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Fixed-duration venetoclax plus obinutuzumab improves PFS and minimal residual disease negativity in patients with previously untreated CLL and comorbidities

Hematological Oncology Jun 19, 2019

Fischer K, et al. - In previously untreated patients with chronic lymphocytic leukemia (CLL) and comorbidities, researchers compared fixed-duration targeted venetoclax plus obinutuzumab (VenG) treatment with chlorambucil-obinutuzumab (ClbG) treatment. In this multinational, open-label, phase 3 CLL14 trial, they presented endpoint analyses focusing on progression-free survival (PFS) and minimal residual disease (MRD)-negativity. Participants in the study were 432 patients (216 in each treatment group; intent-to-treat population). Findings revealed that fixed-duration VenG induced deep, high (<10-4 in 3/4 of patients and <10-6 in 1/3 of patients), and long lasting MRD-negativity rates (with a low rate of conversion to MRD-positive status 1 year after treatment) in previously untreated patients with CLL and comorbidities, resulting in improved PFS.
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