2023
DOI: 10.1093/oncolo/oyac260
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Managing Ibrutinib-Intolerant Patients With B-Cell Malignancies

Abstract: Ibrutinib is a first-generation inhibitor of Bruton tyrosine kinase (BTK) that is currently approved to treat patients with B-cell malignancies, including Waldenström macroglobulinemia (WM), relapsed/refractory (R/R) mantle cell lymphoma (MCL), R/R marginal zone lymphoma (MZL), and chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL). Off-target adverse effects, such as atrial fibrillation, hypertension, and bleeding, have been observed and may limit a patient’s tolerance for treatment. Currently,… Show more

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Cited by 6 publications
(2 citation statements)
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“…Moreover, we emphasized how optimizing the safety and long-term tolerability of BTKis requires a thorough evaluation of each patient’s clinical history before initiating therapy. Additionally, careful attention should be given to patient-reported signs and symptoms observed during the course of treatment [ 13 , 50 , 59 ].…”
Section: Class Effect Profile and Adverse Events Management: Btk Inhi...mentioning
confidence: 99%
“…Moreover, we emphasized how optimizing the safety and long-term tolerability of BTKis requires a thorough evaluation of each patient’s clinical history before initiating therapy. Additionally, careful attention should be given to patient-reported signs and symptoms observed during the course of treatment [ 13 , 50 , 59 ].…”
Section: Class Effect Profile and Adverse Events Management: Btk Inhi...mentioning
confidence: 99%
“…The study contained a particular cohort of patients with intolerance to ibrutinib and/or acalabrutinib, who constitute up to 40% of patients with relapsed/refractory chronic lymphocytic leukemia. 2 Given the availability of several covalent and non-covalent BTK inhibitors, questions regarding their optimal sequencing are becoming increasingly relevant also for routine care. National and international treatment guidelines primarily recommend a switch to a different class of agents, e.g.…”
mentioning
confidence: 99%