First-line treatment for young/fit patients with chronic lymphocytic leukemia (CLL) is the combination of fludarabine, cyclophosphamide and rituximab (FCR), which has improved these patients’ progression-free survival and overall survival, 1 but is poorly tolerated by elderly patients or patients with comorbidities. 2 Such patients have been historically treated with chlorambucil, which is well tolerated but does not improve survival. 3 To improve outcomes, chlorambucil has been combined with anti-CD20 monoclonal antibodies. Three prospective studies4-6 and one retrospective7 one investigated the combination of chlorambucil with rituximab (Chl-R) as front-line treatment for elderly CLL patients or for younger patients unsuitable for fludarabine-based therapies. Overall response rates ranging from 66% to 84% have been reported, with complete response rates of 8- 26% and progression-free survival from 16.3 to 34.7 months.

Chlorambucil plus rituximab as front-line therapy for elderly and/or unfit chronic lymphocytic leukemia patients: Correlation with biologically-based risk stratification / Laurenti, Luca; Innocenti, Idanna; Autore, Francesco; Ciolli, Stefania; Mauro, Francesca Romana; Mannina, Donato; Del Poeta, Giovanni; D’Arena, Giovanni; Massaia, Massimo; Coscia, Marta; Molica, Stefano; Pozzato, Gabriele; Efremov, Dimitar G.; Vannata, Barbara; Marasca, Roberto; Galieni, Pietro; Cuneo, Antonio; Orlando, Sonia; Piciocchi, Alfonso; Boncompagni, Riccardo; Vincelli, Donatella; Liberati, Anna Marina; Russo, Filomena; Foa, Robin. - In: HAEMATOLOGICA. - ISSN 0390-6078. - 102:9(2017), pp. 352-355. [10.3324/haematol.2016.156901]

Chlorambucil plus rituximab as front-line therapy for elderly and/or unfit chronic lymphocytic leukemia patients: Correlation with biologically-based risk stratification

Mauro, Francesca Romana;Foa, Robin
2017

Abstract

First-line treatment for young/fit patients with chronic lymphocytic leukemia (CLL) is the combination of fludarabine, cyclophosphamide and rituximab (FCR), which has improved these patients’ progression-free survival and overall survival, 1 but is poorly tolerated by elderly patients or patients with comorbidities. 2 Such patients have been historically treated with chlorambucil, which is well tolerated but does not improve survival. 3 To improve outcomes, chlorambucil has been combined with anti-CD20 monoclonal antibodies. Three prospective studies4-6 and one retrospective7 one investigated the combination of chlorambucil with rituximab (Chl-R) as front-line treatment for elderly CLL patients or for younger patients unsuitable for fludarabine-based therapies. Overall response rates ranging from 66% to 84% have been reported, with complete response rates of 8- 26% and progression-free survival from 16.3 to 34.7 months.
2017
Hematology
01 Pubblicazione su rivista::01a Articolo in rivista
Chlorambucil plus rituximab as front-line therapy for elderly and/or unfit chronic lymphocytic leukemia patients: Correlation with biologically-based risk stratification / Laurenti, Luca; Innocenti, Idanna; Autore, Francesco; Ciolli, Stefania; Mauro, Francesca Romana; Mannina, Donato; Del Poeta, Giovanni; D’Arena, Giovanni; Massaia, Massimo; Coscia, Marta; Molica, Stefano; Pozzato, Gabriele; Efremov, Dimitar G.; Vannata, Barbara; Marasca, Roberto; Galieni, Pietro; Cuneo, Antonio; Orlando, Sonia; Piciocchi, Alfonso; Boncompagni, Riccardo; Vincelli, Donatella; Liberati, Anna Marina; Russo, Filomena; Foa, Robin. - In: HAEMATOLOGICA. - ISSN 0390-6078. - 102:9(2017), pp. 352-355. [10.3324/haematol.2016.156901]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1085901
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