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Mechanisms of CLL progression and Richter transformation in patients with CLL treated with agents targeting BTK and BCL2 (B02)

Subject Area Hematology, Oncology
Term from 2012 to 2024
Project identifier Deutsche Forschungsgemeinschaft (DFG) - Project number 217328187
 
The clinical course of CLL is coupled to clonal evolution of (epi)genetic variants. We will 1) identify (epi)genomic characteristics of patients who benefit less from treatment with ibrutinib (e.g. co-occurrence of TP53 mutations) or with BCL2 inhibitors (epigenetic targeting of BCL2). 2) In addition, we will characterize the timing and development of Richter transformation (RT) (clonally related, i.e. CLL-derived, or non-related, i.e. de novo lymphoma) which will impact treatment sequence. 3) Finally, we will improve disease monitoring during treatment with novel agents by measurement of cell-free circulating tumor DNA from CLL cells not present in peripheral blood and thus not amenable to current assessment.
DFG Programme Collaborative Research Centres
Applicant Institution Universität Ulm
 
 

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