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A **three-drug combination** therapy consisting of the monoclonal antibody ublituximab, the PI3K-δ inhibitor umbralisib, and the BCL-2 inhibitor venetoclax. This regimen is designed for patients with relapsed/refractory chronic lymphocytic leukemia (CLL), including those with high-risk genetic features and resistance to prior Bruton tyrosine kinase (BTK) inhibitors. Ublituximab targets and depletes B-cells via CD20 binding; umbralisib inhibits phosphatidylinositol-3-kinase delta and casein kinase 1 epsilon, impacting B-cell signaling and survival; venetoclax selectively inhibits BCL-2, promoting apoptosis in leukemia cells. The combination aims to achieve deep remissions and high rates of undetectable minimal residual disease (uMRD), using a time-limited, response-adapted approach to minimize toxicity and maximize efficacy[1][3][5][7][9].
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