Evidence map›Paper›PMID 21402714›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2011

Phase II study of dasatinib in relapsed or refractory chronic lymphocytic leukemia.

Philip C Amrein, Eyal C Attar, Tak Takvorian, Ephraim P Hochberg, Karen K Ballen, Kathleen M Leahy, David C Fisher, Ann S Lacasce, Eric D Jacobsen, Philippe Armand and 4 more

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
11.4field-weighted citation impact, top 1% 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

61 citing papers in PubMed, 122 citations in OpenAlex.

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  8. Oncology letters · 2021
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  15. Drug-perturbation-based stratification of blood cancer.The Journal of clinical investigation · 2018
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1 more citing papers are in PubMed but not listed here.

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

14 authors at 2 institutions in 1 country.

Philip C AmreinMassachusetts General Hospital Cancer Center, Medical Oncology and Department of Biostatistics, Dana-Farber Cancer Institute, Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Eyal C Attar
Tak Takvorian
Ephraim P Hochberg
Karen K Ballen
Kathleen M Leahy
David C Fisher
Ann S Lacasce
Eric D Jacobsen
Philippe Armand
Robert P Hasserjian
Lillian Werner
Donna Neuberg
Jennifer R Brown
Dana-Farber Cancer Institute · USMassachusetts General Hospital · US

Funding

Genetic Alterations in Families with Multiple LymphomasK23CA115682 · NCI · DANA-FARBER CANCER INSTITUTE · PI BROWN, JENNIFER R · 2005 to 2009
$754k
NCI NIH HHS K23 CA115682
6 · The paper itself

Abstract

purposeChronic lymphocytic leukemia (CLL) cells treated with dasatinib in vitro undergo apoptosis via inhibition of Lyn kinase. Thus, in this study we tested the activity of dasatinib in patients with relapsed CLL. EXPERIMENTAL

designPatients were eligible for this phase II trial if they had documented CLL/SLL and had failed at least 1 prior therapy with a fludarabine-containing regimen and if they required therapy according to NCI-WG criteria. The starting dose of dasatinib was 140 mg daily.

resultsFifteen patients were enrolled, with a median age of 59 and a median of 3 prior regimens. All patients had received fludarabine, and 5 were fludarabine-refractory. Eleven of the 15 (73%) had high risk del(11q) or del(17p) cytogenetics. The primary toxicity was myelosuppression, with grade 3 or 4 neutropenia and thrombocytopenia in 10 and 6 patients, respectively. Partial responses by NCI-WG criteria were achieved in 3 of the 15 patients (20%; 90% CI: 6-44). Among the remaining 12 patients, 5 had nodal responses by physical exam, and 1 patient had a nodal and lymphocyte response but with severe myelosuppression. Pharmacodynamic studies indicated apoptosis in peripheral blood CLL cells within 3 to 6 hours after dasatinib administration, associated with downregulation of Syk (spleen tyrosine kinase) mRNA.

conclusionsDasatinib as a single agent has activity in relapsed and refractory CLL.

Indexed as

Drug Resistance, NeoplasmAdultAgedAntineoplastic AgentsDasatinibFemaleHumansLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedPyrimidinesRadiography, AbdominalRecurrenceThiazolesTomography, X-Ray ComputedAntineoplastic AgentsDasatinibPyrimidinesThiazoles

Identifiers

PMID21402714
PMCPMC3108904
OpenAlexW2168215118

What OpenQuestion holds

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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.