Changing landscape of frontline therapy in chronic lymphocytic leukemia

被引:2
作者
Bhat, Seema A. [1 ]
Woyach, Jennifer A. [1 ]
机构
[1] Ohio State Univ, Comprehens Canc Ctr, 455D Wiseman Hall CCC,410 W 12th Ave, Columbus, OH 43210 USA
关键词
Frontline therapy; CLL; chronic lymphocytic leukemia; BRUTONS TYROSINE KINASE; PREVIOUSLY UNTREATED PATIENTS; FLUDARABINE PLUS CYCLOPHOSPHAMIDE; OPEN-LABEL; FCR CHEMOIMMUNOTHERAPY; INITIAL THERAPY; PHASE-III; IBRUTINIB; RITUXIMAB; VENETOCLAX;
D O I
10.1080/10428194.2019.1688321
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The therapeutic landscape for chronic lymphocytic leukemia has significantly evolved in recent years as our understanding of the biology of this disease has advanced. Chemoimmunotherapy has been the standard frontline treatment for patients of all age groups with chronic lymphocytic leukemia over the last decade. B-cell receptor signaling pathway plays a central role in the pathogenesis of chronic lymphocytic leukemia. The advent of novel small-molecule therapy for the treatment of chronic lymphocytic leukemia targeting the B-cell receptor signaling pathway has dramatically changed the therapeutic landscape with recent studies establishing ibrutinib, a Bruton's tyrosine kinase inhibitor, as the frontline treatment of choice regardless of patient's age, performance status or risk-category. Although these current advances along with the approval of other newer agents for the treatment of chronic lymphocytic leukemia is a significant step forward, newer challenges have emerged on how to best utilize these new treatment options.
引用
收藏
页码:525 / 535
页数:11
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