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Plain Language Summary of PublicationOpen Accesscc iconby iconnc iconnd icon

Plain language summary of zanubrutinib or ibrutinib in chronic lymphocytic leukemia that is resistant to treatment or has come back after treatment

    Jennifer R Brown

    The Department of Medical Oncology, Dana–Farber Cancer Institute, Boston, Massachusetts, USA

    ,
    Barbara Eichhorst

    The Department of Internal Medicine, University of Cologne, Center for Integrated Oncology Aachen Bonn Köln Düsseldorf, Cologne, Germany

    ,
    Peter Hillmen

    St. James's University Hospital, Leeds, United Kingdom

    ,
    Wojciech Jurczak

    Maria Skłodowska–Curie National Research Institute of Oncology, Krakow, Poland

    ,
    Maciej Kaźmierczak

    The Department of Hematology & Bone Marrow Transplantation, Poznan University of Medical Sciences, Poznan, Poland

    ,
    Nicole Lamanna

    Herbert Irving Comprehensive Cancer Center, Columbia University, New York, New York, USA

    ,
    Susan M O'Brien

    Chao Family Comprehensive Cancer Center, University of California, Irvine, California, USA

    ,
    Constantine S Tam

    The Alfred Hospital & Monash University, Melbourne, VIC, Australia

    ,
    Lugui Qiu

    The State Key Laboratory of Experimental Hematology, National Clinical Medical Research Center for Blood Diseases, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, China

    ,
    Keshu Zhou

    The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China

    ,
    Martin Simkovic

    The Fourth Department of Internal Medicine–Hematology, University Hospital, Hradec Kralove, Czech Republic, & The First Faculty of Medicine, Charles University, Prague, & the Department of Internal Medicine, Prague, Czech Republic

    ,
    Jiri Mayer

    Hematology & Oncology, Masaryk University & University Hospital, Brno, Czech Republic

    ,
    Amanda Gillespie-Twardy

    Blue Ridge Cancer Care, Roanoke, Virginia, USA

    ,
    Alessandra Ferrajoli

    The Leukemia Department, University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA

    ,
    Peter S Ganly

    The Department of Haematology, Christchurch Hospital, Christchurch, New Zealand

    ,
    Robert Weinkove

    Te Rerenga Ora Blood & Cancer Centre, Te Whatu Ora Health New Zealand Capital Coast & Hutt Valley, & the Cancer Immunotherapy Programme, Malaghan Institute of Medical Research, Wellington, New Zealand

    ,
    Sebastian Grosicki

    The Department of Hematology & Cancer Prevention, Faculty of Health Sciences, Medical University of Silesia, Katowice, Poland

    ,
    Andrzej Mital

    The Department of Hematology & Transplantology, Medical University of Gdańsk, Gdańsk, Poland

    ,
    Tadeusz Robak

    The Medical University of Lodz, Lodz, Poland

    ,
    Anders Osterborg

    The Department of Oncology–Pathology, Karolinska Institutet, Stockholm & the Department of Hematology, Karolinska University Hospital, Stockholm, Sweden

    ,
    Habte A Yimer

    Texas Oncology–Tyler, US Oncology Network, Tyler, Texas, USA

    ,
    Tommi Salmi

    BeiGene International GmbH, Basel, Switzerland

    ,
    Megan-Der-Yu Wang

    BeiGene USA, San Mateo, California, USA

    , ,
    Jessica Li

    BeiGene (Beijing), Beijing, China

    ,
    Kenneth Wu

    BeiGene USA, San Mateo, California, USA

    ,
    Aileen Cohen

    BeiGene USA, San Mateo, California, USA

    &
    Mazyar Shadman

    The Fred Hutchinson Cancer Center & the Department of Medicine, University of Washington, Seattle, USA

    Published Online:https://doi.org/10.2217/fon-2023-0849

    What is this summary about?

    This is a plain language summary of a research study called ALPINE. The study involved people who had been diagnosed with, and previously treated at least once for, relapsed or refractory chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL).

    Lymphocytes help to find and fight off viruses and infections in the body, but when someone has CLL or SLL, the body creates abnormal lymphocytes, leaving the patient with a weakened immune system and susceptible to illness. In CLL, these lymphocytes are in the bone marrow and bloodstream, whereas for SLL, they are mostly found in the lymph nodes, such as those in the neck.

    How was the research done?

    The ALPINE study was designed to directly compare the cancer-fighting effects and side effects of zanubrutinib and ibrutinib as treatment for patients with relapsed or refractory CLL/SLL.

    What were the results?

    After 30 months, zanubrutinib was more effective than ibrutinib at reducing and keeping the cancer from coming back.

    Clinical Trial Registration: NCT03734016 (ClinicalTrials.gov)