Table 2.
Study | Study treatment | Method, threshold, sample source | Patients with MRD testing | % uMRD | PFS outcome according to MRD |
---|---|---|---|---|---|
Kovacs et al 201641 | FC, FCR, or BR | Flow, 10−4, pB | CR: 225 | CR: 83 | CR: median PFS: 61 (uMRD) vs 35 (MRD+) mo |
PR: 329 | PR 49 | PR: median PFS: 54 (uMRD) vs 21 (MRD+) mo | |||
Krämer et al 201752 | Allo-HCT | Flow, 10−4, BM | 39 | 69 | 10-y relapse risk |
25% (uMRD) vs 80% (MRD+) | |||||
Fraser et al 201912 | Ibrutinib plus BR | Flow, 10−4, pB/BM | 289 | 18 | 2-y PFS |
91.5% (uMRD) vs 75.0% (MRD+) | |||||
Stilgenbauer et al 201821 | Venetoclax | Flow, 10−4, pB | 101 | 30 | 2-y PFS |
92.8% (uMRD) vs 84.3% (MRD intermediate) vs 63.2% (MRD high) | |||||
Kater et al 201923 | Venetoclax + rituximab | ASO-PCR and flow, 10−4, pB/BM | 180 | 62* | 3-y PFS |
Only 2% of 83 with uMRD had progressed† |
ASO-PCR, allele specific oligonucleotide polymerase chain reaction; CR, complete response; PR, partial response.
MRD measured at the end of combination therapy (venetoclax + rituximab) after 7 to 9 months, with ongoing venetoclax therapy for 24 months.
13 patients were lost during follow-up.