Evidence map›Paper›PMID 31004001›Full record

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

Tumor Lysis, Adverse Events, and Dose Adjustments in 297 Venetoclax-Treated CLL Patients in Routine Clinical Practice.

Lindsey E Roeker, Christopher P Fox, Toby A Eyre, Danielle M Brander, John N Allan, Stephen J Schuster, Chadi Nabhan, Brian T Hill, Nirav N Shah, Frederick Lansigan and 26 more

Open access · bronzeAbstract readMulticenter Study
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 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
7.3field-weighted citation impact, top 2% 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

50 citing papers in PubMed, 90 citations in OpenAlex.

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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

36 authors at 19 institutions in 2 countries.

Lindsey E RoekerLeukemia Service, Memorial Sloan-Kettering Cancer Center, New York, New York.
Christopher P FoxDepartment of Clinical Haematology, Nottingham University Hospitals NHS Foundation Trust, Nottingham, United Kingdom.ORCID 0000-0002-6322-9254
Toby A EyreOxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Danielle M BranderDuke Cancer Institute, Duke University Health System, Durham, North Carolina.
John N AllanDivision of Hematology and Oncology, Weill Cornell Medicine, New York, New York.ORCID 0000-0002-2088-0899
Stephen J SchusterLymphoma Program, Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania.
Chadi NabhanAptitude Health, Atlanta, GA.
Brian T HillTaussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio.
Nirav N ShahDivision of Hematology & Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Frederick LansiganDartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.ORCID 0000-0001-6027-3359
Maryam YazdyGeorgetown University Hospital Lombardi Comprehensive Cancer Center, Washington, D.ORCID 0000-0003-2787-3867
Bruce D ChesonGeorgetown University Hospital Lombardi Comprehensive Cancer Center, Washington, D.
Nicole LamannaHematology/Oncology Division, Columbia University Medical Center, New York, New York.
Arun K SingaviDivision of Hematology & Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Catherine C CoombsLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina.
Paul M BarrWilmot Cancer Institute, University of Rochester, Rochester, New York.ORCID 0000-0002-9733-401X
Alan P SkarbnikJohn Theurer Cancer Center, Hackensack University Medical Center, Closter, New Jersey.
Mazyar ShadmanFred Hutchinson Cancer Research Center, Seattle, Washington.
Chaitra S UjjaniFred Hutchinson Cancer Research Center, Seattle, Washington.
Hande H TuncerTufts Medical Center, Boston, Massachusetts.
Allison M WinterTaussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio.
Joanna RhodesLymphoma Program, Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-5068-9040
Colleen DorseyLeukemia Service, Memorial Sloan-Kettering Cancer Center, New York, New York.
Hannah MorseLeukemia Service, Memorial Sloan-Kettering Cancer Center, New York, New York.
Charlene KabelLeukemia Service, Memorial Sloan-Kettering Cancer Center, New York, New York.
John M PagelSwedish Cancer Institute, Seattle, Washington.
Annalynn M WilliamsWilmot Cancer Institute, University of Rochester, Rochester, New York.
Ryan JacobsLevine Cancer Institute, Carolinas Healthcare System, Charlotte, North Carolina.
Andre GoyJohn Theurer Cancer Center, Hackensack University Medical Center, Closter, New Jersey.
Sivraj MuralikrishnanDartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.ORCID 0000-0001-5465-9562
Laurie PearsonTufts Medical Center, Boston, Massachusetts.
Andrea SitlingerDuke Cancer Institute, Duke University Health System, Durham, North Carolina.ORCID 0000-0002-2231-5527
Neil BaileySwedish Cancer Institute, Seattle, Washington.
Anna SchuhOxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Amy A KirkwoodCancer Research UK and University College London Cancer Trials Centre, London, United Kingdom.
Anthony R MatoLeukemia Service, Memorial Sloan-Kettering Cancer Center, New York, New York. matoa@mskcc.org.
Memorial Sloan Kettering Cancer Center · USCleveland Clinic · USDartmouth–Hitchcock Medical Center · USDuke University Health System · USFred Hutch Cancer Center · USGeorgetown University · USHackensack University Medical Center · USMedical College of Wisconsin · USOxford University Hospitals NHS Trust · GBSwedish Medical Center · USTufts Medical Center · USUniversity of Pennsylvania · USUniversity of Rochester · USCancer Research UK · GBCarolinas Healthcare System · USColumbia University Irving Medical Center · USCornell University · USNottingham University Hospitals NHS Trust · GBUniversity of North Carolina at Chapel Hill · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeClinical trials of venetoclax reported negligible rates of clinical tumor lysis syndrome (TLS) in patients with chronic lymphocytic leukemia (CLL) when using an extended dose escalation schedule. We aimed to understand TLS prophylaxis, rates of select adverse events (AE), and impact of dosing modifications in routine clinical practice. EXPERIMENTAL

designThis retrospective cohort study included 297 CLL venetoclax-treated patients outside of clinical trials in academic and community centers. Demographics, baseline disease characteristics, venetoclax dosing, TLS risk and prophylaxis, and AEs were collected.

resultsThe group was 69% male, 96% had relapsed/refractory CLL, 45% had deletion chromosome 17p, 84% had unmutated

conclusionsThese data provide insights into current use of venetoclax in clinical practice, including TLS rates observed in clinical practice. We identified opportunities for improved adherence to TLS risk stratification and prophylaxis, which may improve safety.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicDose-Response Relationship, DrugDrug-Related Side Effects and Adverse ReactionsFemaleHumansLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedPatient SafetyPractice Patterns, Physicians'Proto-Oncogene Proteins c-bcl-2Retrospective StudiesAntineoplastic AgentsBCL2 protein, humanBridged Bicyclo Compounds, HeterocyclicProto-Oncogene Proteins c-bcl-2Sulfonamidesvenetoclax

Identifiers

PMID31004001
PMCPMC8020996
OpenAlexW2940351544

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.