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The clinical course of chronic lymphocytic leukemia is highly variable, and a subset of patients may never need clinical intervention. However, most patients will eventually require treatment during their disease.

Based on improved insight into chronic lymphocytic leukemia biology and pathophysiology, approaches to identify patients who are at higher risk for disease progression have been refined, as have strategies to select therapies that maximize treatment outcomes due to their selectivity for distinctive phenotypic or physiological features of the respective CLL cells.

Prospects for patients with chronic lymphocytic leukemia have improved with the use of targeted agents such as ibrutinib; however, complete remissions are rare, and treatment options for patients relapsing after treatment with ibrutinib remain limited.

Recent years have seen major advances in diagnostic approaches in CLL, and disease assessment may now include analysis of multiple genetic mutations in addition to recurrent cytogenetic changes. Furthermore, with the development of novel treatment approaches, the significance of prognostic markers is shifting.

Overall survival was extended for patients with relapsed or refractory multiple myeloma by nearly 8 months with the combination of carfilzomib, lenalidomide, and dexamethasone compared with lenalidomide and dexamethasone alone in results from the phase III ASPIRE trial.

Based on supporting data from the phase III DUO trial and the phase II DYNAMO study, duvelisib has been submitted to the FDA for a full approval for the treatment of patients with relapsed/refractory chronic lymphocytic leukemia/small lymphocytic lymphoma and an accelerated approval for the treatment of patients with relapsed/refractory follicular lymphoma.

Lymphoma expert Andrew M. Evens, DO, MSc, FACP, has joined Rutgers Cancer Institute of New Jersey as associate director. He is also serving as medical director of the oncology service line at RWJBarnabas Health. Evens will focus on integrated cancer care delivery in his roles across both institutions.

Four US studies of BPX-501 have been halted by the FDA after 3 patients developed encephalopathy possibly related to treatment with the novel cellular immunotherapy for cancers and orphan inherited blood disorders.

Anna Sureda, MD, PhD, Head of the Clinical Hematology Service at the Institut Català d'Oncologia – Hospitalet de Llobregat in Barcelona, discusses the phase III ECHELON-1 study exploring brentuximab vedotin plus doxorubicin, vinblastine, dacarbazine (A+AVD) versus ABVD in patients with previously untreated stage III or IV Hodgkin lymphoma.