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MYD88 L265P present in ~70-90% of PCNSL (often co-mutated with CD79B). Ibrutinib monother...

Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.

IDBMA-MYD88-L265P-PCNSL
TypeActionability
Statusreviewed 2026-04-27 | pending_clinical_signoff | actionability review required
DiseasesDIS-PCNSL
SourcesSRC-CIVIC SRC-NCCN-CNS-2025

Actionability Facts

BiomarkerBIO-MYD88-L265P
VariantL265P
DiseaseDIS-PCNSL
ESCAT tierIIB
Recommended combinationsibrutinib (R/R PCNSL, off-label NCCN-supported), ibrutinib + HD-MTX-based regimens (trial), MTX-based induction → consolidation per usual PCNSL algorithm
Evidence summaryMYD88 L265P present in ~70-90% of PCNSL (often co-mutated with CD79B). Ibrutinib monotherapy crosses BBB and shows activity in R/R PCNSL (Grommes et al. Cancer Discov 2017; Soussain Eur J Cancer 2019). Off-label NCCN-supported in R/R disease.

Notes

ESCAT IIB. PCNSL biology overlaps MCD-DLBCL.

Used By

No reverse references found in the YAML corpus.