The standard treatment for physically fit and young patients with advanced chronic lymphocyticleukemia (CLL) and genetic risk factors is the chemoimmunotherapy (CIT) regimen of fludarabine+ cyclophosphamide + rituximab or bendamustine + rituximab, especially in many Europeancountries, where the continuous treatment with Bruton tyrosine kinase inhibitors (BTKi), such asibrutinib, is approved but not reimbursed.1 In unfit patients, trials have shown greater improvementsin progression-free survival (PFS) with venetoclax + obinutuzumab as a time-limited therapycompared with chlorambucil + obinutuzumab.1 Other phase 2 trials also demonstrated remarkableimprovements in the undetectable minimal residual disease (MRD) rates with the triple combinationconsisting of adding BTKi to venetoclax + obinutuzumab.1