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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Autores principales: 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
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Publicado: IP Habib O.N. 2021
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Acceso en línea:https://doaj.org/article/1c92f70a6bda4d418cdf39c54aceadf2
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spelling 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)
institution DOAJ
collection DOAJ
language RU
topic chronic lymphocytic leukemia
bruton’s tyrosine kinase inhibitors
target therapy
acalabrutinib
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle 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
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