Article
Resistance mechanisms and approach to chronic lymphocytic leukemia after BTK inhibitor therapy.
Leukemia & lymphoma - 1 Jul 2025
Gruessner Christine, Wiestner Adrian, Sun Clare
Abstract excerpt
Bruton tyrosine kinase (BTK), an essential component of the B-cell receptor (BCR) signaling pathway, is a validated target in chronic lymphocytic leukemia. Ibrutinib, acalabrutinib, and zanubrutinib are covalent BTK inhibitors (cBTKi) that bind to residue C481, leading to sustained target inhibition. A significant proportion of patients develop resistance to continuous cBTKi therapy, predominantly via mutations...
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