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September 10, 2025Leukemia & lymphoma/Leukemia and lymphoma3 citationsOpen Access

Venetoclax and obinutuzumab in first-line treatment of unfit patients with CLL – real-life data analysis of the Polish Adult leukemia group

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KZKlaudia ZielonkaBIBłażej IzdebskiJDJoanna Drozd‐Sokołowska

Key Points

  • The overall response rate for patients receiving Ven-Obi was 97.4%, highlighting its effectiveness as a treatment.
  • Complete remission was achieved in 32.7% of evaluable patients, underscoring robust response rates in this cohort.
  • With a 24-month progression-free survival at 88.4%, the combination of Ven-Obi proves beneficial in managing CLL.
  • Adverse events like hematologic toxicity often led to dose reductions, pointing to the need for careful patient monitoring.

Abstract

This is a retrospective analysis of 220 patients with chronic lymphocytic leukemia (CLL) and comorbid conditions defined as a presence of cumulative illness rating scale (CIRS) >6 and/or creatinine clearance 6 impacted the probability of response or patients' survival. The most common adverse events were hematologic toxicity and infections, which frequently led to Ven-Obi dose reduction or withdrawal. Importantly, patients who prematurely discontinued Ven-Obi had poorer outcomes. The combination of Ven-Obi in CLL has proven to be an effective and generally well-tolerated first-line therapy for patients with significant comorbidities in real-world conditions.

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Cite This Study

Zielonka et al. (2025) studied this question.

synapsesocial.com/papers/68c1a8f654b1d3bfb60e19c7https://doi.org/10.1080/10428194.2025.2535693
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Real‐world comparative effectiveness of venetoclax‐obinutuzumab versus Bruton tyrosine kinase inhibitors for frontline chronic lymphocytic leukaemia2024 · 9 citations
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  3. 3Mutational Status of the TP53 Gene As a Predictor of Response and Survival in Patients With Chronic Lymphocytic Leukemia: Results From the LRF CLL4 Trial2011 · 267 citations
  4. 4Real World Experience with Time Limited Venetoclax and Obinutuzumab (VO) for Frontline Treatment of CLL/SLL with MRD Determination By Clonoseq®2024 · 2 citations
  5. 5Real-World Venetoclax-Obinutuzumab in 232 Treatment Naive CLL Patients: Feasibility and Tolerability2023 · 1 citations