Ibrutinib Plus Venetoclax for First-Line Chronic Lymphocytic Leukemia Treatment.

Wierda, William G · NEJM Evid · 2022

review · Level V

Where this comes from

Abstract

Ibrutinib Plus Venetoclax for First-Line Chronic Lymphocytic Leukemia TreatmentSmall-molecule inhibitor targeted therapy for patients with chronic lymphocytic leukemia (CLL) began with ibrutinib, the oral covalent inhibitor of Bruton's tyrosine kinase (BTKi). Phase III clinical trials demonstrated improved progression-free survival with ibrutinib compared with current standard treatment for first-line<sup>1-4</sup> and relapsed or refractory CLL.<sup>5</sup> BTKi therapy is extremely effective at eliminating nodal disease and prevents progression, including for patients with high-risk del(17p)/mutated-<i>TP53</i> CLL. Patients receive BTKi maintenance until progression or side effects become limiting.