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Opinion|Videos|February 11, 2025

Sequencing Treatment in R/R CLL: CAR T-Cell Therapy vs Pirtobrutinib in Double-Exposed Patients

Panelists discuss how the placement of chimeric antigen receptor (CAR) T-cell therapy in heavily pretreated chronic lymphocytic leukemia (CLL) continues to evolve with encouraging long-term TRANSCEND CLL-004 data from ASH 2024, while factors such as prior therapy responses, genetic profiles, and timing of progression help guide the sequencing decision between CAR T-cell therapy and pirtobrutinib in patients previously exposed to both covalent Bruton tyrosine kinase and BCL2 inhibitors.

Episodes in this series

EP. 1 Expert Insights in Selecting Frontline Therapies in TN CLL: Fixed-Duration Venetoclax vs Continuous BTKi

EP. 1 Expert Insights in Selecting Frontline Therapies in TN CLL: Fixed-Duration Venetoclax vs Continuous BTKi

EP. 2 ASH 2024 Updates: SEQUOIA 5-Year Follow-Up and Expert Perspectives in Selecting Between Acalabrutinib vs Zanubrutinib in TN CLL

EP. 2 ASH 2024 Updates: SEQUOIA 5-Year Follow-Up and Expert Perspectives in Selecting Between Acalabrutinib vs Zanubrutinib in TN CLL

EP. 3 Real-World Observations: Firstline cBTKi Switches and Cardiac AEs in TN CLL

EP. 3 Real-World Observations: Firstline cBTKi Switches and Cardiac AEs in TN CLL

EP. 4 Clinical Insights: Exploring Combination Regimens in First-Line Treatment in CLL: SEQUOIA Arm D and BOVen Trials

EP. 4 Clinical Insights: Exploring Combination Regimens in First-Line Treatment in CLL: SEQUOIA Arm D and BOVen Trials

EP. 5 Key Takeaways From the AMPLIFY Trial at ASH 2024: Fixed-Duration Acalabrutinib Plus Venetoclax With or Without Obinutuzumab vs Chemoimmunotherapy in TN CLL

EP. 5 Key Takeaways From the AMPLIFY Trial at ASH 2024: Fixed-Duration Acalabrutinib Plus Venetoclax With or Without Obinutuzumab vs Chemoimmunotherapy in TN CLL

EP. 6 ASH 2024 Updates: Evaluating Potential Frontline Triplet Regimen: Pirtobrutinib Plus Venetoclax Plus Obinutuzumab in TN CLL

EP. 6 ASH 2024 Updates: Evaluating Potential Frontline Triplet Regimen: Pirtobrutinib Plus Venetoclax Plus Obinutuzumab in TN CLL

EP. 7 Expert Perspectives: Navigating the Emerging Treatment Landscape of Combination Therapies in TN CLL—Applying Evidence to Clinical Practice

EP. 7 Expert Perspectives: Navigating the Emerging Treatment Landscape of Combination Therapies in TN CLL—Applying Evidence to Clinical Practice

EP. 8 Expert Insights: Treatment Selection in Second-Line R/R CLL and Limitations of Applying MAIC Data in the Real-World Practice Setting

EP. 8 Expert Insights: Treatment Selection in Second-Line R/R CLL and Limitations of Applying MAIC Data in the Real-World Practice Setting

EP. 9 ASH 2024 Highlights: Phase 2 Study of Zanubrutinib Plus Venetoclax in R/R CLL

EP. 9 ASH 2024 Highlights: Phase 2 Study of Zanubrutinib Plus Venetoclax in R/R CLL

EP. 10 Treatment Sequencing in R/R CLL: Optimizing Strategies and Clinical Insights From ASH 2024 Real-World Data

EP. 10 Treatment Sequencing in R/R CLL: Optimizing Strategies and Clinical Insights From ASH 2024 Real-World Data

EP. 11 Pirtobrutinib in R/R CLL: Can It Be Used in the Second-Line Setting?

EP. 11 Pirtobrutinib in R/R CLL: Can It Be Used in the Second-Line Setting?

EP. 12 Sequencing Treatment in R/R CLL: CAR T-Cell Therapy vs Pirtobrutinib in Double-Exposed Patients

EP. 12 Sequencing Treatment in R/R CLL: CAR T-Cell Therapy vs Pirtobrutinib in Double-Exposed Patients

EP. 13 Real-World Observations With Pirtobrutinib and New Data From the BRUIN CLL-321 Trial at ASH 2024

EP. 13 Real-World Observations With Pirtobrutinib and New Data From the BRUIN CLL-321 Trial at ASH 2024

EP. 14 Emerging Data on BTK Inhibitor Degraders and Bispecifics in R/R CLL: Updated Results at ASH 2024

EP. 14 Emerging Data on BTK Inhibitor Degraders and Bispecifics in R/R CLL: Updated Results at ASH 2024

EP. 15 Reflecting on 2024 in CLL: Key Advances and Looking Ahead to 2025

EP. 15 Reflecting on 2024 in CLL: Key Advances and Looking Ahead to 2025

Video content above is prompted by the following:

Moving beyond second-line therapy in relapsed/refractory (R/R) CLL where patients have been exposed to both covalent BTK and BLC2 inhibitors, we now have CAR T-cell therapy. What has your clinical experience been with CAR T-cell therapy? What are your thoughts on the updated follow-up TRANSCEND CLL-004 data from ASH 2024?
How are you sequencing between CAR T-cell therapy and pirtobrutinib for those exposed to covalent BTK and BCL2 inhibitors?
How do factors like time to progression, genomic profile, prior toxicities, etc influence your decision-making?

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