Evidence map›Paper›PMID 23940282›Full record

Trial reportBlood2013

Egress of CD19(+)CD5(+) cells into peripheral blood following treatment with the Bruton tyrosine kinase inhibitor ibrutinib in mantle cell lymphoma patients.

Betty Y Chang, Michelle Francesco, Martin F M De Rooij, Padmaja Magadala, Susanne M Steggerda, Min Mei Huang, Annemieke Kuil, Sarah E M Herman, Stella Chang, Steven T Pals and 5 more

2 registry-linked trialsOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2013. 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 116 papers.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed
12.3field-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.

NCT00114738 phase2completednot on this map

Randomized Phase II Study of Dose-Adjusted EPOCH-Rituximab-Bortezomib (EPOCH-R-B) Induction Followed by Bortezomib Maintenance Versus Observation in Untreated Mantle Cell Lymphoma With Microarray Profiling and Proteomics

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2005 to 2022Enrolled53ConditionsLymphoma, Mantle Cell, Mantle Cell LymphomaArmsRituximab (R), EPOCH, Bortezomib (B), Bortezomib, Bortezomib or observation
NCT03702725 phase1completednot on this mapstarted 2019, after this paper: background citation

A Phase I Study of Ibrutinib (PCI-32765) in Combination With Revlimid/Dexamethasone (Rd) in Relapsed/Refractory Multiple Myeloma

TypeinterventionalSponsorAlliance Foundation Trials, LLC.Ran2019 to 2024Enrolled14ConditionsRefractory Multiple Myeloma, Multiple Myeloma in Relapse, Multiple MyelomaArmsIbrutinib, Lenalidomide, Dexamethasone
3 · Its place in the literature

Who cites it

116 citing papers in PubMed, 205 citations in OpenAlex.

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  20. Zanubrutinib in Mantle Cell Lymphoma Management: A Comprehensive Review.Blood and lymphatic cancer : targets and therapy · 2023
    Review

56 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

15 authors at 4 institutions in 2 countries.

Betty Y ChangResearch Department, Pharmacyclics, Inc., Sunnyvale, CA;
Michelle Francesco
Martin F M De Rooij
Padmaja Magadala
Susanne M Steggerda
Min Mei Huang
Annemieke Kuil
Sarah E M Herman
Stella Chang
Steven T Pals
Wyndham Wilson
Adrian Wiestner
Marcel Spaargaren
Joseph J Buggy
Laurence Elias
Pharmacyclics (United States) · USAcademic Medical Center · NLNational Institutes of Health · USNational Heart Lung and Blood Institute · US

Funding

Tumor microenvironment in CLL and MCL: pathogenesis, targets, and therapyZIAHL002346 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI WIESTNER, ADRIAN U · 2009 to 2025
$29.8M
Novel therapies for Mantle Cell Lymphoma: targets, mechanisms, and prognosisZIAHL005076 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI WIESTNER, ADRIAN U · 2009 to 2019
$3.2M
Intramural NIH HHS
6 · The paper itself

Abstract

Ibrutinib (PCI-32765) is a highly potent oral Bruton tyrosine kinase (BTK) inhibitor in clinical development for treating B-cell lymphoproliferative diseases. Patients with chronic lymphocytic leukemia (CLL) often show marked, transient increases of circulating CLL cells following ibrutinib treatments, as seen with other inhibitors of the B-cell receptor (BCR) pathway. In a phase 1 study of ibrutinib, we noted similar effects in patients with mantle cell lymphoma (MCL). Here, we characterize the patterns and phenotypes of cells mobilized among patients with MCL and further investigate the mechanism of this effect. Peripheral blood CD19(+)CD5(+) cells from MCL patients were found to have significant reduction in the expression of CXCR4, CD38, and Ki67 after 7 days of treatment. In addition, plasma chemokines such as CCL22, CCL4, and CXCL13 were reduced 40% to 60% after treatment. Mechanistically, ibrutinib inhibited BCR- and chemokine-mediated adhesion and chemotaxis of MCL cell lines and dose-dependently inhibited BCR, stromal cell, and CXCL12/CXCL13 stimulations of pBTK, pPLCγ2, pERK, or pAKT. Importantly, ibrutinib inhibited migration of MCL cells beneath stromal cells in coculture. We propose that BTK is essential for the homing of MCL cells into lymphoid tissues, and its inhibition results in an egress of malignant cells into peripheral blood. This trial was registered at www.clinicaltrials.gov as #NCT00114738.

Indexed as

AdenineAntigens, CD19Antineoplastic AgentsBlotting, WesternB-LymphocytesCD5 AntigensCell AdhesionChemotaxis, LeukocyteFlow CytometryHumansLymphoma, Mantle-CellPiperidinesProtein Kinase InhibitorsPyrazolesPyrimidinesAdenineAntigens, CD19Antineoplastic AgentsCD5 AntigensibrutinibPiperidinesProtein Kinase InhibitorsPyrazolesPyrimidines

Identifiers

PMID23940282
PMCPMC3790509
OpenAlexW2013909810

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.