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ABBV-453 + obinutuzumab is an investigational combination therapy currently being studied for the treatment of relapsed or refractory chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL). **ABBV-453** is an orally available, investigational small molecule whose precise mechanism of action has not been publicly detailed, under development by AbbVie. **Obinutuzumab** (marketed as Gazyva) is a glycoengineered, type II anti-CD20 monoclonal antibody that increases immune-mediated cytotoxicity against B-cells, leading to enhanced cancer cell killing. In this clinical protocol, obinutuzumab is administered intravenously as a debulking agent prior to ABBV-453 dose escalation. The combination is under evaluation for efficacy, safety, and pharmacokinetics in adults with relapsed/refractory CLL/SLL[1][3][5][6].
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