Immune restoration with ibrutinib plus venetoclax in first-line chronic lymphocytic leukemia : the phase 2 CAPTIVATE study
Moreno, Carol (Institut Germans Trias i Pujol. Institut de Recerca contra la Leucèmia Josep Carreras)
Solman, Isabelle G. (Pharmacyclics LLC. an AbbVie Company)
Tam, Constantine S. (Monash University)
Grigg, Andrew (Austin Hospital)
Scarfò, Lydia (Università Vita Salute San Raffaele)
Kipps, Thomas J. (University of California. Moores Cancer Center)
Srinivasan, Srimathi (Janssen Research & Development)
Mali, Raghuveer Singh (Pharmacyclics LLC. an AbbVie Company)
Zhou, Cathy (Pharmacyclics LLC. an AbbVie Company)
Dean, James P. (Pharmacyclics LLC. an AbbVie Company)
Szafer Glusman, Edith (Pharmacyclics LLC. an AbbVie Company)
Choi, Michael (University of California)

Fecha:	2023
Resumen:	We evaluated immune cell subsets in patients with chronic lymphocytic leukemia (CLL) who received first-line therapy with 3 cycles of ibrutinib then 13 cycles of ibrutinib plus venetoclax in the minimal residual disease (MRD) cohort of the CAPTIVATE study (NCT02910583). Patients with Confirmed undetectable MRD (uMRD) were randomly assigned to placebo or ibrutinib groups; patients without Confirmed uMRD were randomly assigned to ibrutinib or ibrutinib plus venetoclax groups. We compared immune cell subsets in samples collected at 7 time points with age-matched healthy donors. CLL cells decreased within 3 cycles after venetoclax initiation; from cycle 16 onward, levels were similar to healthy donor levels (HDL; ≤0. 8 cells per μL) in patients with Confirmed uMRD and slightly above HDL in patients without Confirmed uMRD. By 4 months after cycle 16, normal B cells had recovered to HDL in patients randomly assigned to placebo. Regardless of randomized treatment, abnormal counts of T cells, classical monocytes, and conventional dendritic cells recovered to HDL within 6 months (median change from baseline −49%, +101%, and +91%, respectively); plasmacytoid dendritic cells recovered by cycle 20 (+598%). Infections generally decreased over time regardless of randomized treatment and were numerically lowest in patients randomly assigned to placebo within 12 months after cycle 16. Sustained elimination of CLL cells and recovery of normal B cells were confirmed in samples from patients treated with fixed-duration ibrutinib plus venetoclax in the GLOW study (NCT03462719). These results demonstrate promising evidence of restoration of normal blood immune composition with ibrutinib plus venetoclax.
Nota:	Fundació Carreras
Nota:	This study was supported by Pharmacyclics LLC, an AbbVie Company.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Lymphoid neoplasia
Publicado en:	Blood advances, Vol. 7 Núm. 18 (26 2023) , p. 5294-5309, ISSN 2473-9537

DOI: 10.1182/bloodadvances.2023010236
PMID: 37315225

10 p, 685.7 KB

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Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP) > Instituto de Investigación contra la Leucemia Josep Carreras
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