Evidence map›Paper›PMID 30117139›Full record

ArticleBritish journal of haematology2018

Autoimmune cytopenias in patients with chronic lymphocytic leukaemia treated with ibrutinib in routine clinical practice at an academic medical centre.

Paul J Hampel, Melissa C Larson, Brian Kabat, Timothy G Call, Wei Ding, Saad S Kenderian, Deborah Bowen, Justin Boysen, Susan M Schwager, Jose F Leis and 8 more

Open access · bronzeAbstract read
In one paragraph

Article 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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 49 citations in OpenAlex.

  1. Review
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  10. Article
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  13. Emerging Therapies in Immune Thrombocytopenia.Journal of clinical medicine · 2021
    Review
  14. Article
  15. Review
  16. Managing toxicities of Bruton tyrosine kinase inhibitors.Hematology. American Society of Hematology. Education Program · 2020
    Review
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  18. Article
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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

18 authors at 4 institutions in 1 country.

Paul J HampelDepartment of Internal Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-1292-3024
Melissa C LarsonDivision of Biomedical Statistics & Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Brian KabatDivision of Biomedical Statistics & Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Timothy G CallDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Wei DingDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Saad S KenderianDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Deborah BowenDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Justin BoysenDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Susan M SchwagerDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Jose F LeisDepartment of Hematology and Oncology, Mayo Clinic, Phoenix, AZ, USA.
Asher A Chanan-KhanDivision of Hematology and Oncology, Mayo Clinic, Jacksonville, FL, USA.
Eli MuchtarDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-2210-2174
Curtis A HansonDivision of Hematopathology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Susan L SlagerDivision of Biomedical Statistics & Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Neil E KayDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Kari G ChaffeeDivision of Biomedical Statistics & Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Tait D ShanafeltDepartment of Hematology, Stanford University Medical Center, Stanford, CA, USA.
Sameer A ParikhDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · USMayo Clinic in Florida · USWinnMed · USStanford Medicine · US

Funding

Paul Calabresi Program in Clinical/Translational Research at Mayo ClinicK12CA090628 · NCI · MAYO CLINIC ROCHESTER · PI WEROHA, SARAVUT · 2001 to 2025
$19.7M
NCI NIH HHS K12 CA090628
6 · The paper itself

Abstract

The effects of ibrutinib on the natural history of autoimmune cytopenias (AIC) among chronic lymphocytic leukaemia (CLL) patients treated in routine clinical practice require further investigation. Using the Mayo Clinical CLL Database, 193 CLL patients treated with ibrutinib between November 2013 and January 2017 outside the context of a clinical trial were identified; complete review of their medical records was performed for details of past history of AIC and treatment-emergent AIC. We identified 29/193 (15%) patients with history of AIC prior to ibrutinib start. Of 12 patients requiring AIC therapy at ibrutinib start, 8 (67%) were able to discontinue or de-escalate AIC treatment, and no patient had worsening of their AIC after initiating ibrutinib. Eleven (6%) patients developed treatment-emergent AIC after a median of 59 (range, 6-319) days following the initiation of ibrutinib, 7 of whom (64%) were able to continue ibrutinib. Overall and event-free survival from time of ibrutinib start were not significantly different between patients with history of AIC and those with no history of AIC. Treatment-emergent AIC were seen exclusively in patients with unmutated IGHV and were associated with a shorter EFS. These results suggest a low rate of treatment-emergent AIC and improvement in patients with existing AIC.

Indexed as

Autoimmune DiseasesLeukemia, Lymphocytic, Chronic, B-CellPyrazolesPyrimidinesAcademic Medical CentersAdenineAdultAgedAged, 80 and overDisease-Free SurvivalFemaleHumansMaleMiddle AgedPiperidinesRetrospective StudiesAdenineibrutinibPiperidinesPyrazolesPyrimidinesaplastic anaemiaautoimmune haemolytic anaemia (AIHA)ibrutinibimmune thrombocytopenia (ITP)pure red cell aplasia

Identifiers

PMID30117139
PMCPMC6234062
OpenAlexW2885594994

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.