New Research Results On CLL Medication - CLL Support

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New Research Results On CLL Medication

wizzard166 profile image
9 Replies

I get the Dana Farber Newsletter regularly, and felt that a report on latest research in the medications we all use was worthy of reading. My Oncologist and one of her assistant doctors is the originator of the study.

Dana-Farber Researchers Share Latest Blood Cancer and Blood Disorder Research

Published: December 16, 2024

Written by: Beth Dougherty

Dana-Farber physician-scientists presented results of more than 100 research studies at the 66th American Society of Hematology (ASH) annual meeting. Scientists shared findings across a range of hematologic disorders, underscoring the Institute’s dedication to innovation in hematologic oncology research, advances in early disease detection and intervention, and improving patient outcomes.

ASH is the world’s most comprehensive hematology event, attracting more than 20,000 specialists. This year’s meeting was held Dec. 7-10 in San Diego, Calif.

Two studies presented exciting advancements in the treatment of chronic lymphocytic leukemia (CLL):

Jennifer Brown, MD, PhD, presented findings that a novel, fixed-duration drug combination — consisting of a second-generation BTK inhibitor, called acalabrutinib, plus a BCL-2 inhibitor (venetoclax), with or without a third blood cancer drug — shows deep and durable responses in patients with CLL. The findings stem from a planned interim analysis of a phase 3 international registration trial known as AMPLIFY, which included patients from 27 countries across North America, South America, Asia, Europe, and Oceania.

Matthew Davids, MD, MMSC, presented findings that a time-limited regimen of acalabrutinib, venetoclax, and obinutuzumab (AVO), guided by measurable residual disease (MRD), showed positive results. The AVO triplet achieved high rates of durable response across a broad population of patients with CLL, and also demonstrated favorable outcomes for high-risk patients with TP53 aberrations. This is one of the first studies demonstrating the efficacy of time-limited triplet therapy in high-risk CLL.

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wizzard166
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bennevisplace profile image
bennevisplace

Thanks. Can you provide any weblinks please?

wizzard166 profile image
wizzard166 in reply tobennevisplace

blog.dana-farber.org/insigh...

bennevisplace profile image
bennevisplace in reply towizzard166

Thanks, that gives the two study summaries in your post plus a short video from each author.

These were presented at the 66th meeting of ASH last December. Abstracts of all papers on CLL clinical trials can be found at ash.confex.com/ash/2024/web...

CLLerinOz profile image
CLLerinOzAdministrator in reply tobennevisplace

There's also some information and video content in this post about these and some other CLL related abstracts from the ASH 2024 meeting: healthunlocked.com/cllsuppo...

CLLerinOz

Zweistein profile image
Zweistein

I guess I+V will soon be replaced with A+V. Time to lower the price for Ibrutinib or everyone will switch.

bennevisplace profile image
bennevisplace in reply toZweistein

For BTKi monotherapy there definitely seems to be a move away from Ibrutinib in favour of Acalabrutinib and Zanubrutinib, even though the head-to-head clinical trials are not as clear cut as one might assume from all the market buzz healthunlocked.com/cllsuppo...

As for fixed duration dual therapies, I'm not aware of any head-to-head studies, and second gen BTKis are always several years behind Ibrutinib's long term PFS and OS. So I don't think all specialists are ready to ditch Ibrutinib combination therapies just yet, though I do expect the drug to fall out of favour as AV, AO, ZV, ZO trials gather more years of follow up data.

msnik profile image
msnik

Thank you for sharing this information. You are fortunate to receive your treatment from a research scientist.

I am being treated with a fixed duration combination of Zanabrutinib and Venetoclax.

The doctor who first saw me while I was in the hospital when I was diagnosed had talked about Acalabrutinib if I recall correctly, but the doctor I was assigned to upon release chose Zanabrutinib and spoke of a hope of a "durable" remission.

(I have also had other chemos for CNS involvement)

DGG1931 profile image
DGG1931

My treatment was A+V (Dr. Phillip Thompson @ MDA before he left to go back to Australia) and after 2 years, I reached uMRD in both blood and bone marrow. Hoping for a long remission! Thanks for sharing the article.

spi3 profile image
spi3

My hubby is in Dr David's study and yes - he has been blessed in this treatment (V&O&A)

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