Evidence map›Paper›PMID 23867058›Full record

ArticleLeukemia research2013

Cyclophosphamide, alvocidib (flavopiridol), and rituximab, a novel feasible chemoimmunotherapy regimen for patients with high-risk chronic lymphocytic leukemia.

Deborah M Stephens, Amy S Ruppert, Kami Maddocks, Leslie Andritsos, Robert Baiocchi, Jeffrey Jones, Amy J Johnson, Lisa L Smith, Yuan Zhao, Yonghua Ling and 5 more

Open access · greenAbstract readClinical Trial, Phase I
In one paragraph

Article in Leukemia research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. CDK9 inhibitors in multiple myeloma: a review of progress and perspectives.Medical oncology (Northwood, London, England) · 2022
    Review
  6. Review
  7. Overview of CDK9 as a target in cancer research.Cell cycle (Georgetown, Tex.) · 2016
    Review
  8. Article
  9. Review
  10. New strategies in chronic lymphocytic leukemia: shifting treatment paradigms.Clinical cancer research : an official journal of the American Association for Cancer Research · 2014
    Review
  11. Review
  12. Review
  13. Managing Tumor Lysis Syndrome in the Era of Novel Cancer Therapies.Journal of the advanced practitioner in oncology
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Deborah M StephensDivision of Hematology, Department of Internal Medicine, The Ohio State University, Columbus, OH 43210, United States. deborah.stephens@osumc.edu
Amy S Ruppert
Kami Maddocks
Leslie Andritsos
Robert Baiocchi
Jeffrey Jones
Amy J Johnson
Lisa L Smith
Yuan Zhao
Yonghua Ling
Junan Li
Mitch A Phelps
Michael R Grever
John C Byrd
Joseph M Flynn
The Ohio State University · US

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Jennifer A. Woyach · 1985 to 2026
$132.3M
Tissue CoreP01CA081534 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KIPPS, THOMAS J · 2000 to 2016
$59.5M
Translational Training Grant in Experimental TherapeuticsK12CA133250 · NCI · OHIO STATE UNIVERSITY · PI WILLIAM E. CARSON, Rosa Lapalombella · 2008 to 2026
$15.0M
SPORE Leukemia Tissue BankP50CA140158 · NCI · OHIO STATE UNIVERSITY · PI MARCUCCI, GUIDO · 2009 to 2013
$11.2M
NCI NIH HHS K12 CA133250NCI NIH HHS P01 CA081534NCI NIH HHS P30 CA016058NCI NIH HHS P50 CA140158
6 · The paper itself

Abstract

Alvocidib has demonstrated efficacy in high-risk chronic lymphocytic leukemia (CLL) patients. In this phase I study, we combined cyclophosphamide, alvocidib and rituximab (CAR) in a schema designed to mitigate tumor lysis syndrome (TLS) seen previously with alvocidib. Nine nucleoside analog-naïve, high-risk patients received escalating doses of CAR therapy. Dose limiting toxicity was not experienced. No instances of TLS were observed. Patient responses included three complete remissions and four partial remissions. CAR was tolerable and active in high-risk CLL patients without TLS toxicity. With continued monitoring of toxicities, a phase Ib/II study of this combination as frontline therapy is warranted.

Indexed as

AdultAgedAntibodies, Monoclonal, Murine-DerivedAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideFemaleFlavonoidsHumansLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedNeoplasm StagingPiperidinesRituximabTreatment OutcomealvocidibAntibodies, Monoclonal, Murine-DerivedCyclophosphamideFlavonoidsPiperidinesRituximabAlvocidibB2Mbeta 2 microglobulinCARCDKChemoimmunotherapychronic lymphocytic leukemiaChronic lymphocytic leukemiaCLLcomplete responseCRCRScyclin-dependent kinaseCyclin-dependent kinase inhibitorcyclophophamide, alvocidib, rituximabcytokine release syndromeDel(11q)Del(17p)DLTdose limiting toxicityEastern Cooperative Oncology GroupECOGFC(R)Flavopiridolfludarabine, cyclophosphamide, (rituximab)High-risk cytogeneticsIgV(H)immunoglobulin heavy chain variable regionmaximum tolerated doseMTDNational Cancer InstituteNCIORROSoverall response rateoverall survivalPDPFSpharmacokineticPKprogression-free survivalprogressive diseaseTLStumor lysis syndromeWBCwhite blood cell

Identifiers

PMID23867058
PMCPMC3934299
OpenAlexW2162302387

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.