In this discussion, Othman Al-Sawaf, MD, University Hospital of Cologne, Cologne, Germany, Lydia Scarfò, MD, Vita-Salute San Raffaele University & IRCCS San Raffaele Scientific Institute, Milan, Italy, and Alessandra Tedeschi, MD, Niguarda Cancer Center, Milan, Italy, explore key advances and clinical decision-making in chronic lymphocytic leukemia (CLL), focusing on the choice between continuous BTK inhibitor treatment and fixed-duration venetoclax-based regimens. They highlight how biomarkers such as TP53 status and patient characteristics guide treatment decisions, and summarize findings from the CLL17 trial (NCT04608318). The experts also address challenges in treatment sequencing and relapse management, commenting on emerging strategies, including MRD-guided therapy and novel combination regimens, as key areas for future optimization. This discussion took place virtually.
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