How and when I do allogeneic transplant in CLL

Allogenic stem cell transplantation (allo-SCT) has been considered the treatment of choice for high-risk patients with chronic lymphocytic leukemia (CLL) and the only approach offered with curative intent in this disease. The availability novel agents, including the B-cell receptor inhibitors ibruti...

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Veröffentlicht in:Blood 2018-07, Vol.132 (1), p.31-39
1. Verfasser: Gribben, John G.
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description Allogenic stem cell transplantation (allo-SCT) has been considered the treatment of choice for high-risk patients with chronic lymphocytic leukemia (CLL) and the only approach offered with curative intent in this disease. The availability novel agents, including the B-cell receptor inhibitors ibrutinib, acalabrutinib, and idelalisib, as well as venetoclax, which targets the BCL2 pathway, and the success of these agents in treating high-risk disease patients have made it more difficult to assess who should be considered for allo-SCT and when in the treatment course. In this review, I will discuss the different treatment options available for the treatment of high-risk CLL and how allo-SCT fits into the treatment algorithm in the era of novel agents.
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subjects Allografts
Antineoplastic Agents - therapeutic use
Hematopoietic Stem Cell Transplantation
How I Treat
Humans
Leukemia, Lymphocytic, Chronic, B-Cell - therapy
Risk Factors
title How and when I do allogeneic transplant in CLL
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