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NCCN Guidelines® Insights: Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma, Version 2.2026 - PubMed

7 hours ago
  • #Richter transformation
  • #BTK inhibitors
  • #CLL/SLL
  • BTK inhibitors (BTKis) and BCL2 inhibitor (BCL2i)-containing regimens improve survival in CLL/SLL patients.
  • Time-limited BCL2i regimens achieve higher undetectable measurable residual disease (uMRD) rates than BTKi monotherapy or chemoimmunotherapy (CIT).
  • Newer treatments for relapsed/refractory disease include pirtobrutinib (noncovalent BTKi) and lisocabtagene maraleucel (CAR T-cell therapy).
  • Richter transformation (CLL/SLL to diffuse large B-cell lymphoma) has a poor prognosis.
  • Molecular analysis helps determine clonal relationship between CLL/SLL and transformed lymphoma for treatment selection.
  • NCCN Guidelines provide updates on CLL/SLL and Richter transformation treatment.