Evidence map›Paper›PMID 28446054›Full record

ReviewExpert opinion on pharmacotherapy2017

Pharmacotherapy of relapsed/refractory chronic lymphocytic leukemia.

Abdallah Abou Zahr, Prithviraj Bose, Michael J Keating

Open access · greenAbstract readReview
In one paragraph

Review in Expert opinion on pharmacotherapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

3 authors at 1 institution in 1 country.

Abdallah Abou Zahra Department of Leukemia , University of Texas MD Anderson Cancer Center , Houston , TX , USA.
Prithviraj Bosea Department of Leukemia , University of Texas MD Anderson Cancer Center , Houston , TX , USA.
Michael J Keatinga Department of Leukemia , University of Texas MD Anderson Cancer Center , Houston , TX , USA.
The University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

introductionThe treatment of relapsed/refractory (RR) CLL has been revolutionized by the advent of the new oral inhibitors of B-cell receptor (BCR) signaling and the pro-survival protein, B-cell lymphoma 2 (BCL2). Additionally, new and more potent monoclonal antibodies against CD20 have replaced/may replace rituximab in many settings. Areas covered: Herein, we review the entire therapeutic landscape of RR CLL, with particular attention to the new small-molecule kinase inhibitors and BH3-mimetics. We discuss preclinical data with these agents in CLL, cover available efficacy and safety information, and examine potential resistance mechanisms and possible rational combinations to circumvent them. Expert opinion: The availability of potent and selective inhibitors of BCR signaling and of the anti-apoptotic functions of BCL2 has enormously enhanced our therapeutic armamentarium, with unprecedented efficacy now observed in patients who historically had poor outcomes with chemoimmunotherapy (CIT), e.g., those with deletion 17p/11q and/or IGHV-unmutated disease. The next challenge is to optimally sequence these agents and develop rational combinations that will hopefully lead to deeper and more durable remissions than ever seen before. Indeed, long term relapse free survival, already achievable with CIT in patients with genetically favorable-risk disease, now appears to be a realistic possibility for most patients with CLL.

Indexed as

AdultAgammaglobulinaemia Tyrosine KinaseAntibodies, MonoclonalAntineoplastic Combined Chemotherapy ProtocolsCD28 AntigensClinical Trials as TopicDrug InteractionsHumansImmunotherapyLeukemia, Lymphocytic, Chronic, B-CellProtein-Tyrosine KinasesProto-Oncogene Proteins c-bcl-2RecurrenceRituximabTreatment OutcomeAgammaglobulinaemia Tyrosine KinaseAntibodies, MonoclonalBCL2 protein, humanBTK protein, humanCD28 AntigensProtein-Tyrosine KinasesProto-Oncogene Proteins c-bcl-2RituximabB-cell receptorBCL2BTKchemoimmunotherapyCLLibrutinibidelalisibPI3Krational combinationsvenetoclax

Identifiers

PMID28446054
PMCPMC6488229
OpenAlexW2608964987

What OpenQuestion holds

Textmetadata
LicenceTDM
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.