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Attacking BTK Inhibitor Resistance in Relapsed/Refractory B-Cell Cancers: Implementing Nursing Care Plans

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March 6, 2025
06:30 PM - 07:30 PM ET
Virtual
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  • Overview

    Oncology nurse professionals play a central role in the care of patients with B-cell malignancies, including diseases such as chronic lymphocytic leukemia (CLL) and mantle cell lymphoma (MCL). The nurse-patient partnership is particularly important as novel, orally administered agents, including the Bruton tyrosine kinase (BTK) inhibitor class of therapies, increasingly displace older, chemoimmunotherapy-based options. Although this transformation has substantially improved outcomes, several unmet medical needs have arisen in the wake of the many successes associated with the use of covalent BTK inhibitors. These challenges center on sequential care in the relapsed/refractory (R/R) disease setting. In addition, therapeutic intolerance and challenges involving adverse event management, BTK inhibitor resistance, and double-refractory status contribute to therapy interruption or discontinuation and abrogate clinical benefits associated with continued BTK inhibitor therapy, leading to subsequent care that is suboptimal due to a lack of effective treatment options.

    This educational activity will assist oncology nurse professionals with providing optimal care in an era defined by the emergence of BTK inhibitor–based treatment, including approaches to supporting personalized sequential management plans with novel and emerging BTK inhibitors based on strong foundational knowledge of BTK inhibitor binding and selectivity profiles, safety differences among agents, and the potential adaptation of treatment plans to account for drug resistance and therapeutic intolerance associated with covalent BTK agents. In addition, nurse professionals will glean strategies to prepare to educate patients about the unique differentiation factors between covalent and non-covalent BTK inhibitors, along with the benefits and risks of therapy, while also addressing core areas of nursing competency—from dosing/administration, adherence, and side effect management considerations to issues arising from the experience of longer-term therapy.

  • Program Schedule*

    • Introduction
    • Understanding the Differences Among BTK Inhibitors Used to Treat B-Cell Malignancies
    • The Evolution of BTK Inhibitor Resistance and/or Intolerance in Practice
    • Case-Based Learning Lab: Practical Nursing Considerations for Clinical Practice
    • Conclusion and Q&A

    *Subject to change

  • Disclosure of Relevant Financial Relationships

    AXIS Medical Education requires faculty, instructors, authors, planners, directors, managers, peer reviewers, and other individuals who are in a position to control the content of this activity to disclose all personal financial relationships they may have in the past 24 months with ineligible companies. An ineligible entity is any organization whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant financial relationships are identified and mitigated prior to initiation of the planning phase for an activity. 

    AXIS has mitigated and disclosed to learners all relevant financial relationships disclosed by staff, planners, faculty/authors, peer reviewers, or others in control of content for this activity. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation or activity. Disclosure information for faculty, authors, course directors, planners, peer reviewers, and/or relevant staff is provided with this activity.

    The faculty reported the following relevant financial relationships or relationships they have with ineligible companies of any amount during the past 24 months:

    Amy Goodrich, NP, has no real or apparent conflicts of interest to report.

    The directors, planners, managers, and peer reviewers reported the following financial relationships they have with any ineligible company of any amount during the past 24 months: Linda Gracie-King, MS; Jocelyn Timko, BS; and Marilyn L. Haas-Haseman, PhD, RN, CNS, ANP-BC hereby state that they do not have any financial relationships or relationships any ineligible company of any amount during the past 24 months. 

  • Learning Objectives

    At the conclusion of this activity, participants should be better able to:

    1. Compare and contrast the selectivity and mechanisms of action among the classes of BTK inhibitors, including off-target effects, therapeutic intolerance/resistance, and safety profiles
    2. Summarize clinical data and guidelines supporting the use of novel and emerging BTK inhibitor–based strategies for R/R CLL and MCL
    3. Educate patients about the differences and various side effect profiles associated with novel and emerging BTK inhibitors for R/R CLL and MCL, including the potential for intolerance and/or resistance to therapy
    4. Manage safety and medication adherence considerations related to BTK inhibitors in patients with B-cell malignancies
  • Target Audience

    This educational activity is designed for advanced practice nurses, clinical nurse specialists, nurse navigators, nurse managers, and other hematology/oncology nurses who are part of the interprofessional team responsible for the therapeutic management of patients with B-cell malignancies.

  • Accreditation and Credit Designation Statements

    In support of improving patient care, AXIS Medical Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    Credit Designation for Nursing
    AXIS Medical Education designates this continuing nursing education activity for 1.0 contact hour.

    Learners are advised that accredited status does not imply endorsement by the provider or ANCC of any commercial products displayed in conjunction with an activity.

    California Board of Registered Nursing
    AXIS is approved by the California Board of Registered Nursing, Provider Number 16702, for 1.0 contact hour.

    Iowa Board of Nursing
    AXIS is Iowa Board of Nursing approved provider number 371, for 1.0 contact hour.

  • Provider(s)/Educational Partner(s)

  • Commercial Support

    This activity is supported by an educational grant from Lilly.

  • Disclaimer

    Disclosure of Unlabeled Use 
    This educational activity may contain discussion of agents that are not approved for use by the FDA and/or investigational (“off-label”) uses of agents that are approved by the FDA. The planners of this activity do not recommend the use of any agent outside of its labeled indications.The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each agent for  information on its approved indications, contraindications, warnings, and other, related information.

    Disclaimer 
    Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. 

  • AXIS Contact Information

    For information about the certification of this activity, please contact AXIS at info@axismeded.com

    There is no fee for this educational activity.

  • System Requirements

    • Supported Browsers (2 most recent versions):
      • Google Chrome for Windows, Mac OS, iOS, and Android
      • Apple Safari for Mac OS and iOS
      • Mozilla Firefox for Windows, Mac OS, iOS, and Android
      • Microsoft Edge for Windows
    • Recommended Internet Speed: 5Mbps+

Details
Presenters
Comments
Recommended
  • Overview

    Oncology nurse professionals play a central role in the care of patients with B-cell malignancies, including diseases such as chronic lymphocytic leukemia (CLL) and mantle cell lymphoma (MCL). The nurse-patient partnership is particularly important as novel, orally administered agents, including the Bruton tyrosine kinase (BTK) inhibitor class of therapies, increasingly displace older, chemoimmunotherapy-based options. Although this transformation has substantially improved outcomes, several unmet medical needs have arisen in the wake of the many successes associated with the use of covalent BTK inhibitors. These challenges center on sequential care in the relapsed/refractory (R/R) disease setting. In addition, therapeutic intolerance and challenges involving adverse event management, BTK inhibitor resistance, and double-refractory status contribute to therapy interruption or discontinuation and abrogate clinical benefits associated with continued BTK inhibitor therapy, leading to subsequent care that is suboptimal due to a lack of effective treatment options.

    This educational activity will assist oncology nurse professionals with providing optimal care in an era defined by the emergence of BTK inhibitor–based treatment, including approaches to supporting personalized sequential management plans with novel and emerging BTK inhibitors based on strong foundational knowledge of BTK inhibitor binding and selectivity profiles, safety differences among agents, and the potential adaptation of treatment plans to account for drug resistance and therapeutic intolerance associated with covalent BTK agents. In addition, nurse professionals will glean strategies to prepare to educate patients about the unique differentiation factors between covalent and non-covalent BTK inhibitors, along with the benefits and risks of therapy, while also addressing core areas of nursing competency—from dosing/administration, adherence, and side effect management considerations to issues arising from the experience of longer-term therapy.

  • Program Schedule*

    • Introduction
    • Understanding the Differences Among BTK Inhibitors Used to Treat B-Cell Malignancies
    • The Evolution of BTK Inhibitor Resistance and/or Intolerance in Practice
    • Case-Based Learning Lab: Practical Nursing Considerations for Clinical Practice
    • Conclusion and Q&A

    *Subject to change

  • Disclosure of Relevant Financial Relationships

    AXIS Medical Education requires faculty, instructors, authors, planners, directors, managers, peer reviewers, and other individuals who are in a position to control the content of this activity to disclose all personal financial relationships they may have in the past 24 months with ineligible companies. An ineligible entity is any organization whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant financial relationships are identified and mitigated prior to initiation of the planning phase for an activity. 

    AXIS has mitigated and disclosed to learners all relevant financial relationships disclosed by staff, planners, faculty/authors, peer reviewers, or others in control of content for this activity. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation or activity. Disclosure information for faculty, authors, course directors, planners, peer reviewers, and/or relevant staff is provided with this activity.

    The faculty reported the following relevant financial relationships or relationships they have with ineligible companies of any amount during the past 24 months:

    Amy Goodrich, NP, has no real or apparent conflicts of interest to report.

    The directors, planners, managers, and peer reviewers reported the following financial relationships they have with any ineligible company of any amount during the past 24 months: Linda Gracie-King, MS; Jocelyn Timko, BS; and Marilyn L. Haas-Haseman, PhD, RN, CNS, ANP-BC hereby state that they do not have any financial relationships or relationships any ineligible company of any amount during the past 24 months. 

  • Learning Objectives

    At the conclusion of this activity, participants should be better able to:

    1. Compare and contrast the selectivity and mechanisms of action among the classes of BTK inhibitors, including off-target effects, therapeutic intolerance/resistance, and safety profiles
    2. Summarize clinical data and guidelines supporting the use of novel and emerging BTK inhibitor–based strategies for R/R CLL and MCL
    3. Educate patients about the differences and various side effect profiles associated with novel and emerging BTK inhibitors for R/R CLL and MCL, including the potential for intolerance and/or resistance to therapy
    4. Manage safety and medication adherence considerations related to BTK inhibitors in patients with B-cell malignancies
  • Target Audience

    This educational activity is designed for advanced practice nurses, clinical nurse specialists, nurse navigators, nurse managers, and other hematology/oncology nurses who are part of the interprofessional team responsible for the therapeutic management of patients with B-cell malignancies.

  • Accreditation and Credit Designation Statements

    In support of improving patient care, AXIS Medical Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    Credit Designation for Nursing
    AXIS Medical Education designates this continuing nursing education activity for 1.0 contact hour.

    Learners are advised that accredited status does not imply endorsement by the provider or ANCC of any commercial products displayed in conjunction with an activity.

    California Board of Registered Nursing
    AXIS is approved by the California Board of Registered Nursing, Provider Number 16702, for 1.0 contact hour.

    Iowa Board of Nursing
    AXIS is Iowa Board of Nursing approved provider number 371, for 1.0 contact hour.

  • Provider(s)/Educational Partner(s)

  • Commercial Support

    This activity is supported by an educational grant from Lilly.

  • Disclaimer

    Disclosure of Unlabeled Use 
    This educational activity may contain discussion of agents that are not approved for use by the FDA and/or investigational (“off-label”) uses of agents that are approved by the FDA. The planners of this activity do not recommend the use of any agent outside of its labeled indications.The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each agent for  information on its approved indications, contraindications, warnings, and other, related information.

    Disclaimer 
    Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. 

  • AXIS Contact Information

    For information about the certification of this activity, please contact AXIS at info@axismeded.com

    There is no fee for this educational activity.

  • System Requirements

    • Supported Browsers (2 most recent versions):
      • Google Chrome for Windows, Mac OS, iOS, and Android
      • Apple Safari for Mac OS and iOS
      • Mozilla Firefox for Windows, Mac OS, iOS, and Android
      • Microsoft Edge for Windows
    • Recommended Internet Speed: 5Mbps+

Schedule5 Mar 2025