Evidence map›Paper›PMID 26116658›Full record

Trial reportBlood2015

Safety and activity of BTK inhibitor ibrutinib combined with ofatumumab in chronic lymphocytic leukemia: a phase 1b/2 study.

Samantha M Jaglowski, Jeffrey A Jones, Veena Nagar, Joseph M Flynn, Leslie A Andritsos, Kami J Maddocks, Jennifer A Woyach, Kristie A Blum, Michael R Grever, Kelly Smucker and 11 more

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report 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 NCT01217749 (An Open-label, Phase 1b/2, Safety and Efficacy Study of the Bruton's Tyrosine Kinase), which is not on this map. Cited by 56 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT01217749 phase1 / phase2completednot on this map

An Open-label, Phase 1b/2, Safety and Efficacy Study of the Bruton's Tyrosine Kinase (Btk) Inhibitor, PCI-32765, and Ofatumumab in Subjects With Relapsed/Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma and Prolymphocytic Leukemia

TypeinterventionalSponsorPharmacyclics LLC.Ran2010 to 2014Enrolled71ConditionsB-cell Chronic Lymphocytic Leukemia, Small Lymphocytic Lymphoma, Prolymphocyctic Leukemia, Richter's TransformationArmsPCI-32765, ofatumumab
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Safe handling of oral antineoplastic medications: Focus on targeted therapeutics in the home setting.Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners · 2017
    Pooled it
  5. Trial
  6. Trial
  7. BTKJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2017
    Trial
  8. Trial
  9. Review
  10. Review
  11. Article
  12. Review
  13. Richter's Transformation.Current oncology reports · 2022
    Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. 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

21 authors.

Samantha M JaglowskiDivision of Hematology, Department of Medicine.ORCID http://orcid.org/0000-0002-4335-2554
Jeffrey A JonesDivision of Hematology, Department of Medicine.
Veena NagarDepartment of Radiology, and.
Joseph M FlynnDivision of Hematology, Department of Medicine.
Leslie A AndritsosDivision of Hematology, Department of Medicine.
Kami J MaddocksDivision of Hematology, Department of Medicine.
Jennifer A WoyachDivision of Hematology, Department of Medicine.
Kristie A BlumDivision of Hematology, Department of Medicine.
Michael R GreverDivision of Hematology, Department of Medicine.
Kelly SmuckerDivision of Hematology, Department of Medicine.
Amy S RuppertDivision of Hematology, Department of Medicine.
Nyla A HeeremaDepartment of Pathology, The Ohio State University, Columbus, OH; and.
Gerard LozanskiDepartment of Pathology, The Ohio State University, Columbus, OH; and.
Mona StefanosDivision of Hematology, Department of Medicine.
Brian MunnekePharmacyclics, Inc., Sunnyvale, CA.
Jamie-Sue WestPharmacyclics, Inc., Sunnyvale, CA.
Jutta K NeuenburgPharmacyclics, Inc., Sunnyvale, CA.
Danelle F JamesPharmacyclics, Inc., Sunnyvale, CA.
Nathan HallDepartment of Radiology, and.
Amy J JohnsonDivision of Hematology, Department of Medicine.
John C ByrdDivision of Hematology, Department of Medicine.

Funding

Tissue CoreP01CA081534 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI WIERDA, WILLIAM GEORGE · 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 BLOOMFIELD, CLARA D · 2009 to 2013
$11.2M
NCI NIH HHS K12 CA133250NCI NIH HHS P01 CA081534NCI NIH HHS P50 CA140158
6 · The paper itself

Abstract

Ibrutinib represents a therapeutic advance in chronic lymphocytic leukemia (CLL) but as monotherapy produces few complete remissions in previously treated patients. Anti-CD20 antibodies have improved response and progression-free survival (PFS) when combined with chemotherapy. We evaluated the safety and activity of adding ofatumumab to ibrutinib in 3 different administration sequences. Patients with CLL/small lymphocytic lymphoma (SLL), prolymphocytic leukemia, or Richter's transformation who failed ≥2 prior therapies were enrolled. Patients received ibrutinib 420 mg daily and 12 doses of ofatumumab 300/2000 mg in 3 schedules: ibrutinib lead-in (group 1; n = 27), concurrent start (group 2; n = 20), or ofatumumab lead-in (group 3; n = 24). Seventy-one patients were treated; most had high-risk disease including del(17)(p13.1) (44%) or del(11)(q22.3) (31%). The most frequent adverse events (any grade) were diarrhea (70%), infusion-related reaction (45%), and peripheral sensory neuropathy (44%). Overall response rates in CLL/SLL patients (n = 66) were 100%, 79%, and 71% in groups 1, 2, and 3, respectively. Estimated 12-month PFSs for all patients were 89%, 85%, and 75%, respectively. Four patients in group 3 progressed prior to receiving ibrutinib. This study demonstrates the tolerability and clinical activity of this combination with quicker time to best response than single-agent ibrutinib and with durable responses. This trial was registered at www.clinicaltrials.gov as #NCT01217749.

Indexed as

AdenineAgammaglobulinaemia Tyrosine KinaseAgedAged, 80 and overAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsDisease-Free SurvivalDrug Administration ScheduleFemaleHumansKaplan-Meier EstimateLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedPiperidinesAdenineAgammaglobulinaemia Tyrosine KinaseAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedBTK protein, humanibrutinibofatumumabPiperidinesProtein Kinase InhibitorsProtein-Tyrosine KinasesPyrazolesPyrimidines

Identifiers

PMID26116658
PMCPMC4536539

What OpenQuestion holds

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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.