Clinicopathological features and outcomes of progression of CLL on the BCL2 inhibitor venetoclax

Author:

Anderson Mary Ann1234,Tam Constantine345,Lew Thomas E.2,Juneja Surender14,Juneja Manu2,Westerman David45,Wall Meaghan367,Lade Stephen45,Gorelik Alexandra8,Huang David C. S.23,Seymour John F.345,Roberts Andrew W.1234ORCID

Affiliation:

1. Department of Clinical Haematology and Bone Marrow Transplantation, The Royal Melbourne Hospital, Parkville, Australia;

2. Division of Cancer and Haematology, The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia;

3. Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Parkville, Australia;

4. Victorian Comprehensive Cancer Centre, Parkville, Australia;

5. Peter MacCallum Cancer Centre, Parkville, Australia;

6. Victorian Cancer Cytogenetics Service, St Vincent’s Hospital, Fitzroy, Australia;

7. St Vincent’s Institute of Medical Research, Fitzroy, Australia; and

8. Melbourne Epicentre, The Royal Melbourne Hospital, Parkville, Australia

Abstract

Key Points Complex karyotype and fludarabine refractoriness are key risk factors for progression of CLL on venetoclax. Bruton tyrosine kinase inhibitors are active in patients with CLL after prior therapy with venetoclax.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

Reference24 articles.

1. Targeting BCL2 with venetoclax in relapsed chronic lymphocytic leukemia;Roberts;N Engl J Med,2016

2. Venetoclax plus rituximab in relapsed or refractory chronic lymphocytic leukaemia: a phase 1b study;Seymour;Lancet Oncol,2017

3. Bcl-2 expression in chronic lymphocytic leukemia and its correlation with the induction of apoptosis and clinical outcome;Robertson;Leukemia,1996

4. Chronic lymphocytic leukemia requires BCL2 to sequester prodeath BIM, explaining sensitivity to BCL2 antagonist ABT-737;Del Gaizo Moore;J Clin Invest,2007

5. ABT-199, a potent and selective BCL-2 inhibitor, achieves antitumor activity while sparing platelets;Souers;Nat Med,2013

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