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clinical / clinicalELEVATE TN acalabrutinib, second-generation BTK inhibitors, CLL genetics

Jennifer R. Brown

詹妮弗·布朗

MD, PhD

🏢Dana-Farber Cancer Institute / Harvard Medical School(丹娜-法伯癌症研究所 / 哈佛医学院)🌐USA

Director, CLL Center, Dana-Farber Cancer Institute; Associate Professor of Medicine, Harvard Medical School丹娜-法伯癌症研究所CLL中心主任;哈佛医学院医学副教授

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h-index
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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Jennifer R. Brown, MD, PhD is Director of the CLL Center at Dana-Farber Cancer Institute and Associate Professor of Medicine at Harvard Medical School, where she has established herself as one of the foremost clinical investigators in CLL with particular expertise in next-generation BTK inhibitors and CLL genomics. Dr. Brown was the principal investigator of the landmark ELEVATE TN trial (Lancet 2020), a phase III study in 535 previously untreated CLL patients demonstrating that acalabrutinib — a highly selective, covalent second-generation BTK inhibitor — was significantly superior to chlorambucil plus obinutuzumab, and acalabrutinib plus obinutuzumab provided additive benefit, leading to FDA approval of acalabrutinib in front-line CLL. She also led the ASCEND trial establishing acalabrutinib superiority over investigator's choice (idelalisib plus rituximab or bendamustine plus rituximab) in relapsed/refractory CLL. Dr. Brown has been a central investigator in defining the genomic landscape of CLL, characterizing how mutations in SF3B1, NOTCH1, TP53, BIRC3, and complex karyotype interact with treatment outcomes across novel targeted therapies. Her laboratory and clinical program have contributed substantially to understanding PI3K delta pathway signaling in CLL through idelalisib development, ibrutinib resistance mechanisms, and the immunological consequences of BTK and PI3K inhibition on the CLL immune microenvironment. Dr. Brown has authored over 300 publications and is a leading voice on CLL guidelines, toxicity management, and the comparative efficacy of novel agents.

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🧪Research Fields 研究领域

Acalabrutinib in CLL — ELEVATE TN and ASCEND Phase III Trials阿可替尼在CLL中的应用——ELEVATE TN和ASCEND三期试验
Second-Generation BTK Inhibitors — Acalabrutinib, Zanubrutinib Selectivity and Toxicity第二代BTK抑制剂——阿可替尼、泽布替尼的选择性与毒性
CLL Genomics — del(17p), TP53, SF3B1, NOTCH1, and Complex KaryotypeCLL基因组学——del(17p)、TP53、SF3B1、NOTCH1及复杂核型
PI3K Delta Inhibitors in CLL — Idelalisib Development and ToxicityPI3K δ抑制剂在CLL中的应用——艾代拉利司的开发与毒性
CLL Prognostic Biomarkers — IGHV, ZAP-70, CD38, and Genomic Risk StratificationCLL预后生物标志物——IGHV、ZAP-70、CD38及基因组风险分层

🎓Key Contributions 主要贡献

ELEVATE TN — Acalabrutinib Front-Line CLL, Phase III Principal Investigator

Served as global principal investigator of the ELEVATE TN phase III trial (Lancet 2020) randomizing 535 previously untreated CLL patients to acalabrutinib monotherapy, acalabrutinib plus obinutuzumab, or chlorambucil plus obinutuzumab, demonstrating that acalabrutinib-based arms achieved significantly superior PFS (HR 0.10 for Aca+Obi vs. Clb+Obi; p<0.0001) and significantly lower rates of atrial fibrillation and bleeding than historical ibrutinib data, supporting the regulatory approval of acalabrutinib for front-line CLL and establishing second-generation BTK inhibitor selectivity as clinically meaningful.

ASCEND Trial — Acalabrutinib vs. Standard Chemoimmunotherapy in Relapsed CLL

Led the ASCEND phase III trial (JCO 2020) demonstrating acalabrutinib superiority over investigator's choice (idelalisib plus rituximab or bendamustine plus rituximab) in 310 patients with relapsed/refractory CLL (PFS HR 0.31; p<0.0001), establishing acalabrutinib as a preferred BTK inhibitor option for relapsed CLL and contributing to FDA approval of acalabrutinib in this setting.

CLL Genomic Landscape and Prognostic Biomarker Integration

Led and contributed to multiple studies characterizing the prognostic and predictive impact of recurrent genomic alterations in CLL — del(17p), TP53 mutation, del(11q), trisomy 12, SF3B1, NOTCH1, BIRC3, and complex karyotype — across treatment settings, defining how these markers stratify outcomes with chemoimmunotherapy, BTK inhibitors, and venetoclax-based regimens, informing personalized treatment selection recommendations.

PI3K Delta Inhibition and Idelalisib in CLL

Conducted early-phase clinical and translational investigations of idelalisib, the first PI3K delta inhibitor approved in CLL, characterizing its mechanism of action, lymph node response and peripheral blood lymphocytosis redistribution pattern, response rates in high-risk populations, and immune-mediated toxicity profile (colitis, pneumonitis, hepatotoxicity), contributing to understanding of PI3K pathway dependencies in CLL and the safety profile that shaped clinical practice.

Representative Works 代表性著作

[1]

Acalabrutinib with or without obinutuzumab versus chlorambucil and obinutuzmab for treatment-naive chronic lymphocytic leukaemia (ELEVATE TN)

Lancet (2020)

Phase III ELEVATE TN trial establishing acalabrutinib superiority as front-line CLL therapy, leading to FDA approval and establishing the clinical relevance of BTK inhibitor selectivity.

[2]

Acalabrutinib versus idelalisib plus rituximab or bendamustine plus rituximab in relapsed/refractory CLL (ASCEND)

Journal of Clinical Oncology (2020)

Phase III ASCEND trial demonstrating acalabrutinib superiority over chemoimmunotherapy comparators in relapsed/refractory CLL.

[3]

Idelalisib, an inhibitor of phosphatidylinositol 3-kinase p110δ, for relapsed/refractory chronic lymphocytic leukemia

New England Journal of Medicine (2014)

Pivotal idelalisib plus rituximab phase III study establishing PI3K delta inhibition in CLL; Brown contributed to translational studies characterizing mechanistic and genomic correlatives.

🏆Awards & Recognition 奖项与荣誉

🏆American Society of Hematology (ASH) Abstract Achievement Award
🏆Dana-Farber Cancer Institute Clinical Investigator Award
🏆NCCN CLL Panel Member
🏆Harvard Medical School Faculty Excellence Award

📄Data Sources 数据来源

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

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