Evidence map›Paper›PMID 29463802›Full record

Trial reportNature communications2018

Clonal dynamics towards the development of venetoclax resistance in chronic lymphocytic leukemia.

Carmen D Herling, Nima Abedpour, Jonathan Weiss, Anna Schmitt, Ron Daniel Jachimowicz, Olaf Merkel, Maria Cartolano, Sebastian Oberbeck, Petra Mayer, Valeska Berg and 21 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03986034 (Early Clonal Dynamics During Venetoclax Treatment for Chronic Lymphocytic Leukemia), which is not on this map. Cited by 116 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
116citing 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.

NCT03986034 phase2recruitingnot on this mapstarted 2019, after this paper: background citation

Early Clonal Dynamics During Venetoclax Treatment for Chronic Lymphocytic Leukemia (CLL)

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2019 to 2026Enrolled75ConditionsChronic Lymphocytic LeukemiaArmsDuring Venetoclax
3 · Its place in the literature

Who cites it

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

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  14. Talazoparib and radiation enhance the senolytic efficacy of venetoclax in therapy-induced senescent triple-negative breast cancer cells.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2025
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56 more citing papers are in PubMed but not listed here.

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

31 authors.

Carmen D HerlingDepartment of Internal Medicine I, Center of Integrated Oncology Cologne-Bonn, University of Cologne, 50937 Cologne, Germany.
Nima AbedpourDepartment of Translational Genomics, Center of Integrated Oncology Cologne-Bonn, Medical Faculty, University of Cologne, 50931 Cologne, Germany.
Jonathan WeissDepartment of Internal Medicine I, Center of Integrated Oncology Cologne-Bonn, University of Cologne, 50937 Cologne, Germany.
Anna SchmittDepartment of Internal Medicine I, Center of Integrated Oncology Cologne-Bonn, University of Cologne, 50937 Cologne, Germany.
Ron Daniel JachimowiczDepartment of Internal Medicine I, Center of Integrated Oncology Cologne-Bonn, University of Cologne, 50937 Cologne, Germany.
Olaf MerkelDepartment of Internal Medicine I, Center of Integrated Oncology Cologne-Bonn, University of Cologne, 50937 Cologne, Germany.
Maria CartolanoDepartment of Translational Genomics, Center of Integrated Oncology Cologne-Bonn, Medical Faculty, University of Cologne, 50931 Cologne, Germany.
Sebastian OberbeckDepartment of Internal Medicine I, Center of Integrated Oncology Cologne-Bonn, University of Cologne, 50937 Cologne, Germany.
Petra MayerDepartment of Internal Medicine I, Center of Integrated Oncology Cologne-Bonn, University of Cologne, 50937 Cologne, Germany.
Valeska BergDepartment of Internal Medicine I, Center of Integrated Oncology Cologne-Bonn, University of Cologne, 50937 Cologne, Germany.
Daniel ThomallaDepartment of Internal Medicine I, Center of Integrated Oncology Cologne-Bonn, University of Cologne, 50937 Cologne, Germany.
Nadine KutschDepartment of Internal Medicine I, Center of Integrated Oncology Cologne-Bonn, University of Cologne, 50937 Cologne, Germany.
Marius StiefelhagenDepartment of Internal Medicine I, Center of Integrated Oncology Cologne-Bonn, University of Cologne, 50937 Cologne, Germany.
Paula CramerDepartment of Internal Medicine I, Center of Integrated Oncology Cologne-Bonn, University of Cologne, 50937 Cologne, Germany.
Clemens-Martin WendtnerDepartment of Hematology, Oncology, Immunology, Palliative Care, Infectious Diseases and Tropical Medicine, Klinikum Schwabing, 80804 Munich, Germany.
Thorsten PersigehlDepartment of Radiology, Cologne University Hospital, 50937 Cologne, Germany.
Andreas SalehDepartment of Diagnostic and Interventional Radiology and Pediatric Radiology, Städtisches Klinikum München Schwabing, 80804 Munich, Germany.
Janine AltmüllerCenter for Molecular Medicine Cologne (CMMC), University of Cologne, 50931 Cologne, Germany.
Peter NürnbergCenter for Molecular Medicine Cologne (CMMC), University of Cologne, 50931 Cologne, Germany.
Christian PallaschDepartment of Internal Medicine I, Center of Integrated Oncology Cologne-Bonn, University of Cologne, 50937 Cologne, Germany.
Viktor AchterComputing Center, University of Cologne, 50931 Cologne, Germany.
Ulrich LangComputing Center, University of Cologne, 50931 Cologne, Germany.
Barbara EichhorstDepartment of Internal Medicine I, Center of Integrated Oncology Cologne-Bonn, University of Cologne, 50937 Cologne, Germany.
Roberta CastiglioneDepartment of Pathology, University of Cologne, 50937, Cologne, Germany.
Stephan C SchäferDepartment of Pathology, University of Cologne, 50937, Cologne, Germany.
Reinhard BüttnerDepartment of Pathology, University of Cologne, 50937, Cologne, Germany.
Karl-Anton KreuzerDepartment of Internal Medicine I, Center of Integrated Oncology Cologne-Bonn, University of Cologne, 50937 Cologne, Germany.
Hans Christian ReinhardtDepartment of Internal Medicine I, Center of Integrated Oncology Cologne-Bonn, University of Cologne, 50937 Cologne, Germany.
Michael HallekDepartment of Internal Medicine I, Center of Integrated Oncology Cologne-Bonn, University of Cologne, 50937 Cologne, Germany.
Lukas P FrenzelDepartment of Internal Medicine I, Center of Integrated Oncology Cologne-Bonn, University of Cologne, 50937 Cologne, Germany.
Martin PeiferDepartment of Translational Genomics, Center of Integrated Oncology Cologne-Bonn, Medical Faculty, University of Cologne, 50931 Cologne, Germany. mpeifer@uni-koeln.de.ORCID http://orcid.org/0000-0002-5243-5503

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deciphering the evolution of cancer cells under therapeutic pressure is a crucial step to understand the mechanisms that lead to treatment resistance. To this end, we analyzed whole-exome sequencing data of eight chronic lymphocytic leukemia (CLL) patients that developed resistance upon BCL2-inhibition by venetoclax. Here, we report recurrent mutations in BTG1 (2 patients) and homozygous deletions affecting CDKN2A/B (3 patients) that developed during treatment, as well as a mutation in BRAF and a high-level focal amplification of CD274 (PD-L1) that might pinpoint molecular aberrations offering structures for further therapeutic interventions.

Indexed as

Drug Resistance, NeoplasmBridged Bicyclo Compounds, HeterocyclicCyclin-Dependent Kinase Inhibitor p15Cyclin-Dependent Kinase Inhibitor p16Cyclin-Dependent Kinase Inhibitor p18FemaleHumansLeukemia, Lymphocytic, Chronic, B-CellMaleMutationNeoplasm ProteinsSulfonamidesBridged Bicyclo Compounds, HeterocyclicBTG1 protein, humanCDKN2A protein, humanCDKN2B protein, humanCyclin-Dependent Kinase Inhibitor p15Cyclin-Dependent Kinase Inhibitor p16Cyclin-Dependent Kinase Inhibitor p18Neoplasm ProteinsSulfonamidesvenetoclax

Identifiers

PMID29463802
PMCPMC5820258

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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.