Developer of Molecular Targeted and Immune Anti-Tumor Drugs

The MANGROVE study shows that the BTK inhibitor Brukinsa®Combined with rituximab, compared to bendamustine combined with rituximab, can reduce the risk of disease progression or death.43%(HR=0.57;p<0.0001), achieving the primary endpoint of progression-free survival
MANGROVE is the first Phase 3 clinical trial to establish a chemotherapy-free standard of care in the first-line treatment of mantle cell lymphoma, with the potential to reduce the infusion burden associated with chemotherapy that patients have endured for many years.
BeOne will present the full results of the MANGROVE study, including efficacy and safety data, at upcoming medical conferences, and plans to submit for global regulatory approval in the second half of 2026.
San Carlos, California, USA — BeOne Medicines Ltd. (NASDAQ: ONC; HKEX: 06160; SSE: 688235), a global innovative oncology therapeutics company, today announced the MANGROVE Phase 3 clinical study (BGB-3111-306;
NCT04002297) yielded positive results. The study aimed to evaluate the company’s independently developed flagship product, the BTK inhibitor Brukinsa (zanubrutinib).®Efficacy of Zanubrutinib in Combination with Rituximab versus Bendamustine plus Rituximab (BR) as First-Line Treatment for Previously Untreated Adult Patients with Mantle Cell Lymphoma (MCL). MANGROVE is the first global, randomized Phase 3 clinical study to evaluate a chemotherapy-free regimen based on a BTK inhibitor against standard immunochemotherapy in this treatment setting. The positive results from this pivotal Phase 3 clinical study are expected to further solidify the clinical evidence base for zanubrutinib in the field of MCL.


For patients with newly diagnosed mantle cell lymphoma (MCL), chemotherapy remains the current standard of care. The MANGROVE study is the first to demonstrate that a chemotherapy-free regimen of zanubrutinib in combination with rituximab significantly improves progression-free survival (PFS), holding the potential to reshape the treatment landscape globally. We believe that reducing the burden associated with frequent chemotherapy infusions is of significant importance to patients. This study further validates the potential of zanubrutinib as a cornerstone BTK inhibitor in this disease area, not only providing a robust evidence base for its expansion into first-line treatment of MCL but also continuing to solidify its leading role in the treatment of B-cell malignancies.

Research Findings Expected to Transform Clinical Practice
In this prespecified interim analysis, the MANGROVE study met its primary endpoint of progression-free survival (PFS). As assessed by an Independent Review Committee (IRC), zanubrutinib in combination with rituximab demonstrated a highly statistically significant and clinically meaningful improvement in PFS compared to the bendamustine-rituximab (BR) regimen. This is the first Phase 3 study to explore a chemotherapy-free regimen without reliance on rituximab maintenance therapy in the first-line treatment of mantle cell lymphoma (MCL), potentially reducing infusion burden for patients by approximately two years. Data showed that the zanubrutinib-based chemotherapy-free regimen reduced the risk of disease progression or death by 43% (HR=0.57; [95% CI, 0.43, 0.76]; p<0.0001). The safety profile was consistent with the known safety profiles of both drugs, with no new safety signals identified. Data for the key secondary endpoint of overall survival (OS) were not mature at the time of this analysis; however, a clear trend favoring zanubrutinib plus rituximab was observed. OS will be evaluated in the final analysis.
BeOne plans to present the full results of the MANGROVE study at an upcoming medical conference and is engaging with global regulatory authorities regarding its registration filing strategy, with submissions planned for the second half of 2026.
MCL Patients Are in Urgent Need of Chemotherapy-Free First-Line Treatment Options
Mantle Cell Lymphoma (MCL) is a rare and aggressive B-cell non-Hodgkin lymphoma.1. This disease is more common in elderly patients, who often have comorbidities that may affect treatment decisions and tolerance.2. First-line treatment has long relied primarily on immunochemotherapy regimens such as BR.3。
The treatment burden of immunochemotherapy is widely recognized, including myelosuppression, prolonged immunosuppression, increased risk of infection, and cumulative toxicity, which are particularly difficult for elderly patients to tolerate.4。
Previous explorations of BTK inhibitors for first-line treatment of MCL have mostly focused on adding BTK inhibitors to chemotherapy-based regimens, rather than replacing chemotherapy.5The MANGROVE study employed a distinct strategy to evaluate whether the chemotherapy-free regimen of zanubrutinib plus rituximab could achieve durable disease control while sparing patients the burden of chemotherapy. This approach holds promise for overcoming the long-standing limitations of first-line therapy in terms of efficacy and tolerability.
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