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In this expert discussion from Oncology Tube, Dr. Allison Reichl (UC Irvine) breaks down the most important CLL treatment updates from ASH 2025 that will shape practice in 2026. She covers: Time-limited regimens (CLL17 trial) vs continuous BTK inhibitors Advantages and challenges of fixed-duration therapy Why unfit patients may benefit most from pushing through time-limited approaches Pirtobrutinib's strong performance in BRUIN CLL-313 and BRUIN CLL-314 Significantly lower atrial fibrillation rates compared to ibrutinib Critical sequencing considerations — when to use pirtobrutinib first-line vs as salvage Key takeaway: Pirtobrutinib shows game-changing potential with improved cardiovascular safety, but first-line use may impact future covalent BTKi options. Perfect for hematologists, oncologists, fellows, and anyone following the evolving CLL landscape. Timestamps: 00:00 – Introduction & Why Time-Limited Regimens Matter 00:36 – Challenges of Time-Limited Therapy 00:50 – Best Candidates: Unfit Patients 01:06 – CLL17 Trial: Non-Inferiority & Early Data 01:20 – MRD Benefit & Combination Therapy Questions 01:48 – VI Regimen: Practical Insights & Approval Status 02:30 – BRUIN CLL-313: Pirtobrutinib vs Chemoimmunotherapy 03:00 – Cardiovascular Safety Advantages 03:15 – Sequencing Discussion: Where Does Pirtobrutinib Fit? 03:34 – Caution on First-Line Pirtobrutinib Use 03:52 – BRUIN CLL-314: Pirtobrutinib vs Ibrutinib 04:20 – Final Takeaways & Closing Video interviews to be posted from this event at these websites... https://oncologytube.com/tag/moasc/ https://moasc.org/ About OncologyTube.com: OncologyTube.com is a free video-sharing platform dedicated to oncology professionals, offering cancer research updates through videos, audio, PowerPoint presentations, and more. Visit OncologyTube.com for a detailed web post on this and many other cancer topics and oncology insights. Follow OncologyTube: eNewsletter: https://oncologytube.com/newsletter/ Twitter: / oncologytube LinkedIn: / oncologytube-com Facebook: / oncologytube Instagram: / oncologytube YouTube: / oncologytube Connect with Us: Share your thoughts in the comments! Join the discussion.