Table 2.

PI3Ki combinations with venetoclax with or without anti-CD20 monoclonal antibodies in patients with R/R CLL

Trial phaseTreatmentNo. of patientsTP53 aberrationsScheduleStrategyuMRD rateDiscontinuation rateMedian follow-up
Phase I/II46  Umbralisib-venetoclax-obinutuzumab 21 38%* UMBRA cycle 1-12 + UBLI cycles 1-3 + VEN cycles 4-12 BM uMRD at cycle 12, discontinue all therapy BM MRD-positive at cycle 12, continue UMBRA monotherapy 4 patients with BM uMRD (19%) 4.7% 4.2 mo 
Phase I47  Duvelisib-venetoclax 12 25% del(17p) and 42% TP53 mutation DUV days 1-7, then DUV+VEN for 12 cycles uMRD on 2 assessments, discontinue all therapy; resume VEN monotherapy at MRD recrudescence MRD-positive, continue VEN monotherapy 22% uMRD in BM and PB 25% Reported with median number of cycles 6 (range, 1-9) 
Trial phaseTreatmentNo. of patientsTP53 aberrationsScheduleStrategyuMRD rateDiscontinuation rateMedian follow-up
Phase I/II46  Umbralisib-venetoclax-obinutuzumab 21 38%* UMBRA cycle 1-12 + UBLI cycles 1-3 + VEN cycles 4-12 BM uMRD at cycle 12, discontinue all therapy BM MRD-positive at cycle 12, continue UMBRA monotherapy 4 patients with BM uMRD (19%) 4.7% 4.2 mo 
Phase I47  Duvelisib-venetoclax 12 25% del(17p) and 42% TP53 mutation DUV days 1-7, then DUV+VEN for 12 cycles uMRD on 2 assessments, discontinue all therapy; resume VEN monotherapy at MRD recrudescence MRD-positive, continue VEN monotherapy 22% uMRD in BM and PB 25% Reported with median number of cycles 6 (range, 1-9) 

BM, bone marrow; c, cycles; DUV, duvelisib; PB, peripheral blood; UBLI, ublituximab; UMBRA, umbralisib; VEN, venetoclax.

*

Also includes patients with del(11q).

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