Danielle Brander, MD, Duke University School of Medicine, Durham, NC, discusses the challenge of side effects and cumulative toxicities associated with BTK inhibitor (BTKi) treatment in patients with chronic lymphocytic leukemia (CLL). The first-generation BTKi ibrutinib is associated with a higher incidence of side effects than second-generation BTKi’s acalabrutinib and zanubrutinib, meaning that they may be a better alternative in patients who experience adverse events on ibrutinib. Dr Brander highlights that management of side effects, possible dose reduction, or switching to an alternative BTKi means that patients do not have to discontinue treatment or switch to a different class of agents. This interview took place at the 65th ASH Annual Meeting and Exposition, held in San Diego, CA.
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