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Association details:
Evidence:
Evidence Level:
Sensitive: A2 - Guideline
New
Source:
Title:

Chronic lymphocytic leukaemia: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up

Excerpt:
...it is recommended that patients with TP53 deletion/mutation are treated with novel inhibitors (ibrutinib; idelalisib and rituximab) in front-line and relapse settings.
DOI:
10.1093/annonc/mdv303
Evidence Level:
Sensitive: C3 – Early Trials
New
Source:
Title:

Idelalisib, an inhibitor of phosphatidylinositol 3-kinase p110d, for relapsed/refractory chronic lymphocytic leukemia

Excerpt:
The ORR for the 13 subjects with del17p and/or TP53 mutation who had a median of 5 prior regimens, and 85% of whom were refractory to their most recent prior regimen, was 54% (7/13), and the median PFS was 3 months. Of this subgroup, 7 subjects were treated at doses of ≥150 mg bid, and their median PFS was 5 months....This study demonstrates the clinical utility of inhibiting the PI3Kδ pathway with idelalisib.
DOI:
10.1182/blood-2013-11-535047