Emerging drugs for chronic lymphocytic leukaemia

Authors: Yee, Karen WL; O'Brien, Susan M

Source: Expert Opinion on Emerging Drugs, Volume 11, Number 1, 1 March 2006 , pp. 167-189(23)

Publisher: Informa Healthcare

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Abstract:

Although the philosophy of management of patients with chronic lymphocytic leukaemia (CLL) has been altered with the advent of fludarabine-based therapies, impact on long-term survival is unclear and a significant proportion of patients will develop resistance to fludarabine. Similar to other haematological malignancies, a potential for `cure' is likely to be achieved only if `high-quality' complete remissions (CRs) are achieved. Treatment options for patients who develop resistance to fludarabine continue to be limited, with only a proportion obtaining a response (usually not CRs) with salvage therapies. This review summarises novel therapies that are being evaluated in patients with CLL, specifically those targeting the antiapoptotic Bcl-2 family of proteins and receptors (e.g., CD40, CD80, HLA-DR) involved in mediating survival signals from the microenvironment.
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