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Relapsed/refractory pure red cell aplasia in chronic lymphocytic leukemia successfully treated with acalabrutinib: a case report and review of the literature. | LitMetric

AI Article Synopsis

  • - The incidence of pure red cell aplasia (PRCA) in chronic lymphocytic leukemia (CLL) is less than 1%, with treatment options mainly involving steroids and immunosuppressive therapies.
  • - A case study presented indicates a successful treatment of CLL-associated PRCA using acalabrutinib, marking the first reported use of this drug for this specific condition, which led to a quick response after two previous unsuccessful treatments.
  • - The effectiveness of acalabrutinib may be attributed to its ability to modulate the immune response and maintain disease control, highlighting its potential as a treatment for autoimmune complications arising from CLL.

Article Abstract

The incidence of pure red cell aplasia (PRCA) in chronic lymphocytic leukemia (CLL) is <1% and treatments include the use of steroids and therapeutic strategies including immunosuppressive therapies. Here we present a case of a CLL-associated PRCA successfully treated with acalabrutinib, a treatment never described before for this specific condition, obtaining a rapid response after failing two lines of therapy. Exploring the treatment rationale, both the immune modulation and the continuous control of the disease, could have played a role in the treatment efficacy. Covalent BTK inhibitors are an effective treatment option for autoimmune complications of CLL, including CLL-associated PRCA.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11555748PMC
http://dx.doi.org/10.1177/20406207241282570DOI Listing

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