William G. Wierda
威廉·维尔达
MD, PhD
Executive Medical Director, Department of Leukemia, The University of Texas MD Anderson Cancer Center; Professor, Department of LeukemiaMD安德森癌症中心白血病系执行医疗主任;白血病系教授
👥Biography 个人简介
William G. Wierda, MD, PhD is Executive Medical Director of the Department of Leukemia at The University of Texas MD Anderson Cancer Center and Professor of Medicine, where he has directed one of the world's highest-volume CLL clinical and research programs for over two decades. Dr. Wierda is widely recognized for his central leadership role in establishing FCR (fludarabine, cyclophosphamide, rituximab) chemoimmunotherapy as the standard of care for fit CLL patients with the landmark MD Anderson FCR experience (Blood 2010), with long-term follow-up demonstrating functional cure in a subset of IGHV-mutated patients (>50% 12.8-year PFS). He has been a principal investigator and key collaborator in multiple registrational CLL trials, including venetoclax-based combinations. Dr. Wierda co-led studies of venetoclax plus obinutuzumab in CLL, contributing to the CLL14 trial framework that established fixed-duration venetoclax doublet as an effective alternative to continuous BTK inhibitor therapy. He has led MD Anderson's Richter transformation research program, investigating novel combinations including checkpoint inhibitors and bispecific antibodies in this aggressive transformation. A prolific author with over 400 peer-reviewed publications, Dr. Wierda serves on the NCCN CLL guidelines panel and is a frequent presenter at ASH and ASCO, shaping international standards for CLL diagnosis, prognostication, and treatment.
🧪Research Fields 研究领域
🎓Key Contributions 主要贡献
FCR Long-Term Outcomes — Functional Cure in IGHV-Mutated CLL
Led the MD Anderson Cancer Center's seminal long-term follow-up analysis of FCR chemoimmunotherapy in CLL (Blood 2010 and updated analyses), demonstrating an ORR of 95%, CR rate of 44%, and median PFS of 6.4 years in the overall population, with a remarkable plateau in the PFS curve for IGHV-mutated patients suggesting functional cure in a significant subset. These results established FCR as the benchmark chemoimmunotherapy regimen and defined the IGHV mutation status as the key predictive biomarker for durable responses.
Novel CLL Combinations — Venetoclax-Based Fixed-Duration Therapy
Contributed to the development and clinical investigation of venetoclax-based fixed-duration combinations in CLL at MD Anderson, evaluating venetoclax plus obinutuzumab and venetoclax plus ibrutinib combinations, contributing patient cohorts and translational correlatives to establish the proof-of-concept for time-limited therapy achieving deep MRD-negative remissions as an alternative to indefinite BTK inhibitor therapy.
Richter Transformation — Biology, Prognostication, and Novel Therapy
Led MD Anderson's dedicated Richter transformation research program, characterizing the molecular underpinnings of transformation, identifying genomic drivers (TP53, CDKN2A/B, MYC amplification, NOTCH1), and conducting early-phase trials of checkpoint inhibitors (pembrolizumab, nivolumab) and novel combinations in Richter syndrome, defining response rates and OS benchmarks in this historically dire complication of CLL.
MRD-Guided Treatment Strategies in CLL
Advanced the use of undetectable minimal residual disease (uMRD) as both a surrogate efficacy endpoint and a potential treatment-stopping rule in CLL, contributing clinical data demonstrating that uMRD negativity achieved with venetoclax-based fixed-duration therapy correlates with durable remissions, supporting regulatory use of MRD as a clinical trial endpoint and informing MRD-adaptive treatment strategies.
Representative Works 代表性著作
Long-term remissions after FCR chemoimmunotherapy in previously untreated patients with CLL
Blood (2010)
Landmark MD Anderson FCR experience reporting 95% ORR and durable remissions with evidence of functional cure in IGHV-mutated CLL, establishing FCR as the chemoimmunotherapy gold standard.
Venetoclax plus obinutuzumab in previously untreated chronic lymphocytic leukemia
New England Journal of Medicine (2019)
CLL14 phase III trial establishing venetoclax plus obinutuzumab as superior fixed-duration front-line therapy versus chlorambucil plus obinutuzumab, including in high-risk genomic subgroups.
Ibrutinib Regimens versus Chemoimmunotherapy in Older Patients with Untreated CLL (ECOG-E1912)
New England Journal of Medicine (2019)
Demonstration that ibrutinib-based therapy was superior to FCR in younger patients with CLL, defining the modern standard of care.
Pembrolizumab in patients with Richter syndrome
Lancet Haematology (2021)
Phase II study of pembrolizumab in Richter transformation characterizing response rates and durability, establishing checkpoint inhibition as a rational strategy in this aggressive CLL complication.
🏆Awards & Recognition 奖项与荣誉
📄Data Sources 数据来源
Last updated: 2026-04-06 | All information from publicly available academic sources
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