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      Ibrutinib as initial therapy for elderly patients with chronic lymphocytic leukaemia or small lymphocytic lymphoma: an open-label, multicentre, phase 1b/2 trial.

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          Abstract

          Chemoimmunotherapy has led to improved numbers of patients achieving disease response, and longer overall survival in young patients with chronic lymphocytic leukaemia; however, its application in elderly patients has been restricted by substantial myelosuppression and infection. We aimed to assess safety and activity of ibrutinib, an orally administered covalent inhibitor of Bruton tyrosine kinase (BTK), in treatment-naive patients aged 65 years and older with chronic lymphocytic leukaemia.

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          Author and article information

          Journal
          Lancet Oncol
          The Lancet. Oncology
          Elsevier BV
          1474-5488
          1470-2045
          Jan 2014
          : 15
          : 1
          Affiliations
          [1 ] Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. Electronic address: sobrien@mdanderson.org.
          [2 ] Department of Medicine, Division of Hematology-Oncology, Weill Cornell Medical College, New York, NY, USA.
          [3 ] Division of Hematology and Stanford Cancer Center, Stanford University School of Medicine, Stanford, CA, USA.
          [4 ] Willamette Valley Cancer Institute and Research Center/US Oncology Research, Springfield, OR, USA.
          [5 ] Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
          [6 ] Division of Hematology, Department of Internal Medicine, The Ohio State University, Columbus, OH, USA.
          [7 ] Vermont Cancer Center, University of Vermont, VT, USA.
          [8 ] Texas Oncology, US Oncology Research, Tyler, TX, USA.
          [9 ] Department of Pathology, The Ohio State University, Columbus, OH, USA.
          [10 ] Pharmacyclics, Sunnyvale, CA, USA.
          Article
          S1470-2045(13)70513-8 NIHMS609490
          10.1016/S1470-2045(13)70513-8
          4134524
          24332241
          3cf7320d-543b-420e-b2da-670e4b28c06e
          Copyright © 2014 Elsevier Ltd. All rights reserved.
          History

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