo mantle cell lymphoma trial of any of these drugs antibody, protein degrader, small molecule

Dataset evidence counts studies in the 82-study ranked set whose title or abstract names the gene; the bar is scaled to BTK. Sources: Open Targets Platform and NCBI GEO, retrieved 2026-09-16. Clinical stage is the highest reached for any indication — see the per-drug indications noted in each row. Target-prioritisation reference only; not clinical or prescribing guidance.

What is actually approved here

openFDA drug labels · weekly

7 drugs carry an FDA label naming mantle cell lymphoma: Acalabrutinib, Bortezomib, Brexucabtagene Autoleucel, Lenalidomide, Lisocabtagene Maraleucel, Pirtobrutinib, Sonrotoclax. Separately, 28 of the drugs returned for the genes in the table above are approved only for other diseases and reach mantle cell lymphoma through trials, not through their labels.

7Labelled for mantle cell lymphomaFDA INDICATIONS AND USAGE names the disease
28Approved, but for another diseasereturned for the genes in the table above
0Backbone agents listing itbroad cytotoxics whose labels name many tumours
25Active CD19 cell-therapy trialsof 48 registered

Every label that names mantle cell lymphoma

DrugRoleWhat the label says
AcalabrutinibCALQUENCELabelled herePreviously Treated Mantle Cell Lymphoma CALQUENCE is indicated for the treatment of adult patients with MCL who have received at least one prior therapy.
BortezomibBORTEZOMIB, BORUZU, BortezomibLabelled hereMantle Cell Lymphoma BORUZU is indicated for the treatment of adult patients with mantle cell lymphoma.
Brexucabtagene AutoleucelTECARTUSLabelled hereMantle Cell Lymphoma TECARTUS is indicated for the treatment of adult patients with relapsed or refractory mantle cell lymphoma (MCL).
LenalidomideLENALIDOMIDE, Lenalidomide, RevlimidLabelled hereMantle cell lymphoma (MCL) whose disease has relapsed orprogressed after two prior therapies, one of which included bortezomib
Lisocabtagene MaraleucelBREYANZILabelled hereMantle Cell Lymphoma (MCL) BREYANZI is indicated for the treatment of adult patients with relapsed or refractory mantle cell lymphoma (MCL) who have received at least 2 prior lines of systemic therapy, including a Bruton tyrosine kinase (BTK) inhibitor.
PirtobrutinibJAYPIRCALabelled hereMantle Cell Lymphoma JAYPIRCA ® is indicated for the treatment of adult patients with relapsed or refractory mantle cell lymphoma (MCL) after at least two lines of systemic therapy, including a BTK inhibitor.
SonrotoclaxBEQALZILabelled hereBEQALZI is a BCL-2 inhibitor indicated for the treatment of adult patients with relapsed or refractory mantle cell lymphoma (MCL) after at least two lines of systemic therapy, including a Bruton's tyrosine kinase (BTK) inhibitor.

63 labels match indications_and_usage:"mantle cell lymphoma"; they collapse to 7 distinct molecules once salt forms, biosimilars and co-formulated hyaluronidase are merged. Source: openFDA drug label API (api.fda.gov/drug/label.json), retrieved 2026-09-16. Labels change; this reflects the current label text, not the approval history. Not prescribing guidance.

Cell therapy against CD19

ClinicalTrials.gov · retrieved 2026-09-16 · weekly

CD19 is the busiest cell-therapy antigen in mantle cell lymphoma: 48 registered trials, 25 still active, 2 withdrawn before enrolling anyone.

TrialPhaseStatusTitleLast update
NCT064826842RecruitingCAR-T-cell Treatment for Untreated High Risk MANtle Cell Lymphoma2024-07-01
NCT036765041/2RecruitingTreatment of Patients With Relapsed or Refractory CD19+ Lymphoid Disease With T Cells Expressing a Third-generation CAR2024-07-29
NCT065931451RecruitingCAR T Cells in the Treatment of Refractory and Relapsed CD19+ B Cell Neoplasms2024-09-19
NCT052818092RecruitingLocal Manufacture of CAR T-Cell Products for the Treatment of B-Cell Lymphoma and B-Acute Lymphoblastic Leukemia2025-01-13
NCT064648611RecruitingSequential Treatment of CD19 CARNK and 7x19 CAR-T in R/R B Cell Lymphoma2025-02-07
NCT044840122RecruitingModified Immune Cells (CD19 CAR T Cells) and Acalabrutinib for the Treatment of Relapsed or Refractory Mantle Cell Lymphoma2025-11-26
NCT041865201/2RecruitingCAR-20/19-T Cells in Patients With Relapsed Refractory B Cell Malignancies2026-02-23
NCT054326351RecruitingGenetically Modified T-cells (CMV-Specific CD19-CAR T-cells) Plus a Vaccine (CMV-MVA Triplex) Following Stem Cell Transplantation for the Treatment of Intermediate or High Grade B-cell Non-Hodgkin Lymphoma2026-02-23
NCT060263191RecruitingCD79b-19 CAR T Cells in Non-Hodgkin Lymphoma2026-03-16
NCT045457621RecruitingAnti-CD19 Chimeric Antigen Receptor T Cells for Treatment of Relapsed or Refractory Non-Hodgkin Lymphoma2026-06-22

10 of 48 shown, most recently active first. Other antigens searched: CD20 (17), BTK (7), ROR1 (2), BCL-2 (1), CD79b (1). Source: ClinicalTrials.gov API v2, retrieved 2026-09-16. Trials are matched on the antigen named in the title or intervention, so a trial stating only a product code is missed.

Research momentum

PubMed MeSH · monthly

Every term below is a share of the mantle cell lymphoma literature, not a count, because the field itself grew: 2015–2018 (n=649) against 2021–2025 (n=746). A topic whose papers doubled while the field doubled has not risen.

Rising, with a real baseline

MeSH term2015–182021–25ChangeShare now
Progression-Free Survival1.23%4.42%3.59×33 papers
Neoplasm Recurrence, Local5.39%16.22%3.01×121 papers
Bridged Bicyclo Compounds, Heterocyclic1.69%4.42%2.61×33 papers
Sulfonamides1.69%4.42%2.61×33 papers
Tumor Microenvironment2.0%4.02%2.01×30 papers
United States1.08%2.14%1.99×16 papers
Protein Kinase Inhibitors5.55%10.86%1.96×81 papers
Agammaglobulinaemia Tyrosine Kinase4.47%8.45%1.89×63 papers
Tumor Suppressor Protein p532.16%3.75%1.74×28 papers
Benzamides1.08%1.74%1.62×13 papers

Cooling

MeSH term2015–182021–25ChangeShare now
Disease-Free Survival8.63%2.28%0.26×17 papers
Bortezomib6.16%1.61%0.26×12 papers
Apoptosis9.09%3.08%0.34×23 papers
Recurrence8.94%3.08%0.34×23 papers
Biopsy4.31%1.61%0.37×12 papers
Immunohistochemistry6.32%2.55%0.4×19 papers

Biggest topics now

MeSH term2015–182021–25ChangeShare now
Antineoplastic Combined Chemotherapy Protocols28.51%25.87%0.91×193 papers
Rituximab18.95%18.23%0.96×136 papers
Neoplasm Recurrence, Local5.39%16.22%3.01×121 papers
Piperidines11.09%14.21%1.28×106 papers
Prognosis14.64%12.87%0.88×96 papers
Adenine10.94%12.2%1.12×91 papers
Treatment Outcome17.57%11.8%0.67×88 papers
Protein Kinase Inhibitors5.55%10.86%1.96×81 papers
Hematopoietic Stem Cell Transplantation10.02%9.52%0.95×71 papers
Immunotherapy, Adoptive0.31%8.98%29.13×67 papers

Publication mix

Type2015–182021–25
Clinical Trial0.2%0.0%
Randomized Controlled Trial4.3%2.8%
Review13.9%13.4%
Meta-Analysis0.5%0.7%
Case Reports0.0%4.0%

Query: Lymphoma, Mantle-Cell[MeSH Major Topic] NOT ("Leukemia, Lymphocytic, Chronic, B-Cell"[MeSH] OR "Lymphoma, Large B-Cell, Diffuse"[MeSH] OR "Lymphoma, Follicular"[MeSH] OR "Lymphoma, B-Cell, Marginal Zone"[MeSH] OR "Waldenstrom Macroglobulinemia"[MeSH] OR "Multiple Myeloma"[MeSH]). Terms need at least 12 papers in the recent window and, in the rising table, at least 5 in the earlier one — a term going from 1 paper to 12 is a large fold change and no evidence of anything. Ubiquitous descriptors (Humans, Animals, age bands) and the disease’s own term are dropped. Source: PubMed MeSH, retrieved 2026-09-16.

Disease burden

What the public sources count, and how closely each category matches this disease. The same figures for every disease on the site are on one table.

MeasureValueMatchWhat it counts
New cases each year79,320 cases/yearproxycounts non-hodgkin lymphoma, which is broader than this disease; 2026
Deaths each year19,970 deaths/yearproxycounts non-hodgkin lymphoma, which is broader than this disease; 2026
Incidence rate18.7 cases per 100,000 per yearproxycounts non-hodgkin lymphoma, which is broader than this disease; 2019-2023
Death rate4.8 deaths per 100,000 per yearproxycounts non-hodgkin lymphoma, which is broader than this disease; 2020-2024
People living with it872,940 people living with the diseaseproxycounts non-hodgkin lymphoma, which is broader than this disease; 2023
New cases each year, estimated3,966 cases/yearderived proxy79,320 x 0.05, from non-hodgkin lymphoma; 2026
Deaths each yearnot publishedNot published for the subtype; the share of lymphoma deaths that are mantle cell is not given.
Five-year relative survivalnot publishedNot published for the subtype by SEER or the American Cancer Society; the non-Hodgkin lymphoma figure (74.3%) is an average over diseases with very different outcomes and is not used.
Median age at diagnosisnot publishedNot published as a median: "it most often appears in people older than 60".

Years of life lost: not computed. Years of life lost needs survival, age at diagnosis and a case count. five_year_relative_survival, median_age_at_diagnosis is not recorded for this disease.

Funding

NIH RePORTER · quarterly

NIH obligations naming mantle cell lymphoma, after removing the 394 records across all years that matched the search but are about something else. That filter is not cosmetic: without it this section reports another field’s funding as this disease’s.

$3.8MNIH obligations, FY2025from $2.6M in FY2013 · +45%
8distinct projects funded12 in FY2013
$8.7Mpeak year was FY2018obligations, all institutes
75%of FY2025 awards from NCI6 of 8

NIH obligations by fiscal year

$2M$4M$7M$9M13151719212325
YearObligationsAwardsDistinct projectsDropped as off-topic
FY2013$2.6M121226
FY2014$3.1M111122
FY2015$3.4M121133
FY2016$4.4M151533
FY2017$4.6M161532
FY2018$8.7M251936
FY2019$7.5M211634
FY2020$7.9M211635
FY2021$7.9M211630
FY2022$7.1M181333
FY2023$5.5M101029
FY2024$4.1M131332
FY2025$3.8M8819

Where FY2025 money went

InstitutionObligationsAwards
Luminary Therapeutics, Inc.$1.5M1
Beckman Research Institute/City Of Hope$0.9M2
University Of Pennsylvania$0.6M2
Ohio State University$0.4M1
Medical College Of Wisconsin$0.2M1
Washington University$0.2M1

Text search mantle cell lymphoma over project title, terms and abstract, per fiscal year. Awards are individual funding actions; distinct projects collapse them by core project number, so a multi-year grant counts once. The most recent year may be incomplete. Source: NIH RePORTER, retrieved 2026-09-16.

Who funds it, FY2025

The total says how much. These say who from, through what kind of award, and to whom — which a dollar figure cannot.

NIH institutes

NCI6 · 75%
NHLBI2 · 25%

Projects by administering institute. The rows above are the top 2 and account for 8 of 8.

Award mechanisms

R014 · 50%
UG12 · 25%
R211 · 12%
R441 · 12%

R01 is an investigator-initiated grant; ZIA is NIH intramural, meaning the work happens inside NIH rather than being funded outside it. The rows above are the top 4 and account for 8 of 8.

Where it lands

Luminary Therapeutics, Inc.$1.5M · 38.2%
Beckman Research Institute/City Of Hope$0.9M · 22.2%
University Of Pennsylvania$0.6M · 16.8%
Ohio State University$0.4M · 10.6%
Medical College Of Wisconsin$0.2M · 6.1%
Washington University$0.2M · 6.1%

Share of $3.8M in FY2025. The top three hold 77%.

Public datasets, ranked

NCBI GEO + Europe PMC + iCite · weekly

214 human GEO series match mantle cell lymphoma. Keyword relevance cannot tell a 71-sample patient cohort from a six-well cell-line experiment, so this ranking scores four things GEO does not expose: how often the accession is named in full-text papers, field-normalised citation impact, clinical annotation, and cohort type.

Composition of the 82-study ranked set

cell line 23unspecified 22mixed 21patient 14xenograft 2
23 cell line22 unspecified21 mixed14 patient2 xenograft65 carry clinical annotation25 carry survival1 patient cohorts ≥100 GEO samples2,214 GEO samples totalin 5 single-cell series a GEO sample is one cell, not one patient

Established

high reuse, older
AccessionStudySamplesMentionsEurope PMCRCREvidence
GSE16455Indolent MCL identified by genomic and gene expression profiling2010 · array55168.0
patient cohortAPT 0.95survivalmolecular340 cites
GSE93291A new molecular assay for the proliferation signature in mantle cell lymphoma applicable to formalin-fixed paraffin-embedded biopsies2017 · array123432.9
APT 0.75survivalmolecular100 cites
GSE21452Integrated genomic profiling in mantle cell lymphoma2011 · array64142.1
patient cohortAPT 0.75survivalmolecularCDKN2A103 cites
GSE98268BET protein proteolysis targeting chimera (PROTAC) exerts potent lethal activity against Mantle Cell Lymphoma cells2019 · sequencing1214.4
APT 0.75survivalstagemolecularBCL2BTKCDK4141 cites
GSE70910Direct in vivo evidence for B-cell receptor and NF-KB activation in mantle cell lymphoma: role of the lymph node microenvironment and activating mutations. [Affymetrix]2016 · array55123.9
APT 0.75molecularIBRUTINIB137 cites
GSE36000Mantle Cell Lymphoma2013 · array38135.4
APT 0.95220 cites
GSE77788Phosphatidylinositol 3-Kinase (PI3K) delta blockade increases genomic instability in B cells2017 · sequencing16213.1
mixedAPT 0.75molecularBTKIBRUTINIB113 cites
GSE19243Genome-wide DNA Methylation Analysis Reveals Novel Targets for Drug Development in Mantle Cell Lymphoma2010 · methylation6142.5
mixedAPT 0.75molecularNOTCH1122 cites

Recent

2022 onward, by score
AccessionStudySamplesMentionsEurope PMCRCREvidence
GSE239353CARD11 gain of function upregulates BCL2A1 and promotes resistance to targeted therapies combination in B-cell lymphoma2025 · single-cell1812.1
mixedAPT 0.75molecularBCL2BTKCD2023 cites
GSE271664Functional Genomics and Tumor Microenvironment Analysis Reveal Prognostic Biological Subtypes in Mantle Cell Lymphoma [RNA-seq]2025 · spatial511
patient cohortAPT 0.5survivalstagemolecularATMRITUXIMABTP532 cites
GSE227976Targeting DNMT3A-mediated oxidative phosphorylation to overcome ibrutinib resistance in mantle cell lymphoma2024 · chromatin1111.8
mixedAPT 0.25survivalmolecularBTKIBRUTINIB17 cites
GSE220936PRMT5 inhibition in MCL2023 · sequencing912.7
xenograftAPT 0.5molecularIBRUTINIB29 cites
GSE303064Gene expression profile at single cell level of primary and relapse mantle cell lymphoma (MCL)2025 · single-cell2021.4
patient cohortAPT 0.056 cites
GSE184031Single Cell RNA Sequencing Analysis of MCL Patient Samples2022 · sequencing44
patient cohortsurvivalmolecularIBRUTINIBRITUXIMAB

Sources: NCBI GEO + Europe PMC + iCite, retrieved 2026-09-16. SubSeries are collapsed to one row per study by linked PMID. Of 214 series retrieved, 38 were dropped by the profile’s exclusion rules and 67 named the disease only in passing. The ranked set is a relevance-ranked sample, not a census, so the composition figures describe the sample only.

Where the gaps are

Derived from the sections above · recomputed on every refresh

Each card below is a disagreement between two of the tables on this page — a drug that exists but was never tried here, a target that looks tested and was not, a gene with no drug whose product has a busy clinical programme. They are computed from the same facts as the tables, so they cannot contradict them.

SOX11

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

TP53

3 registered trials, 1 withdrawn before enrolling anyone and none active. This target reads as tried; it was not.

ATM

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

CDKN2A

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

KMT2D

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

NSD2

No drug, no trial, no clinical programme of any kind. Whatever the biology says, nothing has been built.

How a machine reads this page

Static

This page is written to be quoted correctly by a model as much as read by a person. The same facts are available as JSON at the sibling URL below, which is what to cite. The cross-disease layer — burden, genes, drugs and antigens across every briefing — is described at /disease/api.json.

Fully server-rendered

Every figure is in the HTML at first byte. No JavaScript runs, no figure is fetched after load, and nothing on this page requires a renderer to see.

Every number carries a source

Each section names the API it came from and the date it was retrieved: Open Targets (2026-09-16), ClinicalTrials.gov (2026-09-16), openFDA (2026-09-16), NCBI GEO (2026-09-16), PubMed (2026-09-16), NIH RePORTER (2026-09-16).

Negatives stated explicitly

Where nothing exists for mantle cell lymphoma — no drug, no trial, no approval — the page says so in those words rather than omitting the row. An absent row is unquotable; a stated negative is the finding.

Denominators, not just percentages

Every share is printed with the count and the total it came from, so a figure can be checked rather than taken.

The filters are published

4 exclusion patterns are applied to free text before anything is ranked, because Mino and REC-1 (names that are also words) is used as a model system in Mino: a surname and a place; REC-1: a gene and an abbreviation. What was removed and why is stated in each section rather than silently applied.

{
  "disease": "Mantle cell lymphoma",
  "mesh": "Lymphoma, Mantle-Cell",
  "facts": "https://usebiotransfer.org/disease/mantle-cell-lymphoma.json",
  "methods": "https://usebiotransfer.org/methods/",
  "all_diseases": "https://usebiotransfer.org/disease/api.json",
  "note": "Every figure on the page is in that JSON with its source and retrieval date. Quote from it rather than from the HTML."
}