Evidence map›Paper›PMID 21812019›Full record

Trial reportAmerican journal of hematology2011

Inflammation, TNFα and endothelial dysfunction link lenalidomide to venous thrombosis in chronic lymphocytic leukemia.

Georg Aue, Jay Nelson Lozier, Xin Tian, Ann M Cullinane, Susan Soto, Leigh Samsel, Philip McCoy, Adrian Wiestner

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

Trial report in American journal of hematology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Analysis of risk factors for recurrence of deep venous thrombosis in lower extremities.Medical science monitor : international medical journal of experimental and clinical research · 2014
    Article
  15. Observational
  16. Review
  17. Lenalidomide and chronic lymphocytic leukemia.BioMed research international · 2013
    Review
  18. 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

8 authors at 4 institutions in 1 country.

Georg AueHematology Branch, NHLBI, NIH, Bethesda, Maryland 20892-1202, USA.
Jay Nelson Lozier
Xin Tian
Ann M Cullinane
Susan Soto
Leigh Samsel
Philip McCoy
Adrian Wiestner
National Institutes of Health · USNational Institutes of Health Clinical Center · USCancer Research And Biostatistics · USNational Heart Lung and Blood Institute · US

Funding

Immunotherapy of low grade lymphoid malignanciesZIAHL006070 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI WIESTNER, ADRIAN U · 2010 to 2025
$15.9M
Intramural NIH HHS ZIA HL006070
6 · The paper itself

Abstract

Patients receiving lenalidomide are at an increased risk for deep venous thrombosis (DVT). Here, we prospectively investigated the DVT risk in patients with relapsed chronic lymphocytic leukemia (CLL) treated with lenalidomide (n = 32). Five patients developed six incidents of DVT over 1 year for an annual incidence of 16%. Three of these were considered drug-related. Median time to DVT was 105 days (range 56-259 days). No pulmonary embolism was detected. Hypercoagulability screen before study entry was negative in all patients who subsequently developed DVTs. Compared to normal volunteers CLL patients had increased baseline levels of D-dimer, thrombin-antithrombin, soluble vascular endothelial adhesion molecule 1 (sVCAM-1), and thrombomodulin (p < 0.001). After 1 week on lenalidomide D-dimer, thrombomodulin, sVCAM-1, factor VIII, TNFα, and C-reactive protein were significantly increased while protein C was decreased (p < 0.001). In patients with lenalidomide-related DVTs, TNFα, and sVCAM-1 were more strongly upregulated than in all other patients (p < 0.05) and TNFα and sVCAM-1 levels were significantly correlated (r = 0.65, p < 0.001). These data link lenalidomide associated DVTs with TNFα upregulation and endothelial cell dysfunction and suggest that aspirin may have a role for DVT prophylaxis in these patients.

Indexed as

AdultAgedBlood CoagulationEndothelium, VascularFemaleHumansInflammationLenalidomideLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedProspective StudiesRisk FactorsThalidomideTumor Necrosis Factor-alphaUp-RegulationLenalidomideThalidomideTumor Necrosis Factor-alpha

Identifiers

PMID21812019
PMCPMC3414537
OpenAlexW2090171247

What OpenQuestion holds

Textmetadata
LicenceTDM
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.