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Idelalisib is an oral small molecule antineoplastic agent classified as a selective phosphoinositide 3-kinase delta (PI3Kδ) inhibitor. It is primarily used in combination with rituximab for the treatment of relapsed chronic lymphocytic leukemia (CLL), and as monotherapy for relapsed follicular lymphoma (FL) and small lymphocytic lymphoma (SLL) in patients who have received at least two prior systemic therapies. By inhibiting PI3Kδ, which is predominantly expressed in leukocytes and plays a key role in B-cell receptor signaling, idelalisib disrupts pathways critical to the proliferation, survival, homing, and retention of malignant B-cells within lymphoid tissues and bone marrow. This results in apoptosis of malignant cells and inhibition of their migration and adhesion[1][3][5][9].
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