4.7 Editorial Material

TP53 Disruption in Chronic Lymphocytic Leukemia Under Ibrutinib: More is Worse?

Journal

CLINICAL CANCER RESEARCH
Volume 27, Issue 16, Pages 4462-4464

Publisher

AMER ASSOC CANCER RESEARCH
DOI: 10.1158/1078-0432.CCR-21-1750

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Funding

  1. Italian Ministry of Health, Rome, Italy [PE-201602362756, RF-2018-12365790]
  2. Associazione Italiana Ricerca Cancro (AIRC) [IG-21687]
  3. Associazione Italiana contro le Leucemie, linfomi e mielomi (AIL), Venezia Section, Pramaggiore/Veneto Orientale Group, Italy
  4. 5 x 1000 Intramural Program, Centro di Riferimento Oncologico, Aviano, Italy

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Patients with chronic lymphocytic leukemia carrying a single TP53 hit (chromosome 17p deletion or single TP53 mutation) show better survival outcomes on ibrutinib therapy compared to those with multiple TP53 hits. Testing for TP53 deletion/mutation using a combination of FISH and deep next-generation sequencing is recommended for accurate patient evaluation.
Patients with chronic lymphocytic leukemia carrying a single TP53 hit (chromosome 17p deletion or single TP53 mutation) demonstrate excellent progression-free survival and overall survival on ibrutinib compared with cases harboring multiple TP53 hits. Testing TP53 deletion/mutation combining FISH and deep nextgeneration sequencing should be performed for a correct patient evaluation.

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