VJHemOnc Podcast cover image

VJHemOnc Podcast

Post-ASH CLL highlights: BTK inhibitors & degraders, bispecific antibodies, & more!

Jan 10, 2025
Explore groundbreaking insights from the latest American Society of Hematology Meeting! Experts discuss the promising efficacy and safety of BTK inhibitors like pirtobrutinib and acalabrutinib in treating chronic lymphocytic leukemia. Investigational BTK degraders NX2127 and NX5948 show remarkable response rates. Discover innovative therapies including bispecific antibodies and the BCL2 inhibitor sonrotoclax, which are paving new paths for treatment. The dialogue reveals the potential for significant improvements in patient outcomes!
16:31

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Quick takeaways

  • The Phase 3 Bruin CLL321 trial demonstrates that the non-covalent BTK inhibitor pirtabrutinib shows superior progression-free survival compared to traditional therapies in complex CLL patient populations.
  • Novel agents like BTK degraders NX2127 and NX5948, along with bispecific antibodies such as epcoritamab, are emerging as promising treatments for CLL, especially in patients with high-risk genetic features.

Deep dives

Updates on BTK Inhibitors in CLL Treatment

The podcast provides significant updates on the use of BTK inhibitors in the treatment of chronic lymphocytic leukemia (CLL). Jeff Sharman discusses the Phase 3 Bruin CLL321 trial, comparing pirtabrutinib, a non-covalent BTK inhibitor, against standard therapies like idelalisib and rituximab. Results show a median progression-free survival of 14 months for pirtabrutinib versus 8.5 months for the other therapies, suggesting substantial benefits in challenging patient populations. Notably, over 50% of the trial participants had TP53 abnormalities, indicating that pirtabrutinib can be particularly effective even in patients with complex genetic backgrounds.

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