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Zanubrutinib Demonstrates Sustained Efficacy in Relapsed/Refractory CLL: ALPINE Trial Update

• Zanubrutinib shows durable efficacy and a favorable safety profile in relapsed/refractory chronic lymphocytic leukemia (CLL) patients, according to long-term data from the ALPINE trial. • The final comparative analysis of the phase 3 ALPINE trial supports zanubrutinib as a valuable BTK inhibitor option for CLL, with promising outcomes. • Experts discussed managing zanubrutinib-associated toxicities and the evolving role of BTK inhibitors in CLL treatment during an OncLive On Air discussion.

Long-term data from the phase 3 ALPINE trial continue to support the use of zanubrutinib (Brukinsa) in patients with relapsed or refractory chronic lymphocytic leukemia (CLL). The final comparative analysis of the ALPINE trial highlights the efficacy and safety profile of zanubrutinib, reinforcing its role in the treatment landscape.

ALPINE Trial Key Findings

The ALPINE trial (NCT03734016) is a phase 3 study comparing zanubrutinib to ibrutinib in patients with relapsed/refractory CLL. Nicole Lamanna, MD, an associate clinical professor of medicine at Columbia University, discussed key efficacy data from the trial with Alexey Danilov, MD, PhD, of City of Hope. The discussion, hosted by OncLive On Air ®, covered zanubrutinib-associated toxicities and the future of BTK inhibitor-based therapy in CLL.

Expert Perspectives on Zanubrutinib in CLL

Drs. Danilov and Lamanna shared insights on the clinical implications of the ALPINE trial data. They addressed how zanubrutinib fits into the current treatment paradigm for CLL and strategies for managing potential side effects associated with the drug. The experts also explored the evolving role of BTK inhibitors and future directions for CLL therapy.

Managing Zanubrutinib-Associated Toxicities

While zanubrutinib has demonstrated a favorable safety profile compared to some other BTK inhibitors, it is important to be aware of potential toxicities. The discussion included practical guidance on monitoring and managing these side effects to optimize patient outcomes.
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Reference News

[1]
Long-Term Data Solidify the Role of Zanubrutinib in R/R CLL: With Alexey Danilov, MD, PhD
onclive.com · Nov 25, 2024

In today’s episode of OncLive On Air, supported by BeiGene, Alexey Danilov, MD, PhD, and Nicole Lamanna, MD, discuss the...

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