TP53 and B-cell chronic lymphocytic leukemia: However, the recent introduction of targeted oral agents, including BTK and BCL2 inhibitors (ibrutinib, acalabrutinib and venetoclax), alone or in combination with monoclonal antibodies (rituximab or obinutuzumab) have demonstrated considerable efficacy in the front-line treatment of patients with CLL with U-IGHV and high-risk cytogenetic biomarkers (del(11q) and del(17p)/TP53 mutation) [11–13].