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- W2087647272 abstract "Chronic lymphocytic leukemia (CLL) is the most prevalent leukemia in the western world. Recent advances in understanding the biology of B-cell malignancies have resulted in the development of novel agents targeting key prosurvival pathways in the neoplastic B cell.The goal of this article was to summarize current literature on the emerging therapeutic approaches in CLL and B-cell malignancies.A literature review was performed, identifying pathways and key clinical trials involving novel therapies in CLL, with special emphasis on B-cell receptor (BCR)-targeting agents.Understanding the biology of the BCR-signaling pathway has led to identification of novel molecular targets. Most notably, inhibitors of Bruton tyrosine kinase and phosphatidylinositide 3-kinase-δ have entered clinical trials and demonstrated high response rates in CLL, including high-risk disease. Cyclin-dependent kinase inhibitors may evolve into an alternative therapeutic approach in CLL. New drugs that target molecules within and outside of the BCR-signaling pathway have shown promise in preclinical studies.Both preclinical and early clinical trial results involving novel targeted therapies suggest that the standard treatment paradigm in CLL and B-cell malignancies will soon change. Particular attention should be paid to the BCR-targeting agents, whose favorable adverse effect profile may improve the lives of elderly patients with CLL." @default.
- W2087647272 created "2016-06-24" @default.
- W2087647272 creator A5067633124 @default.
- W2087647272 date "2013-09-01" @default.
- W2087647272 modified "2023-10-18" @default.
- W2087647272 title "Targeted Therapy in Chronic Lymphocytic Leukemia: Past, Present, and Future" @default.
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- W2087647272 doi "https://doi.org/10.1016/j.clinthera.2013.08.004" @default.
- W2087647272 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3880015" @default.
- W2087647272 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/24054703" @default.