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iwCLL 2023 | Optimizing initial therapy in CLL: time-limited, all-oral approaches

Mazyar Shadman, MD, Fred Hutchinson Cancer Research Center, Seattle, WA, briefly discusses strategies to optimize initial therapy in chronic lymphocytic leukemia (CLL), emphasizing the benefit of chemotherapy-free, time-limited, all-oral regimens. This interview took place at the biennial International Workshop on Chronic Lymphocytic Leukemia (iwCLL) 2023 meeting, held in Boston, MA.

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Transcript (edited for clarity)

There’s a lot of activity in the research field for CLL to come up with treatments that are first chemotherapy free, I think we’ve achieved that, to make it time-limited, and provide a treatment that can not only control patients’ disease, but also give them the opportunity of being off treatment and hopefully for a long time. So the time-limited and maybe all oral therapy, it would be nice to avoid intravenous therapy and infusions, so I would say oral non-chemotherapy time-limited strategy, would be extremely helpful if we can come up with a regimen that can provide that...

There’s a lot of activity in the research field for CLL to come up with treatments that are first chemotherapy free, I think we’ve achieved that, to make it time-limited, and provide a treatment that can not only control patients’ disease, but also give them the opportunity of being off treatment and hopefully for a long time. So the time-limited and maybe all oral therapy, it would be nice to avoid intravenous therapy and infusions, so I would say oral non-chemotherapy time-limited strategy, would be extremely helpful if we can come up with a regimen that can provide that. Now there are a number of clinical trials that are ongoing or planned, and we’re hoping that eventually that will be a treatment option for our patients. Of course we have a look at cure as well, so if these remissions are long enough that at least for the average age of CLL patients in their expected life, they don’t have a recurrence of CLL, we can maybe call it a functional cure, but the first step is to have long remission with these time-limited therapies.

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Disclosures

MEI Pharma: Consultancy; Fate Therapeutics: Consultancy; Bristol Myers Squibb: Consultancy, Research Funding; TG Therapeutics: Consultancy, Research Funding; Innate Pharma: Consultancy; Epi Lilly: Consultancy; Adaptimmune: Consultancy; AstraZeneca: Consultancy, Research Funding; Epizyme: Consultancy; Mustang Bio: Consultancy, Research Funding; Beigene: Consultancy, Research Funding; Genentech: Consultancy, Research Funding; Regeneron: Consultancy; Merck: Consultancy; Adaptive Biotechnologies: Consultancy; Morphosys/Incyte: Consultancy, Research Funding; Pharmacyclics: Consultancy, Research Funding; Sound Biologics: Consultancy; Kite Pharma: Consultancy; Abbvie: Consultancy, Research Funding; Atara Biotherapeutic: Consultancy, Research Funding; Celgene, a BMS Company: Research Funding; Gilead: Research Funding; Sunesis: Research Funding; Genmab: Research Funding.