ELEVATE-RR – first head-to-head trial of acalabrutinib versus ibrutinib in previously treated high risk chronic lymphocytic leukemia
Over the past decades, there has been a significant expansion of the treatment options for patients with chronic lymphocytic leukemia (CLL) due to Brutons tyrosine kinase (BTK) inhibitors, which changed approaches in CLL therapy. Ibrutinib was the first BTK inhibitor approved for CLL treatment, but...
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IP Habib O.N.
2021
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oai:doaj.org-article:1c92f70a6bda4d418cdf39c54aceadf22021-11-30T16:55:01ZELEVATE-RR – first head-to-head trial of acalabrutinib versus ibrutinib in previously treated high risk chronic lymphocytic leukemia1815-14341815-144210.26442/18151434.2021.3.201207https://doaj.org/article/1c92f70a6bda4d418cdf39c54aceadf22021-11-01T00:00:00Zhttps://modernonco.orscience.ru/1815-1434/article/viewFile/88010/pdfhttps://doaj.org/toc/1815-1434https://doaj.org/toc/1815-1442Over the past decades, there has been a significant expansion of the treatment options for patients with chronic lymphocytic leukemia (CLL) due to Brutons tyrosine kinase (BTK) inhibitors, which changed approaches in CLL therapy. Ibrutinib was the first BTK inhibitor approved for CLL treatment, but adverse events such as atrial fibrillation and hypertension may limit the use of ibrutinib. In the first head-to-head trial of acalabrutinib and ibrutinib ELEVATE-RR, acalabrutinib was statistically superior to ibrutinib in all-grade atrial fibrillation/flutter (9.4% vs 16.0%; р=0.023). In all-grade arterial hypertension (9.4% vs 23.2%) and grade 3 (4.1% vs 9.1%) acalabrutinib was statistically superior to ibrutinib. Acalabrutinib demonstrated fewer discontinuations due to adverse events (14.7%) vs ibrutinib (21.3%). Based on ELEVATE-RR results acalabrutinib should be considered as a drug of choice among BTK inhibitors for CLL patients, including patients with cardiovascular diseases and risks of cardiovascular diseases.Tatiana E. BialikVladimir I. Vorob'evValerii A. IoninLoic YsebaertKamil D. KaplanovLarisa P. MendeleevaEvgenii A. NikitinVadim V. PtushkinOlga S. SamoilovaElena A. StadnikIP Habib O.N.articlechronic lymphocytic leukemiabruton’s tyrosine kinase inhibitorstarget therapyacalabrutinibNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282RUСовременная онкология, Vol 23, Iss 3, Pp 404-406 (2021) |
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chronic lymphocytic leukemia bruton’s tyrosine kinase inhibitors target therapy acalabrutinib Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
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chronic lymphocytic leukemia bruton’s tyrosine kinase inhibitors target therapy acalabrutinib Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Tatiana E. Bialik Vladimir I. Vorob'ev Valerii A. Ionin Loic Ysebaert Kamil D. Kaplanov Larisa P. Mendeleeva Evgenii A. Nikitin Vadim V. Ptushkin Olga S. Samoilova Elena A. Stadnik ELEVATE-RR – first head-to-head trial of acalabrutinib versus ibrutinib in previously treated high risk chronic lymphocytic leukemia |
description |
Over the past decades, there has been a significant expansion of the treatment options for patients with chronic lymphocytic leukemia (CLL) due to Brutons tyrosine kinase (BTK) inhibitors, which changed approaches in CLL therapy. Ibrutinib was the first BTK inhibitor approved for CLL treatment, but adverse events such as atrial fibrillation and hypertension may limit the use of ibrutinib. In the first head-to-head trial of acalabrutinib and ibrutinib ELEVATE-RR, acalabrutinib was statistically superior to ibrutinib in all-grade atrial fibrillation/flutter (9.4% vs 16.0%; р=0.023). In all-grade arterial hypertension (9.4% vs 23.2%) and grade 3 (4.1% vs 9.1%) acalabrutinib was statistically superior to ibrutinib. Acalabrutinib demonstrated fewer discontinuations due to adverse events (14.7%) vs ibrutinib (21.3%). Based on ELEVATE-RR results acalabrutinib should be considered as a drug of choice among BTK inhibitors for CLL patients, including patients with cardiovascular diseases and risks of cardiovascular diseases. |
format |
article |
author |
Tatiana E. Bialik Vladimir I. Vorob'ev Valerii A. Ionin Loic Ysebaert Kamil D. Kaplanov Larisa P. Mendeleeva Evgenii A. Nikitin Vadim V. Ptushkin Olga S. Samoilova Elena A. Stadnik |
author_facet |
Tatiana E. Bialik Vladimir I. Vorob'ev Valerii A. Ionin Loic Ysebaert Kamil D. Kaplanov Larisa P. Mendeleeva Evgenii A. Nikitin Vadim V. Ptushkin Olga S. Samoilova Elena A. Stadnik |
author_sort |
Tatiana E. Bialik |
title |
ELEVATE-RR – first head-to-head trial of acalabrutinib versus ibrutinib in previously treated high risk chronic lymphocytic leukemia |
title_short |
ELEVATE-RR – first head-to-head trial of acalabrutinib versus ibrutinib in previously treated high risk chronic lymphocytic leukemia |
title_full |
ELEVATE-RR – first head-to-head trial of acalabrutinib versus ibrutinib in previously treated high risk chronic lymphocytic leukemia |
title_fullStr |
ELEVATE-RR – first head-to-head trial of acalabrutinib versus ibrutinib in previously treated high risk chronic lymphocytic leukemia |
title_full_unstemmed |
ELEVATE-RR – first head-to-head trial of acalabrutinib versus ibrutinib in previously treated high risk chronic lymphocytic leukemia |
title_sort |
elevate-rr – first head-to-head trial of acalabrutinib versus ibrutinib in previously treated high risk chronic lymphocytic leukemia |
publisher |
IP Habib O.N. |
publishDate |
2021 |
url |
https://doaj.org/article/1c92f70a6bda4d418cdf39c54aceadf2 |
work_keys_str_mv |
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