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In treatment naive CLL without del(17p)/TP53, will the recent interim analysis of fixed duration acalabrutinib plus venetoclax +/- obinutuzumab vs chemoimmunotherapy in the AMPLIFY trial change your practice?

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Do you recommend fixed duration acalabrutinib plus venetoclax +/- obinutuzumab for treatment naive CLL without del(17p)/TP53 based on AMPLIFY trial?

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2 Answers
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Mednet MemberInvited Expert
Hematology · Mayo Clinic
Answered on · Updated on

The interim analysis of the AMPLIFY trial, published in the New England Journal of Medicine, presents strong evidence that could influence clinical practice for treatment-naïve chronic lymphocytic leukemia (CLL) patients without del(17p) or TP53 mutations. The AMPLIFY trial is the first phase 3 stud...

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Mednet Member
Mednet MemberInvited Expert
Medical Oncology · Ohio State University
Answered on

Yes, these data have already changed my practice. For many patients, an all-oral fixed-duration doublet is preferable to venetoclax/obinutuzumab. From the AMPLIFY trial, I am comfortable giving acalabrutinib/venetoclax to patients with IGHV-mutated CLL. For those with unmutated IGHV who desire fixed...

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