Home BeiGene Announces Positive Phase 3 MANGROVE Trial Results for Brukinsa® (Zanubrutinib) as First-Line Treatment in Mantle Cell Lymphoma

BeiGene Announces Positive Phase 3 MANGROVE Trial Results for Brukinsa® (Zanubrutinib) as First-Line Treatment in Mantle Cell Lymphoma

Jun 30, 2026 22:52 CST Updated 22:52
BeOne

Developer of Molecular Targeted and Immune Anti-Tumor Drugs

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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.

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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.

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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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About the MANGROVE Study

MANGROVE is a global, randomized, open-label Phase 3 clinical trial designed to evaluate Brukinsa®Efficacy and Safety of Zanubrutinib Plus Rituximab Versus Bendamustine Plus Rituximab in Previously Untreated Adult Patients with Mantle Cell Lymphoma. The study enrolled 510 patients across 176 research centers worldwide.


In the experimental arm, patients received zanubrutinib 160 mg orally twice daily in combination with rituximab during the initial treatment phase, followed by zanubrutinib monotherapy until disease progression or unacceptable toxicity. In the control arm, patients received six cycles of bendamustine plus rituximab. The primary endpoint of the study was progression-free survival (PFS) as assessed by an independent review committee (IRC). Overall survival (OS) was the key secondary endpoint. Other secondary endpoints included investigator-assessed PFS, overall response rate (ORR), duration of response (DOR), patient-reported outcomes, and safety.


About Brukinsa®(Zanubrutinib)

Brukinsa®®is an oral small-molecule inhibitor of Bruton's tyrosine kinase (BTK), designed to achieve complete and sustained inhibition of the BTK protein by optimizing bioavailability, half-life, and selectivity. Compared with other approved BTK inhibitors, Brukinsa®It features differentiated pharmacokinetic properties. Studies have shown that it can inhibit the proliferation of malignant B cells in multiple disease-related tissues.


Brukinsa®Global clinical development programs have enrolled more than 8,000 patients across over 45 trials in more than 30 countries and regions to date. Brukinsa®Approved for at least one indication in 80 markets worldwide, and has been used to treat more than 290,000 patients.


About BeOne

BeOne is a global oncology innovation company dedicated to developing innovative anti-cancer therapies for cancer patients worldwide. The company boasts a robust portfolio in hematology and solid tumors, and continuously accelerates the development of a diverse and innovative drug pipeline through strong in-house R&D capabilities and strategic external collaborations. Currently, BeOne has a growing team across six continents, committed to enhancing the accessibility of innovative medicines and benefiting more patients globally through scientific excellence and operational efficiency. For more information, please visit www.beonemedicines.com.cn or follow the “BeOne” official WeChat account.

Forward-Looking Statements

This press release contains forward-looking statements as defined in the Private Securities Litigation Reform Act of 1995 and other federal securities laws, including those related to Brukinsa®Potential Benefits of Combining Rituximab with a Chemotherapy-Free Regimen for Previously Untreated Adult Patients with Mantle Cell Lymphoma (MCL); Brukinsa®the potential as a cornerstone BTK inhibitor in this disease area, supporting first-line treatment and continuing to expand its leading role in the treatment of B-cell malignancies; the expected timing of clinical and regulatory developments and data readouts; and the plans, commitments, aspirations, and objectives of BeOne mentioned under the heading “About BeOne.” Due to the influence of various important factors, actual results may differ materially from those in the forward-looking statements. These factors include: BeOne’s ability to demonstrate the efficacy and safety of its drug candidates; the possibility that clinical results for drug candidates may not support further development or marketing approval; actions by regulatory authorities that may affect the initiation, timeline, and progress of clinical trials as well as drug marketing approvals; the ability of BeOne’s marketed drugs and drug candidates (if approved) to achieve commercial success; BeOne’s ability to obtain and maintain intellectual property protection for its drugs and technologies; BeOne’s reliance on third parties for drug development, manufacturing, commercialization, and other services; BeOne’s limited experience in obtaining regulatory approvals and commercializing pharmaceutical products, and its ability to secure additional working capital to complete the development of drug candidates and to achieve and sustain profitability; and the various risks more fully discussed in the “Risk Factors” section of BeOne’s recent Quarterly Report on Form 10-Q; as well as discussions in BeOne’s subsequent filings with the U.S. Securities and Exchange Commission regarding potential risks, uncertainties, and other important factors. All information in this press release is current only as of the date of issuance, and BeOne has no obligation to update such information unless required by law.


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References

1.National Cancer Institute. Mantle cell lymphoma. NCI Dictionary of Cancer Terms. Accessed June 16, 2026. https://www.cancer.gov/publications/dictionaries/cancer-terms/def/mantle-cell-lymphoma.


2.National Cancer Institute. Mantle Cell Lymphoma Treatment (PDQ®)–Health Professional Version. Accessed June 16, 2026.


3.Tix T, Kumar A, Eyre TA, Dreyling M. Modern management of mantle cell lymphoma. J Clin Oncol. 2026;46:e517468.


4.Blayney DW, Schwartzberg L. Chemotherapy-induced neutropenia and emerging agents for prevention and treatment: a review. Cancer Treat Rev. 2022;109:102427.


5.Noor WD, Cheah CY. Recent advances and future directions in newly diagnosed mantle cell lymphoma. Expert Opin Pharmacother. 2025;26(13):1415-1432.


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