Utilizing real-world evidence (RWE) to improve care in chronic lymphocytic leukemia: Challenges and opportunities Review


Authors: Islam, P.; Mato, A. R.
Review Title: Utilizing real-world evidence (RWE) to improve care in chronic lymphocytic leukemia: Challenges and opportunities
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. © 2020, Springer Science+Business Media, LLC, part of Springer Nature.
Keywords: chronic lymphocytic leukemia; small-molecule inhibitor; novel agents; pi3k inhibitor; bcl-2 inhibitor; real-world evidence; bruton’s tyrosine kinase inhibitor
Journal Title: Current Hematologic Malignancy Reports
Volume: 15
Issue: 4
ISSN: 1558-8211
Publisher: Springer  
Date Published: 2020-08-01
Start Page: 254
End Page: 260
Language: English
DOI: 10.1007/s11899-020-00584-3
PUBMED: 32382987
PROVIDER: scopus
DOI/URL:
Notes: Review -- Export Date: 1 September 2020 -- Source: Scopus
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  1. Anthony R Mato
    235 Mato