NCCN Guidelines® Insights: B-Cell Lymphomas 3.2025

J Natl Compr Canc Netw. 2025 Oct;23(10):e250048. doi: 10.6004/jnccn.2025.0048.

Abstract

The treatment landscape of B-cell lymphomas has significantly evolved in recent years with approval of novel targeted therapies. CD3 × CD20 bispecific antibodies and CD19-directed monoclonal antibodies and antibody-drug conjugates have demonstrated efficacy in relapsed/refractory follicular lymphoma (FL). Bruton tyrosine kinase (BTK) inhibitor-based regimens are emerging as effective treatment options for patients with TP53-mutated classical mantle cell lymphoma (MCL). Results from ongoing clinical trials suggest that the addition of CD3 × CD20 bispecific antibodies to chemoimmunotherapy improves outcomes in patients with relapsed/refractory diffuse large B-cell lymphoma (DLBCL). These NCCN Guideline Insights highlight significant updates to the NCCN Guidelines for B-Cell Lymphomas for the treatment of FL, MCL, and DLBCL.

Publication types

  • Practice Guideline

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols* / therapeutic use
  • Humans
  • Lymphoma, B-Cell* / diagnosis
  • Lymphoma, B-Cell* / therapy
  • Lymphoma, Large B-Cell, Diffuse / drug therapy
  • Lymphoma, Mantle-Cell / drug therapy