Evidence map›Paper›PMID 25596264›Full record

Trial reportHaematologica2015

Ofatumumab in poor-prognosis chronic lymphocytic leukemia: a phase IV, non-interventional, observational study from the European Research Initiative on Chronic Lymphocytic Leukemia.

Carol Moreno, Marco Montillo, Panayiotis Panayiotidis, Maria Dimou, Adrian Bloor, Jehan Dupuis, Anna Schuh, Stefan Norin, Christian Geisler, Peter Hillmen and 25 more

Open access · goldAbstract readClinical Trial, Phase IVObservational Study
In one paragraph

Trial report in Haematologica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.7field-weighted citation impact, top 5% 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, 40 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. New Pharmacotherapies in Chronic Lymphocytic Leukemia.P & T : a peer-reviewed journal for formulary management · 2017
    Article
  10. Current Treatment of Chronic Lymphocytic Leukemia.Current treatment options in oncology · 2017
    Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Review
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

35 authors at 20 institutions in 10 countries.

Carol MorenoHematology, Hospital Santa Creu i Sant Pau, Barcelona, Spain.
Marco MontilloNiguarda Ca' Granda Hospital, Milano, Italy.
Panayiotis Panayiotidis1 Department of Internal Medicine, University of Athens, Laikon General Hospital, Athens, Greece.
Maria Dimou1 Department of Internal Medicine, University of Athens, Laikon General Hospital, Athens, Greece.
Adrian BloorThe Christie NHS Foundation Trust, Manchester, UK.
Jehan DupuisHôpitaux Universitaire Henri Mondor, Créteil, France.
Anna SchuhChurchill Hospital, Oxford, UK.
Stefan NorinKarolinska University Hospital Huddinge, Stockholm, Sweden.
Christian GeislerRigshospitalet, Copenhagen, Denmark.
Peter HillmenSt. James's University Hospital, Leeds, UK.
Michael DoubekDepartment of Hematology and Oncology, University Hospital Brno, Brno, Czech Republic.
Marek TrněnýCharles University Hospital, Praha, Czech Republic.
Petra ObrtlikovaCharles University Hospital, Praha, Czech Republic.
Luca LaurentiCatholic University Sacred Heart, Rome, Italy.
Stephan StilgenbauerDepartment of Internal Medicine III, Ulm University, Germany.
Lukas SmolejUniversity Hospital Hradec Kralove, Czech Republic.
Paolo GhiaDepartment of Onco-Hematology, University Vita-Salute San Raffaele and Scientific Institut San Raffaele, Milano, Italy.
Florence CymbalistaHôpital Avicenne, Bobigny, France.
Ulrich JaegerHematology, Medical University of Vienna, Austria.
Kostas StamatopoulosG. Papanicolaou Hospital, Thessaloniki, Greece.
Niki StavroyianniG. Papanicolaou Hospital, Thessaloniki, Greece.
Patrick CarringtonHematology, Trafford General Hospital, Manchester, UK.
Hamadi ZouabiGroupe Hospitalier Pitié Salpêtrière, Paris, France.
Veronique LeblondGroupe Hospitalier Pitié Salpêtrière, Paris, France.
Juan C Gomez-GarciaHospital General de Albacete, Albacete, Spain.
Martin RubioHospital General de Albacete, Albacete, Spain.
Roberto MarascaPoliclinico di Modena, Italy.
Gerardo MusuracaIRST Meldola, Italy.
Luigi RigacciAzienda Ospedaliero Universitaria Careggi, Firenze, Italy.
Lucia FarinaFondazione IRCCS Istituto Nazionale Tumori, Milano, Italy.
Rossella PaoliniULSS 18-Rovigo Ospedale "S.Maria della Misericordia', Rovigo, Italy.
Sarka PospisilovaDepartment of Hematology and Oncology, University Hospital Brno, Brno, Czech Republic.
Eva KimbyKarolinska University Hospital Huddinge, Stockholm, Sweden.
Colm BradleydACRO Research & Education Group, University of Glasgow, UK.
Emili MontserratHematology, Hospital Clínic, Barcelona, Spain emontse@clinic.ub.es.
Charles University · CZG. Papanikolaou General Hospital · GRHospital General Universitario de Albacete · ESKarolinska University Hospital · SENational and Kapodistrian University of Athens · GRUniversity Hospital Brno · CZAzienda Ospedaliero-Universitaria Careggi · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITChurchill Hospital · GBFondazione IRCCS Istituto Nazionale dei Tumori · ITHôpital Avicenne · FRHôpitaux Universitaires Henri-Mondor · FRHospital Clínic de Barcelona · ESHospital de Sant Pau · ESMedical University of Vienna · ATOspedale Santa Maria della Misericordia di Rovigo · ITPitié-Salpêtrière Hospital · FRPoliclinico di Modena · ITRigshospitalet · DKSorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the largest retrospective, phase IV non-interventional, observational study of ofatumumab therapy in heavily pre-treated patients with poor-prognosis chronic lymphocytic leukemia. Total number of patients was 103; median age was 65 years (range 39-85). Median number of prior lines of therapy was 4 (range 1-13), including, in most cases, rituximab-, fludarabine- and alemtuzumab-based regimens; 13 patients had been allografted. Of 113 adverse events, 28 (29%) were considered to be directly related to ofatumumab. Grade 3-4 toxicities included neutropenia (10%), thrombocytopenia (5%), anemia (3%), pneumonia (17%), and fever (3%). Two heavily pre-treated patients developed progressive multifocal leukoencephalopathy. On an intention-to-treat analysis, the overall response rate was 22% (3 complete response, 1 incomplete complete response). Median progression-free and overall survival times were 5 and 11 months, respectively. This study confirms in a daily-life setting the feasibility and acceptable toxicity of ofatumumab treatment in advanced chronic lymphocytic leukemia. The complete response rate, however, was low. Therefore, treatment with ofatumumab should be moved to earlier phases of the disease. Ideally, this should be done in combination with other agents, as recently approved for ofatumumab plus chlorambucil as front-line treatment for patients unfit for fludarabine. This study is registered at clinicaltrials.gov identifier:01453062.

Indexed as

AdultAgedAged, 80 and overAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic AgentsDrug Administration ScheduleFemaleHumansLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedRemission InductionRetreatmentTreatment OutcomeAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Agentsofatumumab

Identifiers

PMID25596264
PMCPMC4380724
OpenAlexW2004456086

What OpenQuestion holds

Textmetadata
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.