Evidence map›Paper›PMID 21498674›Full record

Trial reportBlood2011

Chemoimmunotherapy with O-FC in previously untreated patients with chronic lymphocytic leukemia.

William G Wierda, Thomas J Kipps, Jan Dürig, Laimonas Griskevicius, Stephan Stilgenbauer, Jirí Mayer, Lukás Smolej, Georg Hess, Rasa Griniute, Francisco J Hernandez-Ilizaliturri and 8 more

2 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Blood, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
9.0field-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.

NCT00410163 phase2completednot on this map

An Open-labeled, Randomized, Two-dose, Parallel Group Trial of Ofatumumab, a Fully Human Monoclonal Anti-CD20 Antibody, in Combination With Fludarabine and Cyclophosphamide, in Patients With Previously Untreated B-cell CLL

TypeinterventionalSponsorGlaxoSmithKlineRan2007 to 2013Enrolled61ConditionsLeukaemia, Lymphocytic, ChronicArmsOfatumumab 500mg, Ofatumumab 1000mg, Fludarabine, Cyclophosphamide
NCT04178798 phase3completednot on this mapstarted 2019, after this paper: background citation

Phase III Randomized Study to Investigate the Use of Acalabrutinib in the Treatment of Patients With Early Stage CLL With High Risk of Early Disease Progression

TypeinterventionalSponsorPETHEMA FoundationRan2019 to 2024Enrolled22ConditionsChronic Lymphocytic Leukemia- Binet Staging SystemArmsAcalabrutinib 100 MG Oral Capsule
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 120 citations in OpenAlex.

  1. Pooled it
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  9. Review
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  12. Advances in targeted therapy for malignant lymphoma.Signal transduction and targeted therapy · 2020
    Review
  13. Anti-CD20 monoclonal antibodies: reviewing a revolution.Human vaccines & immunotherapeutics · 2018
    Article
  14. Current Treatment of Chronic Lymphocytic Leukemia.Current treatment options in oncology · 2017
    Review
  15. Review
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  17. Review
  18. Article
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  20. Article
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

18 authors at 11 institutions in 5 countries.

William G WierdaThe University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX 77030, USA. wwierda@mdanderson.org.
Thomas J Kipps
Jan Dürig
Laimonas Griskevicius
Stephan Stilgenbauer
Jirí Mayer
Lukás Smolej
Georg Hess
Rasa Griniute
Francisco J Hernandez-Ilizaliturri
Swaminathan Padmanabhan
Michele Gorczyca
Chai-Ni Chang
Geoffrey Chan
Ira Gupta
Tina G Nielsen
Charlotte A Russell
407 Study Investigators
GlaxoSmithKline (United States) · USGenmab (Denmark) · DKRoswell Park Comprehensive Cancer Center · USEssen University Hospital · DEJohannes Gutenberg University Mainz · DEMoores Cancer CenterThe University of Texas MD Anderson Cancer Center · USUniversity Hospital Brno · CZUniversity Hospital Hradec Králové · CZUniversity Hospital Ulm · DEVilnius University Hospital Santariskiu Klinikos · LT

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
6 · The paper itself

Abstract

We conducted an international phase 2 trial to evaluate 2 dose levels of ofatumumab, a human CD20 mAb, combined with fludarabine and cyclophosphamide (O-FC) as frontline therapy for chronic lymphocytic leukemia (CLL). Patients with active CLL were randomized to ofatumumab 500 mg (n = 31) or 1000 mg (n = 30) day 1, with fludarabine 25 mg/m(2) and cyclophosphamide 250 mg/m(2) days 2-4, course 1; days 1-3, courses 2-6; every 4 weeks for 6 courses. The first ofatumumab dose was 300 mg for both cohorts. The median age was 56 years; 13% of patients had a 17p deletion; 64% had β2-microglobulin > 3.5 mg/L. Based on the 1996 National Cancer Institute Working Group (NCI-WG) guidelines, the complete response (CR) rate as assessed by an independent review committee was 32% for the 500-mg and 50% for the 1000-mg cohort; the overall response (OR) rate was 77% and 73%, respectively. Based on univariable regression analyses, β2-microglobulin and the number of O-FC courses were significantly correlated (P < .05) with CR and OR rates and progression-free survival (PFS). The most frequent Common Terminology Criteria (CTC) grade 3-4 investigator-reported adverse events were neutropenia (48%), thrombocytopenia (15%), anemia (13%), and infection (8%). O-FC is active and safe in treatment-naive patients with CLL, including high-risk patients. This trial was registered at www.clinicaltrials.gov as NCT00410163.

Indexed as

Antibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCombined Modality TherapyCyclophosphamideFemaleHumansImmunotherapyLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedNeoadjuvant TherapyTreatment OutcomeVidarabineAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCyclophosphamidefludarabineofatumumabVidarabine

Identifiers

PMID21498674
PMCPMC4916561
OpenAlexW2020671967

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.