Ibrutinib and Rituximab (IR) is Superior to Ch... - CLL Support

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Ibrutinib and Rituximab (IR) is Superior to Chemo-immunotherapy (CIT) in CLL” Big News, or is it really, and did they get it right?

bkoffman profile image
bkoffmanCLL CURE Hero
8 Replies

Many patients are being offered IR and that's a good thing, but wouldn't Ibrutinib alone be a better choice for nearly everyone. For the whole story, please take a look at my review of latest data and context of this important research.

cllsociety.org/2019/08/ibru... Brian Koffman CLLSociety,org

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bkoffman
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GoldenPaint profile image
GoldenPaint

Thank you Brian for this review! As a newly (10 months) diagnosed CLL’er (who is hoping for years of w&w) I really appreciate this insight into ever evolving treatment. Thank you! GP

LovecuresCLL profile image
LovecuresCLL

Thank you for sharing.

Ironj profile image
Ironj

It’s my understanding the new roll for Ibrutinib is an 18 month cycle so there’s no issue with immunity. This study looks at a 5 year outlook. Is there a graph showing people that have taken Ibrutinib for 18 months with a 5 year graph showing the same results ? Or is this a study that still needs to be done. I don’t have any articles I can post on what and where I’ve seen this. But I’ve seen it on this forum.

Thanks John

bkoffman profile image
bkoffmanCLL CURE Hero in reply toIronj

Don't know of any such data. Sorry.

Ironj profile image
Ironj in reply tobkoffman

Thank you for your reply

AdrianUK profile image
AdrianUK

One question I would have is whether resistance to ibrutinib develops more slowly in those who also had rituximab. It’s possible that’s the case since any pre existing mutated clones might be killed off by rituximab in those first few months.

What do you think of venetoclax plus rituximab or obinituzimab that seems to have more people believing the combo makes a difference.

And of course the acalabrutinib plus venetoclax plus obinituzimab combo trial looks very interesting too

bkoffman profile image
bkoffmanCLL CURE Hero

No evidence of better responses adding R to I. Other combos are more promising.

avzuclav profile image
avzuclav in reply tobkoffman

Agreed. Dr. Byrd spells it out clearly here: ncbi.nlm.nih.gov/pmc/articl...

"In no setting outside of clinical trials should rituximab be administered together with ibrutinib as part of a continuous treatment regimen for CLL."

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