The Evolution of Targeted Therapies in Chronic Lymphocytic Leukaemia

Valentina Gianfelici1, Luciano Levato1, Stefano Molica2

  • 1Department Hematology-Oncology, Azienda Ospedaliera Pugliese-Ciaccio, 88100, Catanzaro, Italy.

Abstract

Insights

Targeted therapies are transforming chronic lymphocytic leukemia (CLL) treatment. Future strategies focus on minimal residual disease (MRD) to balance efficacy and reduce toxicity, enabling treatment-free remission.

Area of Science:

  • Hematology
  • Oncology
  • Pharmacology

Background:

  • The treatment landscape for chronic lymphocytic leukemia (CLL) is rapidly evolving.
  • Several targeted agents have been recently approved, significantly altering the disease's natural history.

Purpose of the Study:

  • To summarize the evolution of targeted therapies in CLL.
  • To discuss the challenge of balancing treatment efficacy with toxicity in the era of novel agents.
  • To highlight the emerging role of minimal residual disease (MRD) directed therapy.

Main Methods:

  • Review of recent clinical trials and approved targeted therapies for CLL.
  • Analysis of treatment algorithms incorporating MRD assessment.
  • Discussion of fixed-duration treatment strategies based on MRD response.

Main Results:

  • Targeted agents have dramatically improved outcomes in CLL.
  • New treatment algorithms are being developed to personalize therapy.
  • MRD-directed, fixed-duration therapy is emerging as a future standard, aiming for treatment-free remission.

Conclusions:

  • The future of CLL treatment involves tailored strategies balancing efficacy and tolerance.
  • MRD-guided, fixed-duration therapy represents a significant shift towards optimizing patient outcomes and quality of life.

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