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The Lymphoma & CLL Hub is an independent medical education platform, sponsored by Beigene and Roche, and supported through educational grants from Bristol Myers Squibb, Ipsen Biopharmaceuticals, Pfizer, and Pharmacyclics LLC, an AbbVie Company and Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC View funders.

2024-08-12T11:24:57.000Z

SEQUOIA trial: Zanubrutinib + venetoclax in treatment-naïve patients with CLL/SLL

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Aug 12, 2024
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Learning objective: After reading this article, learners will be able to recall the key preliminary outcomes from Arm D of the SEQUOIA trial.

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During the European Hematology Association (EHA) 2024 Hybrid Congress, the Lymphoma Hub was pleased to speak to Paolo Ghia, Vita-Salute San Raffaele, Milan, IT. We asked about the latest update on the SEQUOIA trial of zanubrutinib + venetoclax in treatment-naïve patients with chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL). 

SEQUOIA trial: Zanubrutinib + venetoclax in treatment-naïve patients with CLL/SLL

Listen to the podcast here:

SEQUOIA trial: Zanubrutinib + venetoclax in treatment-naïve patients with CLL/SLL

In this interview, Paolo Ghia shares preliminary outcomes from Arm D of the phase III SEQUOIA (NCT03336333) study of patients with del(17p) and/or pathogenic TP53 mutation, treated with zanubrutinib in combination with venetoclax. Ghia covers key data, highlighting promising remission rates and an increased depth of response measured over time. This interview concludes with a look to the future implications of these data, particularly on measurable residual disease-guided treatment cessation. 

During the interview, Ghia made the following key points1:

  • No new adverse events (AE) were observed, with the most common AE being diarrhea, neutropenia, and infections.
  • The overall response rate was 100%.
  • The complete remission rate was 48%.
  • The highest rate of measurable residual disease negativity was 59%, recorded in the peripheral blood.
  • At a median follow-up of 31.6 months, median progression-free survival (PFS) was not reached.
  • The 12-month and 24-month estimated PFS rates were 95% and 94%, respectively.

As a result of this content, I commit to reviewing the latest data on zanubrutinib to guide my management of treatment-naïve patients with CLL/SLL.

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This educational resource is independently supported by BeiGene. All content is developed by SES in collaboration with an expert steering committee; funders are allowed no influence on the content of this resource.

  1. Ghia P. Combination of zanubrutinib + venetoclax for treatment-naive (TN) CLL/SLL with del(17P) and/or TP53: preliminary results from SEQUOIA arm D. Oral Abstract #S160. Presented at: European Hematology Association 2024 Hybrid Congress; Jun 13–16, 2024; Madrid, ES.

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