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Utilizing Real-World Evidence (RWE) to Improve Care in Chronic Lymphocytic Leukemia: Challenges and Opportunities

Current Hematologic Malignancy Reports volume 15, pages 254–260 (2020)Cite this article

Abstract

Purpose of Review

This review discusses important findings from real-world evidence (RWE) studies impacting the field of chronic lymphocytic leukemia (CLL), from prognostication to long-term management and sequencing of novel agents.

Recent Findings

RWE data, which represents a heterogeneous cohort of patients treated at non-academic centers and off-clinical trial, demonstrate several key differences between findings in randomized controlled trials (RCT) of novel agents in CLL. While toxicity and discontinuation rates are higher, survival outcomes are encouraging in clinical practice, with often equivalent outcomes from reduced-dose or time-limited therapy of drug. Though sequencing of novel agents lacks robust RCT data, RWE data provide important guidance for selection and sequencing of novel agents.

Summary

RWE has critically informed our practice by providing diverse patient data and real-time analysis for important clinical questions outpacing the rapidly growing field of CLL.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University Medical Center, 2301 Erwin Dr, Durham, NC, 27705, USA

    Prioty Islam

  2. Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Anthony R. Mato

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  1. Prioty Islam
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Correspondence to Prioty Islam.

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Conflict of Interest

P.I. declares no conflicts of interest.

A.R.M. holds a consultancy role for TG Therapeutics (in addition DSMB), Abbvie, Pharmacyclics, Johnson & Johnson, Regeneron, Astra Zeneca, Genentech, LOXO, Celgene (including DSMB), Sunesis, and Adaptive and has received research funding from TG Therapeutics, Abbvie, Pharmacyclics, Johnson & Johnson, Regeneron, Genentech, LOXO, Portola, DTRM, Adaptive, and Acerta.

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Islam, P., Mato, A.R. Utilizing Real-World Evidence (RWE) to Improve Care in Chronic Lymphocytic Leukemia: Challenges and Opportunities. Curr Hematol Malig Rep 15, 254–260 (2020). https://doi.org/10.1007/s11899-020-00584-3

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