In conclusion, idelalisib is a highly efficacious new targeted therapy for the treatment of patients with iNHL and CLL/SLL, producing high rates of durable responses, with favorable PFS and OS. Combinations with BR chemotherapy in the relapsed/refractory CLL population demonstrate safety with both a PFS and OS benefit. The somewhat unique toxicity profile requires careful monitoring of patients treated with this agent. Targeted therapies such as idelalisib already play a pivotal role in the current treatment of CLL/iNHL, and this role is expected to expand as many clinical trials are ongoing.
AA was supported by the CA127264 research grant from National Institutes of Health. BTH has served on an advisory boards with both Genentech and Pharmacyclics. MRS has served on advisory boards with Genentech, Spectrum, and Celgene. The authors report no other conflicts of interest in this work.
Yazan F Madanat,1 Mitchell R Smith,2 Alexandru Almasan,3 Brian T Hill2
1Department of Internal Medicine, 2Department of Hematology and Medical Oncology, Taussig Cancer Institute, 3Department of Cancer Biology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USA
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Source: Blood and Lymphatic Cancer: Targets and Therapy
Originally published March 15, 2016.