Evidence map›Paper›PMID 26472752›Full record

Trial reportBlood2016

Randomized phase 2 study of obinutuzumab monotherapy in symptomatic, previously untreated chronic lymphocytic leukemia.

John C Byrd, Joseph M Flynn, Thomas J Kipps, Michael Boxer, Kathryn S Kolibaba, David J Carlile, Guenter Fingerle-Rowson, Nicola Tyson, Jamie Hirata, Jeff P Sharman

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Blood, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01414205 (An Open-label, Multicenter, Randomized Phase II Trial Comparing the Efficacy, Safety, and Pharmacokinetics of GA101 1000 mg Versus 2000 mg in Patients With Previously Untreated Chronic Lymphocytic Leukemia), which is not on this map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
6.7field-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.

NCT01414205 phase2completednot on this map

An Open-label, Multicenter, Randomized Phase II Trial Comparing the Efficacy, Safety, and Pharmacokinetics of GA101 1000 mg Versus 2000 mg in Patients With Previously Untreated Chronic Lymphocytic Leukemia

TypeinterventionalSponsorGenentech, Inc.Ran2011 to 2016Enrolled80ConditionsLymphocytic Leukemia, ChronicArmsObinutuzumab, Corticosteroids
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 84 citations in OpenAlex.

  1. Trial
  2. Phase II Study of Combination Obinutuzumab, Ibrutinib, and Venetoclax in Treatment-Naïve and Relapsed or Refractory Chronic Lymphocytic Leukemia.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Trial
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  8. Article
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  16. Review
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  18. S2k-Guidelines - Cutaneous lymphomas (ICD10 C82 - C86): Update 2021.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2022
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 3 countries.

John C ByrdDivision of Hematology and Comprehensive Cancer Center and Division of Medicinal Chemistry, College of Pharmacy, The Ohio State University, Columbus, OH;
Joseph M FlynnDivision of Hematology and Comprehensive Cancer Center and.
Thomas J KippsMoores Cancer Center, University of California San Diego, La Jolla, CA;
Michael BoxerArizona Oncology Associates, Tucson, AZ; US Oncology Research, Vancouver, WA;
Kathryn S KolibabaUS Oncology Research, Vancouver, WA; Northwest Cancer Specialists, Vancouver, WA;
David J CarlileRoche Innovation Center, Welwyn Garden City, United Kingdom;
Guenter Fingerle-RowsonF. Hoffmann-La Roche, Pharma Development Oncology, Basel, Switzerland;
Nicola TysonF. Hoffmann-La Roche Ltd., Welwyn Garden City, United Kingdom;
Jamie HirataGenentech Inc., South San Francisco, CA; and.
Jeff P SharmanUS Oncology Research, Vancouver, WA; Willamette Valley Cancer Institute and Research Center, Eugene, OR.
Roche (United Kingdom) · GBArizona Oncology · USNebraska Cancer Specialists · USRoche (Switzerland) · CHSylvester Comprehensive Cancer Center · USThe Ohio State University · USUniversity of California, San Diego · USWillamette Valley Cancer Institute and Research Center · US

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
Tissue CoreP01CA081534 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KIPPS, THOMAS J · 2000 to 2016
$59.5M
TWO SIGNAL REQUIREMENT FOR NATURAL KILLER IMMUNITYP01CA095426 · NCI · OHIO STATE UNIVERSITY · PI CALIGIURI, MICHAEL A · 2002 to 2016
$29.6M
NCI NIH HHS P01 CA081534NCI NIH HHS P01 CA095426NCI NIH HHS P01 CA95426NCI NIH HHS P30 CA016058
6 · The paper itself

Abstract

Obinutuzumab is a glycoengineered, type 2 anti-CD20 humanized antibody with single-agent activity in relapsed chronic lymphocytic leukemia (CLL). With other CD20 antibodies, a dose-response relationship has been shown. We therefore performed a randomized phase 2 study in symptomatic, untreated CLL patients to evaluate if an obinutuzumab dose response exists. Obinutuzumab was given at a dose of 1000 mg (100 mg IV day 1, 900 mg day 2, 1000 mg day 8 and day 15 of cycle 1; 1000 mg day 1 of cycles 2-8) or 2000 mg (100 mg IV day 1, 900 mg day 2, 1000 mg day 3, 2000 mg day 8 and day 15 of cycle 1; 2000 mg day 1 of cycles 2-8). The primary end point was overall response rate (ORR). Eighty patients were enrolled with similar demographics: median age 67 years, 41% high-risk Rai disease, and 10% del(17p)(13.1). ORR (67% vs 49%, P = .08) and complete response (CR) or CR with incomplete cytopenia response (20% vs 5%) favored 2000 mg obinutuzumab. Overall, therapy was well tolerated, and infusion events were manageable. This study demonstrates significant efficacy of obinutuzumab monotherapy, for 1000 mg as well as for 2000 mg, in untreated CLL patients with acceptable toxicity. Although exploratory, a dose-response relationship may exist, but its relevance to improving progression-free survival is uncertain and will require further follow-up. This trial was registered at www.clinicaltrials.gov as #NCT01414205.

Indexed as

AdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedAntineoplastic AgentsFemaleFollow-Up StudiesHumansLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedNeoplasm StagingPrognosisRemission InductionSurvival RateTissue DistributionAntibodies, Monoclonal, HumanizedAntineoplastic Agentsobinutuzumab

Identifiers

PMID26472752
PMCPMC4705612
OpenAlexW1843407789

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.