17p- mutation, containing p53 locus, major predictor poor outcome in CLL, but lack clarity how specific this mutation influence cancer progression
Mouse model of B-CLL (Eµ-TCL1) with fludarabine as cytotoxic treatment
Finding: fludarabine based therapies may have negative transformational impact on CLL progression if they have p53 mutations
Ibrutinib: superior treatment option compared to fludarabine when p53 mutations are present.