CLL Treatment: More Infections Among Real-World Patients

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CLL Treatment: More Infections Among Real-World Patients
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A new real-world analysis finds that severe infection rates were higher than in clinical trials in 67 patients with CLL or B-cell lymphoma who took ibrutinib, idelalisib, or venetoclax. OncTwitter

A new real-world analysis finds that severe infection rates were higher than in clinical trials in 67 patients with chronic lymphocytic leukemia or B-cell lymphoma who took ibrutinib , idelalisib , or venetoclax .

According to the study, there are limited data about real-world infection rates for patients with CLL or B-cell lymphoma who take the three drugs. Of the 67 patients in the study, the numbers taking the drugs were 53 , 8 , and 6 . Eleven patients took more than one drug. Median age was 73 years, and 73% of patients were male.

In comparison, the researchers reported, a systematic review of idelalisib in blood cancer clinical trials reported an overall infection rate of 28%, while clinical trials reported an infection rate of 17.5%-22% in patients taking venetoclax for CLL. In an interview, infectious disease physician Gemma Reynolds, MChD, MPH, of Austin Health and Peter MacCallum Cancer Center in Melbourne, said the study findings reflect"a lot of what we know from other observational studies and clinical practice. There is a risk of infection, and serious infection, associated with these agents. Sometimes the pathogen is classically opportunistic, but often it is bacterial, and respiratory sites are common.

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