Evidence map›Paper›PMID 30940652›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2019

Targeting CD38 Enhances the Antileukemic Activity of Ibrutinib in Chronic Lymphocytic Leukemia.

Alak Manna, Sonikpreet Aulakh, Prachi Jani, Salman Ahmed, Sharoon Akhtar, Marie Coignet, Michael Heckman, Zahara Meghji, Kirtipal Bhatia, Aarushi Sharma and 7 more

Open access · greenAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2019. 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
3.3field-weighted citation impact, top 8% 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

27 citing papers in PubMed, 37 citations in OpenAlex.

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  18. CD38 Deficiency Ameliorates Chronic Graft-Frontiers in immunology · 2021
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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

17 authors at 4 institutions in 2 countries.

Alak Manna *Department of Cancer Biology, Mayo Clinic, Jacksonville, Florida.
Sonikpreet Aulakh *Division of Hematology and Oncology, Mayo Clinic, Jacksonville, Florida.
Prachi JaniDivision of Hematology and Oncology, Mayo Clinic, Jacksonville, Florida.
Salman AhmedDivision of Hematology and Oncology, Mayo Clinic, Jacksonville, Florida.
Sharoon AkhtarDepartment of Cancer Biology, Mayo Clinic, Jacksonville, Florida.
Marie CoignetDepartment of Cancer Prevention & Control, Roswell Park Cancer Institute, Buffalo, New York.
Michael HeckmanDepartment of Health Science Research, Mayo Clinic, Jacksonville, Florida.
Zahara MeghjiDivision of Hematology and Oncology, Mayo Clinic, Jacksonville, Florida.
Kirtipal BhatiaDivision of Hematology and Oncology, Mayo Clinic, Jacksonville, Florida.
Aarushi SharmaDepartment of Cancer Biology, Mayo Clinic, Jacksonville, Florida.
Taimur SherDivision of Hematology and Oncology, Mayo Clinic, Jacksonville, Florida.
Victoria AlegriaDivision of Hematology and Oncology, Mayo Clinic, Jacksonville, Florida.
Fabio MalavasiLab of Immunogenetics, Department of Medical Science, University of Torino, Italy.ORCID 0000-0002-1844-174X
Eduardo N ChiniSignal Transduction Laboratory, Kogod Aging Center, Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota.
Asher Chanan-KhanDepartment of Cancer Biology, Mayo Clinic, Jacksonville, Florida. paulus.aneel@mayo.edu chanan-khan.asher@mayo.edu.
Sikander AilawadhiDivision of Hematology and Oncology, Mayo Clinic, Jacksonville, Florida.
Aneel PaulusDepartment of Cancer Biology, Mayo Clinic, Jacksonville, Florida. paulus.aneel@mayo.edu chanan-khan.asher@mayo.edu.
Jacksonville College · USDepartment of Medical Sciences · BYMayo Clinic in Arizona · USRoswell Park Comprehensive Cancer Center · US

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Felicity Enders · 1985 to 2026
$151.3M
West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Sally Lynn Hodder · 2012 to 2026
$81.0M
The Role of Monocytes in non-Hodgkin LymphomaP50CA097274 · NCI · UNIVERSITY OF IOWA · PI WEINER, GEORGE J. · 2002 to 2021
$45.7M
Therapeutic implication of CD38 in CLLR01CA233790 · NCI · MAYO CLINIC JACKSONVILLE · PI CHINI, EDUARDO N · 2019 to 2023
$3.0M
Role of CD38 in NAD metabolism: from the basic biology of aging to translationR01AG058812 · NIA · MAYO CLINIC ROCHESTER · PI CHINI, EDUARDO N · 2018 to 2022
$2.0M
NCI NIH HHS N01 CA015083NCI NIH HHS P30 CA015083NCI NIH HHS P50 CA097274NCI NIH HHS R01 CA233790NIA NIH HHS R01 AG058812NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

purposeCD38 has emerged as a high-impact therapeutic target in multiple myeloma, with the approval of daratumumab (anti-CD38 mAb). The clinical importance of CD38 in patients with chronic lymphocytic leukemia (CLL) has been known for over 2 decades, although it's relevance as a therapeutic target in CLL remains understudied. EXPERIMENTAL

designWe investigated the biological effects and antitumor mechanisms engaged by daratumumab in primary CLL cells. Besides its known immune-effector mechanisms (antibody-dependent cell-mediated cytotoxicity, complement-dependent death, and antibody-dependent cellular phagocytosis), we also measured direct apoptotic effects of daratumumab alone or in combination with ibrutinib.

resultsIn addition to immune-effector mechanisms; daratumumab also induced direct apoptosis of primary CLL cells, which was partially dependent on FcγR cross-linking. For the first time, we demonstrated the influence of CD38 on BCR signaling where interference of CD38 downregulated Syk, BTK, PLCγ2, ERK1/2, and AKT; effects that were further enhanced by addition of ibrutinib. In comparison to single-agent treatment, the combination of ibrutinib and daratumumab resulted in significantly enhanced anti-CLL activity

conclusionsOverall, our data demonstrate the antitumor mechanisms of daratumumab in CLL; furthermore, we show how cotargeting BTK and CD38 lead to a robust anti-CLL effect, which has clinical implications.

Indexed as

AdenineADP-ribosyl Cyclase 1AnimalsAntibodies, MonoclonalAntineoplastic AgentsAntineoplastic Agents, ImmunologicalApoptosisCell Line, TumorDisease Models, AnimalDrug SynergismHumansLeukemia, Lymphocytic, Chronic, B-CellMembrane GlycoproteinsMicePiperidinesProtein Kinase InhibitorsAdenineADP-ribosyl Cyclase 1Antibodies, MonoclonalAntineoplastic AgentsAntineoplastic Agents, ImmunologicalCD38 protein, humandaratumumabibrutinibMembrane GlycoproteinsPiperidinesProtein Kinase InhibitorsPyrazolesPyrimidinesReceptors, Antigen, B-Cell

Identifiers

PMID30940652
PMCPMC6744942
OpenAlexW2932581442

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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.