Combining BTK inhibitors with BCL2 inhibitors for treating chronic lymphocytic leukemia and mantle cell lymphoma

被引:18
作者
Zhang, Jing [1 ,2 ]
Lu, Xueying [1 ,2 ,4 ]
Li, Jianyong [1 ,2 ,3 ]
Miao, Yi [1 ,2 ,3 ]
机构
[1] Nanjing Med Univ, Jiangsu Prov Hosp, Dept Hematol, Affiliated Hosp 1, Nanjing, Peoples R China
[2] Nanjing Med Univ, Key Lab Hematol, Nanjing, Peoples R China
[3] Pukou CLL Ctr, Nanjing, Peoples R China
[4] Soochow Univ, Natl Clin Res Ctr Hematol Dis, Affiliated Hosp 1, Suzhou, Peoples R China
关键词
BTK inhibitors; BCL2; inhibitors; Chronic lymphocytic leukemia; Mantle cell lymphoma; ATRIAL-FIBRILLATION; TREATMENT-NAIVE; IBRUTINIB; VENETOCLAX; OBINUTUZUMAB; RISK; PROLIFERATION; ACALABRUTINIB; CHLORAMBUCIL; COMBINATION;
D O I
10.1186/s40364-022-00357-5
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The advent of BTK inhibitors has changed the treatment of patients with chronic lymphocytic leukemia (CLL) and mantle cell lymphoma (MCL). The first-in-class BTK inhibitor ibrutinib has shown remarkable therapeutic effects and manageable toxicities in multiple clinical trials. The second-generation BTK inhibitors, including acalabrutinib and zanubrutinib, also show remarkable efficacies. However, using BTK inhibitors as monotherapies requires continuous treatment. Resistance to BTK inhibitors and severe side effects unavoidably occur during BTK inhibitor monotherapy, frequently resulting in treatment failure. The addition of the BCL2 inhibitor venetoclax to BTK inhibitor may improve the therapeutic effects and result in deeper responses, providing a potential fixed-duration treatment, especially for patients with CLL. In this review, by focusing on CLL and MCL, we discussed the rationale for the combinational use and summarized the current data on the combinations of BTK inhibitors and venetoclax in patients with CLL and MCL.
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页数:11
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