Matthew S. Davids, MD
Data presented at the 2017 ASH Annual Meeting by Matthew S. Davids, MD, showed that combining ibrutinib (Imbruvica) with standard frontline chemoimmunotherapy induced negative minimum residual disease (MRD) status in bone marrow for 83% of fit, younger patients with chronic lymphocytic leukemia (CLL).
The phase II study evaluated ibrutinib combined with fludarabine-cyclophosphamide-rituximab (FCR) chemoimmunotherapy. The objective response rate was 100%, including a rate of complete response (CR) with or without hematologic recovery of 40%. Thirty-seven percent of patients had CR in association with MRD negativity. Thirty-one patients initiated ibrutinib maintenance after FCR. There were no new safety signals for ibrutinib or FCR.
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