Evidence map›Paper›PMID 31014142›Full record

ArticleLeukemia & lymphoma2019

Rapid disease progression following discontinuation of ibrutinib in patients with chronic lymphocytic leukemia treated in routine clinical practice.

Paul J Hampel, Wei Ding, Timothy G Call, Kari G Rabe, Saad S Kenderian, Thomas E Witzig, Eli Muchtar, Jose F Leis, Asher A Chanan-Khan, Amber B Koehler and 6 more

Abstract read
In one paragraph

Article in Leukemia & lymphoma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–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

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  15. Duvelisib Eliminates CLL B Cells, Impairs CLL-Supporting Cells, and Overcomes Ibrutinib Resistance in a Xenograft Model.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Paul J HampelDepartment of Medicine, Division of Hematology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-1292-3024
Wei DingDepartment of Medicine, Division of Hematology, Mayo Clinic, Rochester, MN, USA.
Timothy G CallDepartment of Medicine, Division of Hematology, Mayo Clinic, Rochester, MN, USA.
Kari G RabeDepartment of Health Sciences Research, Division of Biomedical Statistics & Informatics, Mayo Clinic, Rochester, MN, USA.
Saad S KenderianDepartment of Medicine, Division of Hematology, Mayo Clinic, Rochester, MN, USA.
Thomas E WitzigDepartment of Medicine, Division of Hematology, Mayo Clinic, Rochester, MN, USA.
Eli MuchtarDepartment of Medicine, Division of Hematology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-2210-2174
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.
Amber B KoehlerDepartment of Medicine, Division of Hematology, Mayo Clinic, Rochester, MN, USA.
Amie L FonderDepartment of Medicine, Division of Hematology, Mayo Clinic, Rochester, MN, USA.
Susan M SchwagerDepartment of Medicine, Division of Hematology, Mayo Clinic, Rochester, MN, USA.
Susan L SlagerDepartment of Health Sciences Research, Division of Biomedical Statistics & Informatics, Mayo Clinic, Rochester, MN, USA.
Tait D ShanafeltDepartment of Hematology, Stanford University Medical Center, Stanford, CA, USA.
Neil E KayDepartment of Medicine, Division of Hematology, Mayo Clinic, Rochester, MN, USA.
Sameer A ParikhDepartment of Medicine, Division of Hematology, Mayo Clinic, Rochester, MN, USA.

Funding

Paul Calabresi Program in Clinical/Translational Research at Mayo ClinicK12CA090628 · NCI · MAYO CLINIC ROCHESTER · PI WEROHA, SARAVUT · 2001 to 2025
$19.7M
Predicting clinical outcome in individuals with small CLL B cell clonesR01CA197120 · NCI · MAYO CLINIC ROCHESTER · PI KAY, NEIL E, SHANAFELT, TAIT D · 2015 to 2019
$3.0M
NCI NIH HHS K12 CA090628NCI NIH HHS R01 CA197120
6 · The paper itself

Abstract

We identified all patients with chronic lymphocytic leukemia at Mayo Clinic treated with ibrutinib outside the context of a clinical trial; timing and reasons for discontinuation were ascertained, as were symptoms, exam and radiographic findings, and laboratory changes following discontinuation. Of 202 patients who received ibrutinib, 52 discontinued therapy (estimated 1- and 2-year risk of discontinuation 18% and 28%, respectively). The most common reasons for discontinuation were toxicity (56%) and progression of disease (32%, including Richter's transformation in 15%). Rapid progression of disease within 4 weeks after discontinuation was observed in 9/36 (25%) patients with adequate records for review, mostly in those stopping ibrutinib for disease progression (

Indexed as

AdenineAdultAgedAged, 80 and overDisease ProgressionDrug-Related Side Effects and Adverse ReactionsFemaleFollow-Up StudiesHumansLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedPiperidinesPractice Patterns, Physicians'PrognosisProtein Kinase InhibitorsAdenineibrutinibPiperidinesProtein Kinase InhibitorsPyrazolesPyrimidinesChronic lymphocytic leukemia (CLL)discontinuationibrutinibprogression

Identifiers

PMID31014142
PMCPMC6813846

What OpenQuestion holds

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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.