Eligible pts having rel/ref CLL with centrally confirmed del17p, del11q, and/or a TP53 mutation, were randomized 1:1 to IB (420 mg QD) alone or with UTX….17p del was greater in the IB arm (50% vs 44%); bulky disease was greater in UTX + IB arm (47% vs 28%)....PFS was superior for UTX + IB vs. IB alone, driven primarily by pts with del17p/p53mut. No meaningful difference in PFS was observed for pts with del11q. Among pts treated with UTX + IB, MRD-neg was associated with significant improvement in PFS. OS at 4 yrs was 82% vs. 70% for UTX + IB vs. IB alone.