Ian Flinn, MD, PhD, Tennessee Oncology, Nashville, TN, discusses the results of the Phase III UNITY-CLL trial (NCT02612311), which evaluated umbralisib plus ublituximab (U2) in comparison to obinutuzumab plus chlorambucil (O+Chl) in chronic lymphocytic leukemia (CLL) patients. U2 combines dual PI3Kδ- CK1ε inhibitor that shows less toxicity than other PI3K inhibitors, and a novel anti-CD20 monoclonal antibody with enhanced antibody-dependent cellular cytotoxicity capabilities. The results from over 400 randomized patients found that U2 treatment had a good safety profile and significantly improved progression-free survival (PFS) compared to standard of care O+Chl chemoimmunotherapy in relapsed/refractory and treatment-naïve patient subgroups. The overall response rate was also improved. The trial marks the first successful Phase III of a PI3K inhibitor versus chemoimmunotherapy in CLL. This interview took place during the 62nd American Society of Hematology (ASH) Annual Meeting and Exposition, 2020.