Evidence map›Paper›PMID 29509845›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2018

Serious Infections in Patients Receiving Ibrutinib for Treatment of Lymphoid Cancer.

Tilly Varughese, Ying Taur, Nina Cohen, M Lia Palomba, Susan K Seo, Tobias M Hohl, Gil Redelman-Sidi

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 144 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
144citing papers in PubMed, 2 pooled it
23.1field-weighted citation impact, top 1% 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

144 citing papers in PubMed, 2 syntheses or guidelines pooled it, 260 citations in OpenAlex.

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84 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

7 authors at 2 institutions in 1 country.

Tilly VarugheseInfectious Diseases Service, Memorial Sloan Kettering Cancer Center.
Ying TaurInfectious Diseases Service, Memorial Sloan Kettering Cancer Center.
Nina CohenDepartment of Pharmacy, Memorial Sloan Kettering Cancer Center, New York, New York.
M Lia PalombaDepartment of Medicine, Weill Cornell Medical College.
Susan K SeoInfectious Diseases Service, Memorial Sloan Kettering Cancer Center.
Tobias M HohlInfectious Diseases Service, Memorial Sloan Kettering Cancer Center.
Gil Redelman-SidiInfectious Diseases Service, Memorial Sloan Kettering Cancer Center.
Memorial Sloan Kettering Cancer Center · USCornell University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
BCG therapy of bladder cancer: the role of BCG uptake by bladder cancer cellsK08CA184038 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI REDELMAN-SIDI, GIL · 2014 to 2018
$839k
NCI NIH HHS K08 CA184038NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Background: Ibrutinib is a Bruton tyrosine kinase inhibitor that is used for the treatment of lymphoid cancers, including chronic lymphocytic leukemia, Waldenström macroglobulinemia, and mantle cell lymphoma. Several case series have described opportunistic infections among ibrutinib recipients, but the full extent of these infections is unknown. We sought to determine the spectrum of serious infections associated with ibrutinib treatment. Methods: We reviewed the electronic medical records of patients with lymphoid cancer at Memorial Sloan Kettering Cancer Center who received ibrutinib during a 5-year period from 1 January 2012 to 31 December 2016. Serious infections were identified by review of the relevant microbiology, clinical laboratory, and radiology data. Risk factors for infection were determined by means of univariate and multivariate analyses. Results: We analyzed findings in 378 patients with lymphoid cancer who received ibrutinib. The most common underlying cancers were chronic lymphocytic leukemia and mantle cell lymphoma. 84% of patients received ibrutinib as monotherapy. Serious infection developed in 43 patients (11.4%), primarily during the first year of ibrutinib treatment. Invasive bacterial infections developed in 23 (53.5%) of these patients, and invasive fungal infections (IFIs) in 16 (37.2%) .The majority of patients with IFIs during ibrutinib therapy (62.5%) lacked classic clinical risk factors for fungal infection (ie, neutropenia, lymphopenia, and receipt of corticosteroids). Infection resulted in death in 6 of the 43 patients (14%). Conclusions: Patients with lymphoid cancer receiving ibrutinib treatment are at risk for serious infections, including IFIs.

Indexed as

AdenineAdultAgedAged, 80 and overBacterial InfectionsElectronic Health RecordsFemaleHumansInvasive Fungal InfectionsLeukemia, Lymphocytic, Chronic, B-CellLymphoma, Mantle-CellLymphopeniaMaleMiddle AgedNew YorkOpportunistic InfectionsAdenineibrutinibPiperidinesPyrazolesPyrimidines

Identifiers

PMID29509845
PMCPMC6093991
OpenAlexW2789508123

What OpenQuestion holds

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Registered trials

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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.