Evidence map›Paper›PMID 25769620›Full record

ArticleBlood2015

Obinutuzumab plus fludarabine/cyclophosphamide or bendamustine in the initial therapy of CLL patients: the phase 1b GALTON trial.

Jennifer R Brown, Susan O'Brien, C Daniel Kingsley, Herbert Eradat, John M Pagel, James Lymp, Jamie Hirata, Thomas J Kipps

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01300247 (An Open-Label, Multicenter, Phase Ib Trial of GA101), which is not on this map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
8.0field-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.

NCT01300247 phase1completednot on this map

An Open-Label, Multicenter, Phase Ib Trial of GA101 (RO5072759) in Combination With Chemotherapy in Patients With Previously Untreated Chronic Lymphocytic Leukemia

TypeinterventionalSponsorGenentech, Inc.Ran2011 to 2015Enrolled41ConditionsLymphocytic Leukemia, ChronicArmsFludarabine, Obinutuzumab, Bendamustine, Cyclophosphamide
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 73 citations in OpenAlex.

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  18. Frontline Therapy of CLL: Evolving Treatment Paradigm.Current hematologic malignancy reports · 2018
    Review
  19. Review
  20. Anti-CD20 monoclonal antibodies: reviewing a revolution.Human vaccines & immunotherapeutics · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Jennifer R BrownDana-Farber Cancer Institute, Boston, MA; CLL Research Consortium;
Susan O'BrienUniversity of Texas MD Anderson Cancer Center, Houston, TX;
C Daniel KingsleyClearview Cancer Institute, Huntsville, AL;
Herbert EradatUniversity of California, Los Angeles, Los Angeles, CA;
John M PagelFred Hutchinson Cancer Research Center and Department of Medicine, University of Washington, Seattle, WA;
James LympGenentech, Inc., South San Francisco, CA; and.
Jamie HirataGenentech, Inc., South San Francisco, CA; and.
Thomas J KippsCLL Research Consortium; Moores Cancer Center, University of California San Diego, La Jolla, CA.
Clearview Cancer Institute · USDana-Farber Cancer Institute · USFred Hutch Cancer Center · USThe University of Texas MD Anderson Cancer Center · USUniversity of California, Los Angeles · USUniversity of California, San Diego · US

Funding

Tissue CoreP01CA081534 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KIPPS, THOMAS J · 2000 to 2016
$59.5M
NCI NIH HHS P01 CA081534
6 · The paper itself

Abstract

Obinutuzumab is a type 2, glycoengineered, anti-CD20 antibody recently approved with chlorambucil for the initial therapy of chronic lymphocytic leukemia (CLL). In this nonrandomized, parallel-cohort, phase 1b, multicenter study, we explored the safety and preliminary efficacy of obinutuzumab-bendamustine (G-B) or obinutuzumab fludarabine cyclophosphamide (G-FC) for the therapy of previously untreated fit patients with CLL. Patients received up to 6 cycles of G-B (n = 20) or G-FC (n = 21). The primary end point was safety, with infusion-related reactions (88%, grade 3-4 20%) being the most common adverse event and grade 3-4 neutropenia in 55% on G-B and 48% on G-FC. Mean cycles completed were 5.7 for G-B and 5.1 for G-FC, with 2 and 7 early discontinuations, respectively. The objective response rate (ORR) for G-B was 90% (18/20) with 20% complete response (CR) and 25% CR with incomplete marrow recovery (CRi). The ORR for G-FC was 62% (13/21), with 10% CR and 14% CRi, including 4 patients not evaluable. With a median follow-up of 23.5 months in the G-B cohort and 20.7 months in the G-FC cohort, no patient has relapsed or died. We conclude that obinutuzumab with either B or FC shows manageable toxicity and has promising activity. This study was registered at www.clinicaltrials.gov as #NCT01300247.

Indexed as

AdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBendamustine HydrochlorideCyclophosphamideFemaleHumansLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedNeoadjuvant TherapyNitrogen Mustard CompoundsTreatment OutcomeVidarabineAntibodies, Monoclonal, HumanizedBendamustine HydrochlorideCyclophosphamidefludarabineNitrogen Mustard CompoundsobinutuzumabVidarabine

Identifiers

PMID25769620
PMCPMC4416529
OpenAlexW1981177563

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.