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iwCLL 2025 | Strategies being explored for the potential management of monoclonal B-cell lymphocytosis

In this video, Matthew Davids, MD, Dana-Farber Cancer Institute, Boston, MA, briefly comments on the management of monoclonal B-cell lymphocytosis (MBL), highlighting that specific interventions are not currently recommended. Dr David mentions some therapeutic approaches being explored in this patient population, including short-duration treatment with acalabrutinib and venetoclax, as well as a neoantigen vaccine strategy. This interview took place at the biennial International Workshop on Chronic Lymphocytic Leukemia (iwCLL) 2025 in Krakow, Poland.

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Transcript

So, you know, management of MBL is mostly observation at this point, and that’s really what the paper emphasizes, is that outside of a clinical trial setting, we don’t necessarily need to do any specific interventions other than monitoring for second cancers, infection prophylaxis, and these sorts of things. But I think it really also touches on where we’re heading in the future, where we may be able to intervene early...

So, you know, management of MBL is mostly observation at this point, and that’s really what the paper emphasizes, is that outside of a clinical trial setting, we don’t necessarily need to do any specific interventions other than monitoring for second cancers, infection prophylaxis, and these sorts of things. But I think it really also touches on where we’re heading in the future, where we may be able to intervene early. There’s a discussion in the paper of a very short course of treatment, for example, with acalabrutinib and venetoclax, which is being explored in a clinical trial. The paper also touches on a neoantigen vaccine strategy that we’re pursuing at Dana-Farber and studying in that early intervention setting. So there’s a lot of active research going on in this area.

 

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Disclosures

Consulting: AbbVie, Adaptive Biotechnologies, Ascentage Pharma, AstraZeneca, BeiGene, Bristol-Myers Squibb, Eli Lilly, Galapagos, Genentech, Genmab, Janssen, Merck, MEI Pharma, Nuvalent, Schrödinger; Research Support: Ascentage, AstraZeneca, MEI Pharma, Novartis.