Non-silent, deleterious BIRC3 mutations were found in 8/160 (5.0%) pts in the BR arm and 9/153 (5.9%) in the VenR arm....With median follow-up of 48 months, within BR arm, PFS was shorter in BIRC3mut pts (HR=2.2, 95% CI [0.92–5.1], p=0.077, adjusted for TP53, 17pdel and IGHV status, Fig A). In the VenR arm, a reduced PFS benefit for BIRC3mut pts was observed (HR=1.5, 95% CI [0.5–4.3], p=0.44, same adjustments as BR, Fig B)....Similar to the setting of FCR, PFS was reduced in BIRC3mut R/R CLL pts treated with BR, indicating BIRC3 mutation is an independent adverse risk factor with chemoimmunotherapy.