Chronic%20lymphocytic%20leukemia Treatment
Surgical Intervention
Allogeneic Hematopoietic Cell Transplantation (HCT)
- Should be considered in fit patients with high-risk chronic lymphocytic leukemia (CLL) who experience disease relapse 24-36 months after first-line therapy, or patients with refractory CLL
- May be considered in patients without significant comorbidities with CLL refractory to small-molecule inhibitor therapy (eg Acalabrutinib, Duvelisib, Ibrutinib, Idelalisib, Venetoclax)
- May be considered as part of a clinical trial for young patients with del(17p)/TP53 mutation with good performance status and minimal comorbidities
- Reports showed an increase in the progression-free survival rate compared to those given chemotherapy alone
- Allogeneic HCT is the preferred type of transplantation for CLL patients
- Provide long-term disease control as shown in several prospective studies
- Not recommended as a treatment option for relapsed/refractory CLL after initial therapy with purine-based regimen