Table 1.

Phase 3 frontline studies with doublet regimens in CLL

AgentsStudyRegimenPatient populationaPFSuMRD ratesMedian follow-up
BTKi & anti-CD20 antibody A0412026,7  IR Median age: 71 Estimated 4-year: 76% Marrow: 2%b 55 months 
E19125,32  IR Mean age: 56.7 Estimated 5-year: 78% NR 70 months 
iLLUMINATE8  IO Median age: 70
Median CIRS score: 4 
Estimated 30-month: 79% Blood: 20%c
Marrow: 30%c 
31.3 months 
ELEVATE-TN9,10,33  AO Median age: 70
CIRS >6: 16.8% 
Estimated 6-year: 78% NR 74 months 
Venetoclax & anti-CD20 antibody CLL1415,18  VO Median age: 72
Median CIRS score: 8 
Estimated 6-year: 53.1%
Median: 76.2 months 
Blood: 75.5%d
Marrow: 56.9%d 
76.4 months 
GIAIA/CLL1311  VR Median age: 62
Median CIRS score: 2 
Estimated 4-year: 70.1% Blood: 57.0%e
Marrow: 43.0%f 
50.7 months 
GIAIA/CLL1311  VO Median age: 62
Median CIRS score: 2 
Estimated 4-year: 81.8% Blood: 85.6%e
Marrow: 72.5f 
50.7 months 
BTKi & venetoclax GLOW3  IV Median age: 71
Median CIRS score: 9 
Estimated 2-year: 84.4% Blood: 54.7%d
Marrow: 51.9%d 
27.2 months 
FLAIR24  IV Median age: 62 Estimated 3-year: 97.2% Blood: 92.7%g
Marrow: 65.9%g 
43.7 months 
AgentsStudyRegimenPatient populationaPFSuMRD ratesMedian follow-up
BTKi & anti-CD20 antibody A0412026,7  IR Median age: 71 Estimated 4-year: 76% Marrow: 2%b 55 months 
E19125,32  IR Mean age: 56.7 Estimated 5-year: 78% NR 70 months 
iLLUMINATE8  IO Median age: 70
Median CIRS score: 4 
Estimated 30-month: 79% Blood: 20%c
Marrow: 30%c 
31.3 months 
ELEVATE-TN9,10,33  AO Median age: 70
CIRS >6: 16.8% 
Estimated 6-year: 78% NR 74 months 
Venetoclax & anti-CD20 antibody CLL1415,18  VO Median age: 72
Median CIRS score: 8 
Estimated 6-year: 53.1%
Median: 76.2 months 
Blood: 75.5%d
Marrow: 56.9%d 
76.4 months 
GIAIA/CLL1311  VR Median age: 62
Median CIRS score: 2 
Estimated 4-year: 70.1% Blood: 57.0%e
Marrow: 43.0%f 
50.7 months 
GIAIA/CLL1311  VO Median age: 62
Median CIRS score: 2 
Estimated 4-year: 81.8% Blood: 85.6%e
Marrow: 72.5f 
50.7 months 
BTKi & venetoclax GLOW3  IV Median age: 71
Median CIRS score: 9 
Estimated 2-year: 84.4% Blood: 54.7%d
Marrow: 51.9%d 
27.2 months 
FLAIR24  IV Median age: 62 Estimated 3-year: 97.2% Blood: 92.7%g
Marrow: 65.9%g 
43.7 months 

aAge reported in years. bAfter 8 cycles of treatment. cCollected prior to subsequent treatment. dAssessed 3 months after treatment completion. eAt month 15 of treatment. fAt final restaging in patients with a compete remission. gAt 5 years of treatment.

Regimens: AO, acalabrutinib and obinutuzumab; BTKi, BTK inhibitor; IO, ibrutinib and obinutuzumab; IR, ibrutinib and rituximab; IV, ibrutinib and venetoclax; VO, venetoclax and obinutuzumab; VR, venetoclax and rituximab. CIRS, Cumulative Illness Rating Scale; NR, not reported; PFS, progression-free survival; uMRD, undetectable measurable residual disease.

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