Consensus recommendations from the 2024 Lymphoma Research Foundation workshop on treatment selection and sequencing in CLL or SLL.

Jacob D Soumerai
Jacqueline Barrientos
Inhye Ahn
Catherine Coombs
Douglas Gladstone
Marc Hoffman
Adam Kittai
Ryan Jacobs
Andrew Lipsky
Krish Patel, Swedish Cancer Institute, Seattle, WA USA
Joanna Rhodes
Alan Skarbnik
Meghan Thompson
Daniel Ermann
Patrick Reville
Harsh Shah
Jennifer R Brown
Deborah M Stephens

Abstract

Over the past decade, treatment recommendations for patients with chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) have shifted from traditional chemoimmunotherapy to targeted therapies. Multiple new therapies are commercially available, and, in many cases, a lack of randomized clinical trial data makes selection of the optimal treatment for each patient challenging. Additionally, many patients continue to receive chemoimmunotherapy in the United States, suggesting a gap between guidelines and real-world practice. The Lymphoma Research Foundation convened a workshop comprising a panel of CLL/SLL experts in the United States to develop consensus recommendations for selection and sequencing of therapies for patients with CLL/SLL in the United States. Herein, the recommendations are compiled for use as a practical clinical guide for treating providers caring for patients with CLL/SLL, which complement existing guidelines by providing a nuanced discussion relating how our panel of CLL/SLL experts in the United States care for patients in a real-world environment.