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4 versus 72. 9 at three years; hazard ratio for progression or death, 0. 35; 95 CI, 0. 22 to 0. 56; P 0. 001, and the results met the protocol-defined efficacy threshold for the interim analysis. Overall survival also favored ibrutinib-rituximab over standard therapy 98. 8 versus 91. 5 at 3 years; hazard ratio for death, 0.