Evidence map›Paper›PMID 40555733›Full record

ReviewLeukemia2025

Resistance to targeted therapies in chronic lymphocytic leukemia: Current status and perspectives for clinical and diagnostic practice.

Piers Blombery, Thomas Chatzikonstantinou, Marina Gerousi, Richard Rosenquist, Gianluca Gaidano, Sarka Pospisilova, Andrew W Roberts, Richard W Birkinshaw, Davide Rossi, Lydia Scarfo and 8 more

Abstract readReview
In one paragraph

Review in Leukemia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
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  3. Article
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  9. Review
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  11. CCL19bioRxiv : the preprint server for biology · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Piers BlomberyClinical Haematology (Peter MacCallum Cancer Centre/Royal Melbourne Hospital), Melbourne, VIC, Australia. Piers.Blombery@petermac.org.ORCID 0000-0002-9902-0022
Thomas ChatzikonstantinouInstitute of Applied Biosciences, Centre for Research and Technology Hellas, Thessaloniki, Greece.ORCID 0000-0003-4105-1253
Marina GerousiInstitute of Applied Biosciences, Centre for Research and Technology Hellas, Thessaloniki, Greece.
Richard RosenquistDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-0211-8788
Gianluca GaidanoDivision of Hematology, Department of Translational Medicine, University of Eastern Piedmont and Maggiore Charity Hospital, Novara, Italy.ORCID 0000-0002-4681-0151
Sarka PospisilovaDepartment of Internal Medicine, Hematology and Oncology, and Institute of Medical Genetics and Genomics, University Hospital Brno and Medical Faculty, Masaryk University, Brno, Czech Republic.
Andrew W RobertsClinical Haematology (Peter MacCallum Cancer Centre/Royal Melbourne Hospital), Melbourne, VIC, Australia.
Richard W BirkinshawFaculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC, Australia.ORCID 0000-0003-1825-0182
Davide RossiClinic of Hematology, Oncology Institute of Southern Switzerland, Bellinzona, Switzerland.
Lydia ScarfoUniversità Vita Salute San Raffaele, Milano, Italy.ORCID 0000-0002-0844-0989
John F SeymourClinical Haematology (Peter MacCallum Cancer Centre/Royal Melbourne Hospital), Melbourne, VIC, Australia.
Stephan StilgenbauerComprehensive Cancer Center Ulm (CCCU), Department of Internal Medicine III, University Hospital Ulm, Ulm, Germany.ORCID 0000-0002-6830-9296
Adrian WiestnerNIH, National Heart Lung Blood Institute, Bethesda, MD, USA.
Jennifer A WoyachDivision of Hematology, Department of Internal Medicine, The Ohio State University, Columbus, OH, USA.ORCID 0000-0002-3403-9144
Jennifer R BrownDepartment of Medical Oncology Dana-Farber Cancer Institute, Boston, MA, USA.
Paolo GhiaUniversità Vita Salute San Raffaele, Milano, Italy.ORCID 0000-0003-3750-7342
Kostas StamatopoulosInstitute of Applied Biosciences, Centre for Research and Technology Hellas, Thessaloniki, Greece.ORCID 0000-0001-8529-640X
ERIC, the European Research Initiative on CLL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The integration of BTK and BCL2 inhibitors into the treatment of patients with chronic lymphocytic leukemia (CLL) represents a paradigm shift and has led to significant improvements in clinical outcomes, including prolonged survival and enhanced quality of life. However, despite the efficacy of these agents, resistance to targeted therapy remains a major challenge, ultimately resulting in treatment failure and disease progression for a significant proportion of patients. Related to this, diagnostic testing for genetic variants associated with resistance, such as mutations in BTK, PLCG2 and BCL2, may become an increasingly common part of clinical routine practice. Addressing the need for placing the current knowledge in context, here we summarize the evidence from clinical studies and examine the underlying biology of both genetic and non-genetic resistance. Furthermore, we outline methodological approaches for the detection of gene alterations associated with targeted therapy resistance, discuss how to interpret these findings and highlight interpretation challenges. Finally, we offer insights into the clinical relevance of identifying genetic resistance to inform personalized treatment strategies and improve patient outcomes.

Indexed as

Antineoplastic AgentsDrug Resistance, NeoplasmLeukemia, Lymphocytic, Chronic, B-CellMolecular Targeted TherapyProtein Kinase InhibitorsAgammaglobulinaemia Tyrosine KinaseHumansMutationAgammaglobulinaemia Tyrosine KinaseAntineoplastic AgentsProtein Kinase Inhibitors

Identifiers

PMID40555733
PMCPMC12380600

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.