
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.
Advertisement
Episodes in this series

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?
Advertisement
Related to this article

Teclistamab plus talquetamab met the primary PFS end point and improved overall survival in relapsed/refractory multiple myeloma in MonumenTAL-6.

The FDA has granted priority review to a supplemental application for talazoparib plus enzalutamide in HRR-altered mCSPC.

Camizestrant plus a CDK4/6 inhibitor was approved in the European Union for ER-positive, HER2-negative advanced breast cancer with an emergent ESR1 mutation.

The FDA is reviewing data for daraxonrasib in previously treated pancreatic cancer under the Commissioner’s National Priority Voucher program.

Johannes Schetelig, MD, MSc, discusses phase 3 data for post-transplant cyclophosphamide vs ATLG as GVHD prophylaxis in hematologic malignancies.

Matthew Galsky, MD, discusses the FDA approval of perioperative pembrolizumab plus enfortumab vedotin in MIBC.

The FDA has approved zidesamtinib in patients with locally advanced/metastatic ROS1+ NSCLC who received a prior ROS1 kinase inhibitor.
Advertisement
Advertisement
Trending on OncLive
1
FDA Accepts NDA for Daraxonrasib in Previously Treated Metastatic Pancreatic Cancer
2
FDA Approves Zidesamtinib in Pretreated ROS1+ NSCLC
3
Dr Galsky on Systemic Therapy Advances in Muscle-Invasive Bladder Cancer
4
Dr Patel on the Unmet Need in EGFR+ Transformed Small Cell Lung Cancer
5

