Special Issue "Clinical Management and Treatment of Chronic Lymphocytic Leukemia (CLL)"

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Hematology".

Deadline for manuscript submissions: closed (25 February 2023) | Viewed by 813

Special Issue Editor

1. Department of Hematology, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China
2. Key Laboratory of Hematology of Nanjing Medical University, Nanjing, China
3. Pukou CLL Center, Nanjing, China
4. National Clinical Research Center for Hematologic Diseases, the First Affiliated Hospital of Soochow University, Suzhou, China
Interests: chronic lymphocytic leukemia; BTK inhibitor; BCL2 inhibitor; ibrutinib; venetoclax; drug resistance

Special Issue Information

Dear Colleagues,

The progress of novel agents in the treatment of chronic lymphocytic leukemia (CLL) is remarkable. The advent of the first-in-class BTK inhibitor ibrutinib dramatically improved the outcomes of patients with CLL. The second-generation BTK inhibitors, including acalabrutinib, zanubrutinib, and orelabrutinib, show similar efficacy and potentially improved safety profiles. However, resistance to BTK inhibitors occurs in a proportion of patients, mostly due to BTK 481 mutations. The noncovalent BTK inhibitor pirtobrutinib does not bind to BTK C481 and could induce significant responses in those patients who have developed resistance to covalent BTK inhibitors. BCL2 inhibitors are also important drugs for treating CLL patients. The efficacy of BCL2 inhibitors is remarkable in CLL patients, including those who relapse after treatment with BTK inhibitors. The combination of BTK inhibitors with BCL2 inhibitors or chemoimmunotherapy results in high rates of undetectable minimal residual disease in the bone marrow and a complete response, providing fixed-duration treatments for CLL patients. In this Special Issue, we welcome authors to submit papers on the clinical advance of novel agents in CLL.

Prof. Dr. Jian-Yong Li
Guest Editor

Manuscript Submission Information

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Keywords

  • chronic lymphocytic leukemia
  • BTK inhibitor
  • BCL2 inhibitor
  • ibrutinib
  • venetoclax
  • drug resistance

Published Papers (1 paper)

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Review

Review
Cardiac Involvement in Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
J. Clin. Med. 2022, 11(23), 6983; https://doi.org/10.3390/jcm11236983 - 26 Nov 2022
Viewed by 693
Abstract
Cardiac involvement of chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) is recognized extremely rarely. In addition, most CLL/SLL patients with heart infiltration are asymptomatic. In this review, we present the results of a literature search for English language articles concerning CLL/SLL or Richter transformation [...] Read more.
Cardiac involvement of chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) is recognized extremely rarely. In addition, most CLL/SLL patients with heart infiltration are asymptomatic. In this review, we present the results of a literature search for English language articles concerning CLL/SLL or Richter transformation with symptomatic cardiac involvement. In total, 18 well-described cases with CLL/SLL and heart infiltration were identified. Only three patients were not diagnosed with CLL/SLL before the cardiac manifestation. In other patients, cardiac CLL/SLL was diagnosed between 5 months and 20 years from CLL/SLL diagnosis. All patients in these series had a diagnosis of secondary cardiac CLL/SLL. In addition, we identified four reported cases with Richter transformation in the heart. The treatment of patients with CLL/SLL and cardiac infiltration is variable and depends on the previous history and clinical characteristics of heart infiltration. In addition, no recommendations exist on how to treat patients with CLL/SLL and cardiac involvement. Full article
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