Addition of rituximab in relapsed/refractory chronic lymphocytic leukemia after progression on venetoclax monotherapy

被引:3
作者
Handunnetti, Sasanka [1 ,2 ,3 ]
Anderson, Mary Ann [1 ,2 ,4 ]
Roberts, Andrew W. [1 ,2 ,3 ,4 ]
Davids, Matthew S. [5 ]
Ma, Shuo [6 ]
Boyer, Michelle [7 ]
Arzt, Jennifer [8 ]
Al Masud, Abdullah [8 ]
Popovic, Relja [8 ]
Jacobson, Amanda [8 ]
Kim, Su Y. [8 ]
Seymour, John F. [1 ,2 ,4 ]
机构
[1] Peter MacCallum Canc Ctr, Clin Haematol Dept, 305 Grattan St, Melbourne, Vic, Australia
[2] Royal Melbourne Hosp, 305 Grattan St, Melbourne, Vic, Australia
[3] Univ Melbourne, Fac Med Dent & Hlth Sci, Melbourne, Vic, Australia
[4] Walter & Eliza Hall Inst Med Res, Div Blood Cells & Blood Canc, Parkville, Vic, Australia
[5] Dana Farber Canc Inst, Dept Med Oncol, Boston, MA USA
[6] Northwestern Univ, Robert H Lurie Comprehens Canc Ctr, Chicago, IL USA
[7] F Hoffmann La Roche Ltd, Welwyn Garden City, England
[8] AbbVie Inc, N Chicago, IL USA
来源
EJHAEM | 2021年 / 2卷 / 02期
关键词
chronic lymphocytic leukemia; relapsed/refractory; rituximab; small lymphocytic lymphoma; venetoclax; CLL; OBINUTUZUMAB; DIAGNOSIS; BCL2;
D O I
10.1002/jha2.177
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Venetoclax is approved as monotherapy and in combination with rituximab for relapsed/refractory (R/R) chronic lymphocytic leukemia (CLL). Two Phase 1 studies (M12-175 [NCT01328626]; M13-365 [NCT01682616]) were conducted in which patients who initially responded and then progressed on venetoclax monotherapy could receive added rituximab. Ten patients were evaluated (M12-175, n = 8; M13-365, n = 2), and five (50%) responded again upon addition of rituximab, including three complete and two partial responses. Responses were ongoing after 5-10 months of follow-up. Addition of rituximab was well tolerated. These findings indicate potential clinical benefit with rituximab added to venetoclax post-progression in some patients with R/R CLL.
引用
收藏
页码:266 / 271
页数:6
相关论文
共 17 条
[1]   Clinicopathological features and outcomes of progression of CLL on the BCL2 inhibitor venetoclax [J].
Anderson, Mary Ann ;
Tam, Constantine ;
Lew, Thomas E. ;
Juneja, Surender ;
Juneja, Manu ;
Westerman, David ;
Wall, Meaghan ;
Lade, Stephen ;
Gorelik, Alexandra ;
Huang, David C. S. ;
Seymour, John F. ;
Roberts, Andrew W. .
BLOOD, 2017, 129 (25) :3362-3370
[2]   Acquisition of the Recurrent Gly101Val Mutation in BCL2 Confers Resistance to Venetoclax in Patients with Progressive Chronic Lymphocytic Leukemia [J].
Blombery, Piers ;
Anderson, Mary Ann ;
Gong, Jia-nan ;
Thijssen, Rachel ;
Birkinshaw, Richard W. ;
Thompson, Ella R. ;
Teh, Charis E. ;
Nguyen, Tamia ;
Xu, Zhen ;
Flensburg, Christoffer ;
Lew, Thomas E. ;
Majewski, Ian J. ;
Gray, Daniel H. D. ;
Westerman, David A. ;
Tam, Constantine S. ;
Seymour, John F. ;
Czabotar, Peter E. ;
Huang, David C. S. ;
Roberts, Andrew W. .
CANCER DISCOVERY, 2019, 9 (03) :342-353
[3]   Dancing partners at the ball: Rational selection of next generation anti-CD20 antibodies for combination therapy of chronic lymphocytic leukemia in the novel agents era [J].
Butler, L. A. ;
Tam, C. S. ;
Seymour, J. F. .
BLOOD REVIEWS, 2017, 31 (05) :318-327
[4]   Venetoclax and Obinutuzumab in Patients with CLL and Coexisting Conditions [J].
Fischer, K. ;
Al-Sawaf, O. ;
Bahlo, J. ;
Fink, A. -M. ;
Tandon, M. ;
Dixon, M. ;
Robrecht, S. ;
Warburton, S. ;
Humphrey, K. ;
Samoylova, O. ;
Liberati, A. M. ;
Pinilla-Ibarz, J. ;
Opat, S. ;
Sivcheva, L. ;
Du, K. Le ;
Fogliatto, L. M. ;
Niemann, C. U. ;
Weinkove, R. ;
Robinson, S. ;
Kipps, T. J. ;
Boettcher, S. ;
Tausch, E. ;
Humerickhouse, R. ;
Eichhorst, B. ;
Wendtner, C. -M. ;
Langerak, A. W. ;
Kreuzer, K. -A. ;
Ritgen, M. ;
Goede, V. ;
Stilgenbauer, S. ;
Mobasher, M. ;
Hallek, M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2019, 380 (23) :2225-2236
[5]   Obinutuzumab plus Chlorambucil in Patients with CLL and Coexisting Conditions [J].
Goede, Valentin ;
Fischer, Kirsten ;
Busch, Raymonde ;
Engelke, Anja ;
Eichhorst, Barbara ;
Wendtner, Clemens M. ;
Chagorova, Tatiana ;
de la Serna, Javier ;
Dilhuydy, Marie-Sarah ;
Illmer, Thomas ;
Opat, Stephen ;
Owen, Carolyn J. ;
Samoylova, Olga ;
Kreuzer, Karl-Anton ;
Stilgenbauer, Stephan ;
Doehner, Hartmut ;
Langerak, Anton W. ;
Ritgen, Matthias ;
Kneba, Michael ;
Asikanius, Elina ;
Humphrey, Kathryn ;
Wenger, Michael ;
Hallek, Michael .
NEW ENGLAND JOURNAL OF MEDICINE, 2014, 370 (12) :1101-1110
[6]   Guidelines for the diagnosis and treatment of chronic lymphocytic leukemia:: a report from the International Workshop on Chronic Lymphocytic Leukemia updating the National Cancer Institute-Working Group 1996 guidelines [J].
Hallek, Michael ;
Cheson, Bruce D. ;
Catovsky, Daniel ;
Caligaris-Cappio, Federico ;
Dighiero, Guillaume ;
Doehner, Hartmut ;
Hillmen, Peter ;
Keating, Michael J. ;
Montserrat, Emili ;
Rai, Kanti R. ;
Kipps, Thomas J. .
BLOOD, 2008, 111 (12) :5446-5456
[7]   Ibrutinib and Venetoclax for First-Line Treatment of CLL [J].
Jain, Nitin ;
Keating, Michael ;
Thompson, Philip ;
Ferrajoli, Alessandra ;
Burger, Jan ;
Borthakur, Gautam ;
Takahashi, Koichi ;
Estrov, Zeev ;
Fowler, Nathan ;
Kadia, Tapan ;
Konopleva, Marina ;
Alvarado, Yesid ;
Yilmaz, Musa ;
DiNardo, Courtney ;
Bose, Prithviraj ;
Ohanian, Maro ;
Pemmaraju, Naveen ;
Jabbour, Elias ;
Sasaki, Koji ;
Kanagal-Shamanna, Rashmi ;
Patel, Keyur ;
Jorgensen, Jeffrey ;
Garg, Naveen ;
Wang, Xuemei ;
Sondermann, Katrina ;
Cruz, Nichole ;
Wei, Chongjuan ;
Ayala, Ana ;
Plunkett, William ;
Kantarjian, Hagop ;
Gandhi, Varsha ;
Wierda, William .
NEW ENGLAND JOURNAL OF MEDICINE, 2019, 380 (22) :2095-2103
[8]   Five-Year Analysis of Murano Study Demonstrates Enduring Undetectable Minimal Residual Disease (uMRD) in a Subset of Relapsed/Refractory Chronic Lymphocytic Leukemia (R/R CLL) Patients (Pts) Following Fixed-Duration Venetoclax-Rituximab (VenR) Therapy (Tx) [J].
Kater, Arnon P. ;
Kipps, Thomas J. ;
Eichhorst, Barbara ;
Hillmen, Peter ;
D'Rozario, James ;
Owen, Carolyn ;
Assouline, Sarit E. ;
Lamanna, Nicole ;
Robak, Tadeusz J. ;
de la Serna, Javier ;
Jaeger, Ulrich ;
Cartron, Guillaume ;
Montillo, Marco ;
Mellink, Clemens ;
Chyla, Brenda J. ;
Wilson, Cameron ;
Wu, Jenny ;
Jiang, Yanwen ;
Lefebure, Marcus ;
Boyer, Michelle ;
Seymour, John F. .
BLOOD, 2020, 136
[9]   BTK inhibitor therapy is effective in patients with CLL resistant to venetoclax [J].
Lin, Victor S. ;
Lew, Thomas E. ;
Handunnetti, Sasanka M. ;
Blombery, Piers ;
Nguyen, Tamia ;
Westerman, David A. ;
Kuss, Bryone J. ;
Tam, Constantine S. ;
Roberts, Andrew W. ;
Seymour, John F. ;
Anderson, Mary Ann .
BLOOD, 2020, 135 (25) :2266-2270
[10]   Assessment of the Efficacy of Therapies Following Venetoclax Discontinuation in CLL Reveals BTK Inhibition as an Effective Strategy [J].
Mato, Anthony R. ;
Roeker, Lindsey E. ;
Jacobs, Ryan ;
Hill, Brian T. ;
Lamanna, Nicole ;
Brander, Danielle ;
Shadman, Mazyar ;
Ujjani, Chaitra S. ;
Yazdy, Maryam Sarraf ;
Perini, Guilherme Fleury ;
Pinilla-Ibarz, Javier A. ;
Barrientos, Jacqueline ;
Skarbnik, Alan P. ;
Torka, Pallawi ;
Pu, Jeffrey J. ;
Pagel, John M. ;
Gohil, Satyen ;
Fakhri, Bita ;
Choi, Michael ;
Coombs, Catherine C. ;
Rhodes, Joanna ;
Barr, Paul M. ;
Portell, Craig A. ;
Parry, Helen ;
Garcia, Christine A. ;
Whitaker, Kate J. ;
Winter, Allison M. ;
Sitlinger, Andrea ;
Khajavian, Sirin ;
Grajales-Cruz, Ariel F. ;
Isaac, Krista M. ;
Shah, Pratik ;
Akhtar, Othman S. ;
Pocock, Rachael ;
Lam, Kentson ;
Voorhees, Timothy J. ;
Schuster, Stephen J. ;
Rodgers, Thomas D. ;
Fox, Christopher P. ;
Martinez-Calle, Nicolas ;
Munir, Talha ;
Bhavsar, Erica B. ;
Bailey, Neil ;
Lee, Jason C. ;
Weissbrot, Hanna B. ;
Nabhan, Chadi ;
Goodfriend, Julie M. ;
King, Amber C. ;
Zelenetz, Andrew D. ;
Dorsey, Colleen .
CLINICAL CANCER RESEARCH, 2020, 26 (14) :3589-3596