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Real members of MyLeukemiaTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyLeukemiaTeam Member asked a question 💭
Clifton Forge, VA

I was diagnosed with CLL September 2020. They put me on Rituxan infusion 2x a year.i also have RA so Rituxan was drug of choice. RA went to remission but for the last year I’ve developed all symptoms of CLL. Weight loss, fatigue, more enlarged lymph nodes. Low appetite, cannot eat allot at one time.
My doctor wants to switch me to Brukinza but I am very nervous with new medication. I’m 74.

September 3
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A MyLeukemiaTeam Member

Thank you!

September 6
MyLeukemiaTeam

It's completely understandable to feel nervous about switching to a new medication, especially at 74. The symptoms being experienced — weight loss, fatigue, enlarged lymph nodes, and low appetite — are recognized signs that CLL may be progressing, which is likely why the doctor is recommending a change.

Brukinsa Show Full Answer

It's completely understandable to feel nervous about switching to a new medication, especially at 74. The symptoms being experienced — weight loss, fatigue, enlarged lymph nodes, and low appetite — are recognized signs that CLL may be progressing, which is likely why the doctor is recommending a change.

Brukinsa (zanubrutinib) belongs to a class of drugs called BTK inhibitors, which are a type of targeted therapy. Unlike traditional chemotherapy, targeted therapies are designed to attack cancer cells more directly by focusing on specific proteins inside leukemia cells. Here are some things worth knowing about Brukinsa as a targeted therapy:

- It works differently from Rituxan, targeting specific pathways that help CLL cells survive
- Targeted therapies like this tend to have a different — and sometimes more manageable — side effect profile compared to chemotherapy
- Common side effects can include fatigue, diarrhea, and increased infection risk
- It's important to discuss any concerns about tolerability with the doctor, especially regarding age-related considerations

It's worth having an open conversation with the oncologist about what to expect during the transition. Many MyLeukemiaTeam members have found that asking their care team detailed questions about side effects helped ease their anxiety about starting new treatments.

September 3

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