Evidence map›Paper›PMID 27873237›Full record

Trial reportAdvances in therapy2017

Estimating Long-Term Survival of Adults with Philadelphia Chromosome-Negative Relapsed/Refractory B-Precursor Acute Lymphoblastic Leukemia Treated with Blinatumomab Using Historical Data.

Arie Barlev, Vincent W Lin, Aaron Katz, Kuolung Hu, Ze Cong, Beth Barber

2 registry-linked trialsAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Advances in therapy, 2017. 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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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.

NCT01466179 phase2completednot on this map

An Open Label, Multicenter, Phase II Study to Evaluate Efficacy and Safety of the BiTE® Antibody Blinatumomab in Adult Patients With Relapsed/Refractory B-precursor Acute Lymphoblastic Leukemia (ALL)

TypeinterventionalSponsorAmgen Research (Munich) GmbHRan2011 to 2017Enrolled225ConditionsAcute Lymphoblastic LeukemiaArmsBlinatumomab
NCT02003612 completednot on this map

An Analysis of Historical Data on Hematological Remission and Survival Among Adult Patients With Relapsed / Refractory B-Precursor Acute Lymphoblastic Leukemia

TypeobservationalSponsorAmgenRan2013 to 2014Enrolled2,373ConditionsAcute Lymphoblastic LeukemiaArmsNot applicable - observational study
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. A Systematic Review of Methods to Incorporate External Evidence into Trial-Based Survival Extrapolations for Health Technology Assessment.Medical decision making : an international journal of the Society for Medical Decision Making · 2023
    Pooled it
  2. Trial
  3. Immunotherapy of Acute Lymphoblastic Leukemia and Lymphoma With T Cell-Redirected Bispecific Antibodies.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
    Review
  4. Article
  5. T cell-redirecting bispecific antibodies in cancer immunotherapy: recent advances.Journal of cancer research and clinical oncology · 2019
    Review
  6. Review
  7. Review
  8. Review
  9. 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

6 authors.

Arie BarlevGlobal Health Economics, Amgen Inc., Thousand Oaks, CA, USA.
Vincent W LinGlobal Health Economics, Amgen Inc., Thousand Oaks, CA, USA.
Aaron KatzCenter for Observational Research, Amgen Inc., Thousand Oaks, CA, USA.
Kuolung HuGlobal Biostatistical Science, Amgen Inc., Thousand Oaks, CA, USA.
Ze CongGlobal Health Economics, Amgen Inc., Thousand Oaks, CA, USA. zcong@amgen.com.
Beth BarberGlobal Health Economics, Amgen Inc., Thousand Oaks, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBlinatumomab is a bispecific T cell-engaging antibody construct indicated for adult patients with relapsed/refractory (R/R) Ph(-) B-precursor acute lymphoblastic leukemia (ALL), an aggressive disease with poor prognosis. A phase 2 single-arm clinical study showed that 43% of patients achieved CR/CRh within two cycles and approximately 20% of patients receiving blinatumomab were still alive after 2 years.

methodsThe objective of the current analysis was to estimate long-term survival of patients receiving blinatumomab beyond the observed time period in the clinical study using a large historical observational dataset. Conditional survival probabilities of blinatumomab-treated patients beyond month 60 were assumed to be the same as the US general population.

resultsAt month 60, the estimated proportion of blinatumomab-treated patients alive was more than double that of historical patients (12.6% vs 5.4%). The mean overall survival was 76.1 months for blinatumomab patients and 39.8 months for historical patients. Sensitivity analyses including additional follow-up data from the clinical study showed consistent results.

conclusionsThese findings suggest that blinatumomab provides substantial overall survival benefit to patients with (R/R) Ph(-) B-precursor ALL compared with salvage chemotherapy.

fundingAmgen.

trial registrationClinicalTrials.gov identifier NCT01466179 and NCT02003612.

Indexed as

Antibodies, BispecificAntineoplastic AgentsFemaleHumansMalePhiladelphia ChromosomePrecursor B-Cell Lymphoblastic Leukemia-LymphomaRecurrenceRetrospective StudiesAntibodies, BispecificAntineoplastic AgentsblinatumomabAcute lymphoblastic leukemiaBlinatumomabHematologyLong-term survivalOncology

Identifiers

PMID27873237
PMCPMC5216100

What OpenQuestion holds

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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.