Novel Agents for Chronic Lymphocytic Leukemia to Address Resistance
Published in Cancer and Genetics & Genomics

BTK Degraders
- Mechanism: These agents degrade Bruton tyrosine kinase (BTK), a key protein in B-cell receptor signaling, which is essential for CLL cell survival.
- Examples: NX-2127, BGB-16673, and NX-5948 have shown efficacy in relapsed/refractory (R/R) CLL.
- Non-Covalent BTK Inhibitors
- Mechanism: These reversible inhibitors target BTK without relying on covalent binding, overcoming resistance caused by mutations like C481S.
- Examples:
- Pirtobrutinib: Demonstrates high selectivity and efficacy, even in heavily pretreated patients.
- Nemtabrutinib: Similar efficacy but less well-tolerated compared to pirtobrutinib.
- BH3 Mimetics
- Mechanism: Mimic pro-apoptotic proteins to inhibit anti-apoptotic BCL2 family proteins, promoting cell death.
- Examples: Venetoclax targets BCL2, while newer agents like sonrotoclax aim to overcome resistance caused by mutations like Gly101Val.
- Monoclonal Antibodies
- Mechanism: Target antigens on CLL cells (e.g., CD20, CD19, CD37) to induce apoptosis or recruit immune cells for cytotoxicity.
- Examples:
- Obinutuzumab: Anti-CD20 antibody with improved efficacy over rituximab.
- Otlertuzumab: Anti-CD37 antibody triggering apoptosis and antibody-dependent cell-mediated cytotoxicity.
- Bispecific Antibodies
- Mechanism: Bind both CLL cell antigens (e.g., CD19, CD20, BCMA) and CD3 on T cells, redirecting T cells to kill leukemia cells.
- Examples:
- Blinatumomab: Targets CD19 and CD3.
- Teclistamab: Targets BCMA and CD3.
- Chimeric Antigen Receptor (CAR) T Cell Therapies
- Mechanism: Genetically modified T cells express CARs targeting antigens like CD19, enabling direct killing of CLL cells.
- Examples: Lisocabtagene maraleucel (CD19 CAR T therapy).
- Siglec-6 Monoclonal Antibodies
- Mechanism: Target Siglec-6, a novel antigen absent on healthy cells, to activate T cells and eliminate CLL cells.
- Examples: RC-1 and RC-2 antibodies engineered for high specificity and potency.
- ROR1-Directed Therapies
- Mechanism: Target ROR1, a receptor tyrosine kinase expressed selectively on CLL cells.
- Examples: Cirmtuzumab and zilovertamab vedotin.
- Vg9Vd2-T Cell Engagers
- Mechanism: Activate Vg9Vd2-T cells to lyse CLL cells by targeting CD1d, a molecule expressed on leukemic cells.
- Example: Bispecific single-domain antibodies designed to boost T cell responses.
- Anti-BAFF Antibodies
- Mechanism: Target BAFF, a factor promoting CLL cell survival, to induce apoptosis.
- Examples: Belimumab and ianalumab.
- Precision Medicine Approaches
- Mechanism: Use predictive biomarkers (e.g., TP53, IGHV mutations) and machine learning algorithms to tailor treatments based on tumor heterogeneity and resistance profiles.
These novel agents address unmet clinical needs by targeting specific pathways, overcoming resistance mechanisms, and enhancing immune responses, offering hope for improved outcomes in CLL treatment.
Follow the Topic
-
Discover Oncology
This is a fully open access general oncology journal that aims to provide a unified forum for researchers and clinicians. The journal spans from basic and translational science, to preclinical, clinical, and epidemiology, and welcomes content that interfaces at all levels of cancer research.
Related Collections
With collections, you can get published faster and increase your visibility.
Advances in Oncology: Biomarker Discovery and Drug Target Innovation
Research in oncology has undergone a transformative evolution propelled by advances in biomarker discovery and drug target innovation. Biomarkers that encompass a wide range of biological molecules are essential in the early detection, diagnosis and prognosis of cancer. Advanced next-generation sequencing technology in genomics and proteomics has greatly influenced personalised medicine allowing for more tailored treatment all the while reducing adverse toxicity.
Identification of precise drug targets has opened new avenues for cancer therapy. Targeted therapies now can be designed to interfere with specific molecules involved in cancer growth and progression, offering a promising alternative to traditional chemotherapy. These therapies have shown remarkable efficacy and specificity, minimizing damage to healthy tissues and improving the quality of life for patients.
The integration of biomarker discovery with drug target innovation represents a paradigm shift in oncology, moving towards a more personalized and effective approach to cancer treatment. This new era in cancer research is marked by the continuous exploration of molecular mechanisms underlying cancer, the development of novel therapeutic agents, and the implementation of advanced diagnostic tools. As a result, the future of oncology holds the promise of improved survival rates, better management of the disease, and ultimately, a higher quality of life for cancer patients.
Keywords: drug targets, biomarker, oncology, cancer
Publishing Model: Open Access
Deadline: Aug 31, 2025
Unveiling the Complexity of Tumor Drug Resistance: From Molecular Underpinnings to Future Therapeutic Strategies
The ongoing battle against cancer is hindered by the formidable challenge of drug resistance, a complex barrier that significantly reduces the effectiveness of current and emerging therapies. The development of resistance reflects the impressive adaptability and resilience of cancer cells, making it a central concern in oncological research and treatment design. This comprehensive research Collection delves into the intricate maze of tumor drug resistance, uncovering the multifaceted genetic alterations, epigenetic transformations, and the crucial role of the tumor microenvironment in fostering this resistance. The complexities of drug resistance extend beyond the cellular level, encompassing the interplay between diverse cell populations within the tumor and their interactions with surrounding stromal and immune cells. This Collection will investigate how these complex biological dialogues contribute to a sanctuary for resistance, enabling the cancer's evasion from the lethal reach of drugs. The goal of this Collection is to bridge the gap between understanding the underpinnings of tumor drug resistance and applying this knowledge towards the development of more effective, precise, and durable cancer therapies. Through a multidisciplinary lens, it aims to explore the latest advancements in genomic, epigenomic, and systems biology approaches to decipher the complexity of tumor drug resistance.
This Collection aspires to inspire novel strategies that can anticipate and counteract the mechanisms of resistance, thereby enhancing the quality of life and survival rates for cancer patients worldwide. In doing so, it sets the stage for a new era in cancer therapy, where treatments are not only targeted and personalized but also adaptable to the evolving landscape of tumor resistance. Key themes and areas of focus: 1) molecular underpinnings of resistance; 2) the role of the tumor microenvironment; 3) cellular drug efflux and metabolism; 4) signaling pathways and cell survival; 5) tumor heterogeneity and clonal evolution; 6) pharmacogenomics and personalized medicine; 7) overcoming drug resistance; 8) computational models and bioinformatics; 9) emerging technologies and future directions.
Keywords: tumor drug resistance, genetic mutations, tumor microenvironment, signaling pathways, non-coding RNAs, tumor heterogeneity, pharmacogenomics
Publishing Model: Open Access
Deadline: Dec 31, 2025
Please sign in or register for FREE
If you are a registered user on Research Communities by Springer Nature, please sign in
Part of a collection:
The Convergence of Targeted Precision Medicine: Future of Oncology Therapeutics