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Erschienen in: Current Hematologic Malignancy Reports 2/2024

10.02.2024

Frontline Therapy of CLL—Changing Treatment Paradigms

verfasst von: Catherine C. Coombs

Erschienen in: Current Hematologic Malignancy Reports | Ausgabe 2/2024

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Abstract

Purpose of Review

The therapeutic landscape for chronic lymphocytic leukemia (CLL) has undergone a complete makeover following the introduction of highly effective targeted therapies, beginning with ibrutinib which first attained regulatory approval for CLL in 2014.

Recent Findings

In recent years, we have seen further refinement of therapeutic options with the development of newer-generation Bruton’s tyrosine kinase inhibitors (BTKi) including acalabrutinib and zanubrutinib that improve upon the safety of ibrutinib. Additionally, venetoclax-based approaches, combined with anti-CD20 antibodies, have allowed for time-limited targeted therapeutic strategies which are particularly attractive for certain subsets of patients though have demonstrated efficacy across all subgroups. Lastly, there is an ongoing movement toward the development of time-limited strategies inclusive of both a BTKi and venetoclax that may further widen potential options.

Summary

CLL patients requiring frontline therapy have a unique burden of choice between highly effective therapies that differ substantially with respect to side effect profiles and schedules. This review will focus on the frontline management of CLL in the setting of these rapidly changing options.
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49.
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50.
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51.
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Metadaten
Titel
Frontline Therapy of CLL—Changing Treatment Paradigms
verfasst von
Catherine C. Coombs
Publikationsdatum
10.02.2024
Verlag
Springer US
Erschienen in
Current Hematologic Malignancy Reports / Ausgabe 2/2024
Print ISSN: 1558-8211
Elektronische ISSN: 1558-822X
DOI
https://doi.org/10.1007/s11899-024-00726-x

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