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clinical / clinicalGLOW MURANO venetoclax CLL, HOVON CLL, fixed-duration therapy

Arnon P. Kater

阿农·卡特

MD, PhD

🏢Amsterdam UMC, University of Amsterdam(阿姆斯特丹大学医学中心)🌐Netherlands

Professor of Hematology, Department of Hematology, Amsterdam UMC, University of Amsterdam; Chair, HOVON CLL Working Group阿姆斯特丹大学医学中心血液学教授;HOVON CLL工作组主席

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Arnon P. Kater, MD, PhD is Professor of Hematology at Amsterdam UMC, University of Amsterdam, and Chair of the HOVON CLL Working Group, where he leads one of Europe's most productive CLL clinical trial programs. Prof. Kater is internationally recognized as a central investigator in the development of venetoclax-based fixed-duration regimens for CLL, most prominently as a global principal investigator of the landmark MURANO trial (NEJM 2018), a phase III study of 389 patients with relapsed/refractory CLL demonstrating that venetoclax plus rituximab achieved dramatically superior PFS (HR 0.17; 2-year PFS 84.9% vs. 36.3%) and significantly superior OS versus bendamustine plus rituximab, with 62.4% of patients achieving undetectable MRD in peripheral blood. MURANO led to FDA and EMA approval of the venetoclax-rituximab combination and established MRD negativity as a clinically meaningful endpoint in CLL. Prof. Kater also led the GLOW trial (JCO 2022), evaluating ibrutinib plus venetoclax fixed-duration doublet versus chlorambucil plus obinutuzumab in older/unfit CLL patients, demonstrating ibrutinib-venetoclax superiority and establishing the concept of chemotherapy-free, fixed-duration combination therapy in this patient population. His laboratory has contributed importantly to understanding BCL-2 dependency, venetoclax resistance mechanisms, and the role of the anti-apoptotic landscape in CLL. Prof. Kater has authored over 250 publications and is a leading European voice in CLL clinical trial design.

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🧪Research Fields 研究领域

MURANO Trial — Venetoclax plus Rituximab in Relapsed CLL (Principal Investigator)MURANO试验——维奈托克联合利妥昔单抗治疗复发CLL(首席研究员)
GLOW Trial — Ibrutinib plus Venetoclax Fixed-Duration Doublet in Older CLLGLOW试验——伊布替尼联合维奈托克固定疗程治疗老年CLL
HOVON CLL Cooperative Group — Trial Design and LeadershipHOVON CLL合作组——试验设计与领导
CLL Resistance Mechanisms — BCL-2 Dependency and Venetoclax ResistanceCLL耐药机制——BCL-2依赖性与维奈托克耐药
Fixed-Duration MRD-Guided Therapy in CLL — Treatment Stopping RulesCLL中基于MRD的固定疗程治疗——停药规则

🎓Key Contributions 主要贡献

MURANO Trial — Venetoclax plus Rituximab in Relapsed CLL

Served as European and global principal investigator of the phase III MURANO trial (NEJM 2018) randomizing 389 patients with relapsed/refractory CLL to venetoclax plus rituximab (2 years) versus bendamustine plus rituximab (6 cycles), demonstrating dramatic superiority of venetoclax-rituximab in PFS (HR 0.17; 2-year PFS 84.9% vs. 36.3%), OS, ORR, and MRD negativity (62.4% uMRD in peripheral blood). MURANO established the first fixed-duration venetoclax regimen for CLL and led to FDA approval in 2018, representing a paradigm shift from continuous therapy to time-limited treatment achieving deep remissions.

GLOW Trial — Ibrutinib plus Venetoclax Fixed-Duration Doublet in Older CLL

Led the GLOW phase III trial (JCO 2022) comparing ibrutinib plus venetoclax (12 cycles fixed-duration) versus chlorambucil plus obinutuzumab in 211 patients aged ≥65 or younger with comorbidities, demonstrating ibrutinib-venetoclax superiority in uMRD rate (51.9% vs. 17.1% bone marrow uMRD; p<0.001) and PFS (HR 0.216; p<0.001), establishing the ibrutinib-venetoclax doublet as a chemotherapy-free, fixed-duration option for older/unfit CLL patients.

Venetoclax Resistance Mechanisms and BCL-2 Apoptotic Dependency in CLL

Led laboratory investigations into the mechanisms of venetoclax resistance in CLL, identifying acquired mutations in BCL2 (Gly101Val and others) as key resistance drivers, characterizing the shift in BCL-2 family dependency toward MCL-1 and BCL-XL at resistance, and defining how sequential or combination strategies targeting multiple anti-apoptotic proteins may overcome resistance. These mechanistic insights inform clinical strategies for post-venetoclax CLL.

MRD-Adaptive and Fixed-Duration Treatment Strategies in CLL

Designed and conducted HOVON investigator-initiated studies evaluating MRD-guided treatment stopping with venetoclax-based regimens in CLL, exploring whether deep uMRD can serve as a personalized stopping rule, and testing the feasibility of treatment rechallenge at MRD relapse. These studies advance the concept of individualized, response-adapted fixed-duration therapy as an alternative to continuous indefinite treatment.

Representative Works 代表性著作

[1]

Venetoclax plus Rituximab in Relapsed or Refractory Chronic Lymphocytic Leukemia (MURANO)

New England Journal of Medicine (2018)

Phase III MURANO trial establishing venetoclax plus rituximab fixed-duration therapy as superior to chemoimmunotherapy in relapsed CLL, with FDA approval and demonstration of durable MRD-negative remissions.

[2]

Ibrutinib plus venetoclax in previously untreated CLL (GLOW)

Journal of Clinical Oncology (2022)

GLOW trial establishing ibrutinib-venetoclax fixed-duration doublet superiority over chlorambucil-obinutuzumab in older/unfit CLL patients.

[3]

BCL2 mutations in venetoclax-refractory mantle cell lymphoma and CLL

Blood (2019)

Characterization of BCL2 Gly101Val and other mutations as mechanisms of acquired venetoclax resistance in CLL and other B-cell malignancies.

🏆Awards & Recognition 奖项与荣誉

🏆HOVON CLL Working Group Chair
🏆European Hematology Association (EHA) Young Investigator Award
🏆Amsterdam UMC Innovation in Science Award
🏆Leukemia & Lymphoma Society SCOR Investigator

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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