Signaling the end of chronic lymphocytic leukemia: new frontline treatment strategies

作者: Michael Hallek

DOI: 10.1182/ASHEDUCATION-2013.1.138

关键词: LeukemiaAlemtuzumabInternal medicineFludarabineBendamustineChronic lymphocytic leukemiaOncologyIbrutinibRituximabOfatumumabMedicineImmunology

摘要: The management of chronic lymphocytic leukemia (CLL) is undergoing profound changes. Several new drugs have been approved for CLL treatment (fludarabine, bendamustine, and the monoclonal antibodies alemtuzumab, rituximab, ofatumumab) many more are in advanced clinical development to be this disease. In addition, extreme heterogeneity course our improved ability foresee prognosis by use clinical, biological, genetic parameters now allow us characterize patients with a very mild onset course, an intermediate prognosis, or aggressive high-risk leukemia. Therefore, it becomes increasingly challenging select right strategy each condition. This article summarizes currently available diagnostic therapeutic tools gives integrated recommendation how manage 2013. Moreover, I propose we might integrate novel agents therapy into sequential approaches near future.

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