Evidence map›Paper›PMID 19626051›Full record

ReviewLeukemia2009

Management guidelines for the use of alemtuzumab in chronic lymphocytic leukemia.

A Osterborg, R Foà, R F Bezares, C Dearden, M J S Dyer, C Geisler, T S Lin, M Montillo, M H J van Oers, C-M Wendtner and 1 more

Open access · bronzeAbstract readReview
PubMed Publisher
In one paragraph

Review in Leukemia, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 89 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Novel and emerging targeted-based cancer therapy agents and methods.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2015
    Review
  11. New antibody approaches to lymphoma therapy.Journal of hematology & oncology · 2014
    Review
  12. Stability of alemtuzumab solutions at room temperature.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2013
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Treatment options for high-risk chronic lymphocytic leukaemia.Therapeutic advances in hematology · 2011
    Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 10 institutions in 7 countries.

A OsterborgDepartment of Hematology, Karolinska University Hospital, Stockholm, Sweden. anders.osterborg@karolinska.se
R Foà
R F Bezares
C Dearden
M J S Dyer
C Geisler
T S Lin
M Montillo
M H J van Oers
C-M Wendtner
K R Rai
Academic Medical Center · NLAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITInstitute of Cancer Research · GBKarolinska University Hospital · SELong Island Jewish Medical Center · USMRC Toxicology Unit · GBRigshospitalet · DKSapienza University of Rome · ITThe Ohio State University · USUniversity of Cologne · DE

Funding

Medical Research Council MC_U132670597
6 · The paper itself

Abstract

The consensus views of an expert roundtable meeting are presented as updated management guidelines for using alemtuzumab in chronic lymphocytic leukemia. Since the publication of previous management guidelines in 2004, clinical experience with alemtuzumab has grown significantly, especially regarding its efficacy and safety, management of cytomegalovirus (CMV) reactivation, identification of patient subgroups likely to benefit from alemtuzumab therapy and subcutaneous administration of alemtuzumab. The updated recommendations include (1) alemtuzumab monotherapy can be safely used as first-line therapy; (2) suitable patient subgroups for alemtuzumab therapy include elderly patients, patients with 17p deletion, patients with refractory autoimmune cytopenias and patients with profound pancytopenia at baseline due to heavily infiltrated bone marrow; (3) alemtuzumab treatment should be continued for 12 weeks (36 doses) whenever possible, and bone marrow examination may be considered at week 12 to evaluate response; (4) monitoring CMV reactivation by weekly PCR is mandated during therapy; when CMV reactivation becomes symptomatic or viremia increases, alemtuzumab therapy should be interrupted and anti-CMV therapy started; (5) subcutaneous administration is safe, easy to perform and appears equally effective compared with intravenous infusion and (6) our strong recommendation is that alemtuzumab combination therapy and consolidation therapy shall not be used outside carefully controlled clinical studies.

Indexed as

Practice Guidelines as TopicAlemtuzumabAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntibodies, NeoplasmAntineoplastic AgentsHumansLeukemia, Lymphocytic, Chronic, B-CellAlemtuzumabAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntibodies, NeoplasmAntineoplastic Agents

Identifiers

PMID19626051
OpenAlexW2141778028

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.