Evidence map›Paper›PMID 29873072›Full record

Trial reportBritish journal of haematology2018

Evaluation of 230 patients with relapsed/refractory deletion 17p chronic lymphocytic leukaemia treated with ibrutinib from 3 clinical trials.

Jeffrey Jones, Anthony Mato, Steven Coutre, John C Byrd, Richard R Furman, Peter Hillmen, Anders Osterborg, Constantine Tam, Stephan Stilgenbauer, William G Wierda and 7 more

Abstract readClinical Trial, Phase IClinical Trial, Phase IIClinical Trial, Phase III
In one paragraph

Trial report in British journal of haematology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–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.

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

27 citing papers in PubMed.

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  14. Chemotherapy-free frontline therapy for CLL: is it worth it?Hematology. American Society of Hematology. Education Program · 2020
    Review
  15. Article
  16. Review
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  18. Article
  19. Promises and pitfalls of targeted agents in chronic lymphocytic leukemia.Cancer drug resistance (Alhambra, Calif.) · 2020
    Review
  20. 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

17 authors.

Jeffrey JonesOhio State University Comprehensive Cancer Center, Columbus, OH, USA.ORCID 0000-0001-9557-0820
Anthony MatoUniversity of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-0435-8611
Steven CoutreStanford University School of Medicine, Stanford, CA, USA.
John C ByrdOhio State University Comprehensive Cancer Center, Columbus, OH, USA.
Richard R FurmanWeill Cornell Medical College, New York, NY, USA.
Peter HillmenLeeds Teaching Hospitals NHS Trust, St. James Institute of Oncology, Leeds, UK.
Anders OsterborgKarolinska University Hospital Solna, Stockholm, Sweden.
Constantine TamPeter MacCallum Cancer Centre and St. Vincent's Hospital, Melbourne, Australia.
Stephan StilgenbauerUniversity of Ulm, Ulm, Germany.
William G WierdaThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-7357-270X
Nyla A HeeremaOhio State University Comprehensive Cancer Center, Columbus, OH, USA.
Karl EckertPharmacyclics LLC, an AbbVie Company, Sunnyvale, CA, USA.
Fong ClowPharmacyclics LLC, an AbbVie Company, Sunnyvale, CA, USA.
Cathy ZhouPharmacyclics LLC, an AbbVie Company, Sunnyvale, CA, USA.
Alvina D ChuPharmacyclics LLC, an AbbVie Company, Sunnyvale, CA, USA.
Danelle F JamesPharmacyclics LLC, an AbbVie Company, Sunnyvale, CA, USA.
Susan M O'BrienChao Family Comprehensive Cancer Center, University of California, Irvine, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with chronic lymphocytic leukaemia/small lymphocytic lymphoma (CLL/SLL) with deletion 17p [del(17p)] have poor outcomes with chemoimmunotherapy. Ibrutinib is indicated for the treatment of CLL/SLL, including del(17p) CLL/SLL, and allows for treatment without chemotherapy. This integrated analysis was performed to evaluate outcomes in 230 patients with relapsed/refractory del(17p) CLL/SLL from three ibrutinib studies. With a median of 2 prior therapies (range, 1-12), 18% and 79% of evaluable patients had del(11q) or unmutated IGHV, respectively. With a median follow-up of 28 months, overall response rate was 85% and estimated 30-month progression-free and overall survival rates were 57% [95% confidence interval (CI) 50-64] and 69% (95% CI 61-75), respectively. Patients with normal lactate dehydrogenase or no bulky disease had the most favourable survival outcomes. Sustained haematological improvements in haemoglobin, platelet count and absolute neutrophil count occurred in 61%, 67% and 70% of patients with baseline cytopenias, respectively. New onset severe cytopenias and infections decreased in frequency over time. Progression-free and overall survival with ibrutinib surpass those of other therapies for patients with del(17p) CLL/SLL. These results provide further evidence of the robust clinical activity of ibrutinib in difficult-to-treat CLL/SLL populations.

Indexed as

Chromosome DeletionLeukemia, Lymphocytic, Chronic, B-CellSmith-Magenis SyndromeAdenineAdultAftercareAgedAged, 80 and overChromosomes, Human, Pair 17Disease-Free SurvivalFemaleHumansMaleMiddle AgedPiperidinesPyrazolesAdenineibrutinibPiperidinesPyrazolesPyrimidines17p deletionBTK inhibitorchronic lymphocytic leukaemiaibrutinib

Identifiers

PMID29873072
PMCPMC6120509

What OpenQuestion holds

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LicenceCC BY-NC
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.