Cancer News

Lisaftoclax for CLL/SLL: Monotherapy, Acalabrutinib, or Rituximab?

Apr 7, 2023 8:38:08 AM / by Matthew Davids, MD, MMSc

Lisaftoclax (APG-2575): In CLL/SLL Treatment: Safety and Efficacy as Monotherapy or Combined with Acalabrutinib or Rituximab Matthew Davids MD - Synopsis below extracted from the video transcript.

 

Dr. Matthew Davids, an Associate Professor of Medicine at Harvard Medical School, discussing the safety and efficacy of Lisaftoclax (APG-2575) in the treatment of chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) patients. The drug is currently being evaluated in a phase 2 global study as monotherapy or in combination with acalabrutinib or rituximab.

Dr. Davids highlights that the initial data from the study showed that Lisaftoclax was generally well-tolerated with a manageable safety profile. The most common adverse events were mild or moderate, and the incidence of serious adverse events was low. Additionally, the drug showed promising anti-tumor activity as monotherapy and in combination with acalabrutinib or rituximab. The overall response rate was high, with 80% for patients receiving Lisaftoclax monotherapy, 96% for patients receiving Lisaftoclax plus acalabrutinib, and 100% for patients receiving Lisaftoclax plus rituximab.

 

 


The study also demonstrated that Lisaftoclax was effective in patients with high-risk genomic features and those who were previously treated with chemoimmunotherapy. However, the combination of Lisaftoclax and acalabrutinib was associated with a higher incidence of grade 3 or higher neutropenia compared to Lisaftoclax monotherapy or Lisaftoclax plus rituximab. Similarly, the combination of Lisaftoclax and rituximab was associated with a higher incidence of infusion-related reactions compared to Lisaftoclax monotherapy or Lisaftoclax plus acalabrutinib.

Overall, the initial findings suggest that Lisaftoclax may be a valuable treatment option for CLL/SLL patients who are treatment-naïve, relapsed, or refractory. However, further studies are needed to confirm its efficacy and safety. Dr. Davids emphasizes the importance of ongoing research in this area and the need to explore new therapies for CLL/SLL patients.

Topics: ASH, Chronic Lymphocytic Leukemia

Matthew Davids, MD, MMSc

Written by Matthew Davids, MD, MMSc

Matthew Davids, MD, MMSc, got his A.B. from Harvard College in chemistry and his M.D. from Yale University School of Medicine. In New York City, he worked as an intern, resident, and assistant chief resident in internal medicine at New York-Presbyterian Weill Cornell Medical Center and Memorial Sloan-Kettering Cancer Center.

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