Evidence map›Paper›PMID 31196847›Full record

Trial reportBlood advances2019

Long-term safety of single-agent ibrutinib in patients with chronic lymphocytic leukemia in 3 pivotal studies.

Steven E Coutre, John C Byrd, Peter Hillmen, Jacqueline C Barrientos, Paul M Barr, Stephen Devereux, Tadeusz Robak, Thomas J Kipps, Anna Schuh, Carol Moreno and 9 more

5 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Blood advances, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 85 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 2 pooled it
11.3field-weighted citation impact, top 1% 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.

NCT01105247 phase1 / phase2completednot on this map

A Phase 1b/2 Fixed-dose Study of Bruton's Tyrosine Kinase (Btk) Inhibitor, PCI-32765, in Chronic Lymphocytic Leukemia

TypeinterventionalSponsorPharmacyclics LLC.Ran2010 to 2013Enrolled133ConditionsB-cell Chronic Lymphocytic Leukemia, Small Lymphocytic LymphomaArmsPCI-32765
NCT01109069 phase2completednot on this map

A Long-term Safety Study of Bruton's Tyrosine Kinase (Btk) Inhibitor PCI-32765 in B Cell Lymphoma and Chronic Lymphocytic Leukemia

TypeinterventionalSponsorPharmacyclics LLC.Ran2010 to 2019Enrolled199ConditionsB-cell Chronic Lymphocytic Leukemia, Small Lymphocytic Lymphoma, Diffuse Well-differentiated Lymphocytic Lymphoma, B Cell LymphomaArmsPCI-32765
NCT01578707 phase3completednot on this map

A Randomized, Multicenter, Open-label, Phase 3 Study of the Bruton's Tyrosine Kinase (BTK) Inhibitor Ibrutinib (PCI-32765) Versus Ofatumumab in Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma

TypeinterventionalSponsorPharmacyclics LLC.Ran2012 to 2018Enrolled391ConditionsRelapsed or Refractory Chronic Lymphocytic Leukemia, Small Lymphocytic LymphomaArmsofatumumab, ibrutinib
NCT01722487 phase3completednot on this map

Randomized, Multicenter, Open-label, Phase 3 Study of the Bruton's Tyrosine Kinase Inhibitor Ibrutinib Versus Chlorambucil in Patients 65 Years or Older With Treatment-naive Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma

TypeinterventionalSponsorPharmacyclics LLC.Ran2013 to 2015Enrolled269ConditionsChronic Lymphocytic Leukemia, Small Lymphocytic LymphomaArmsIbrutinib, Chlorambucil
NCT01724346 phase3completednot on this map

An Open-label Extension Study in Patients 65 Years or Older With Chronic Lymphocytic Leukemia (CLL) or Small Lymphocytic Lymphoma (SLL) Who Participated in Study PCYC-1115-CA (Ibrutinib Versus Chlorambucil)

TypeinterventionalSponsorPharmacyclics LLC.Ran2013 to 2023Enrolled269ConditionsChronic Lymphocytic Leukemia, Small Lymphocytic LymphomaArmsIbrutinib, Next-line ibrutinib
3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 2 syntheses or guidelines pooled it, 129 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Single-Agent Ibrutinib for Rituximab-Refractory Waldenström Macroglobulinemia: Final Analysis of the Substudy of the Phase III InnovateClinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Trial
  10. Trial
  11. Trial
  12. Article
  13. Observational
  14. Review
  15. Article
  16. Article
  17. Article
  18. Addition of Ianalumab (VAY736) to Ibrutinib in Patients with Chronic Lymphocytic Leukemia on Ibrutinib Therapy: Results from a Phase Ib Study.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  19. Article
  20. Review

25 more citing papers are in PubMed but not listed here.

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

19 authors at 16 institutions in 6 countries.

Steven E CoutreStanford University School of Medicine, Stanford, CA.
John C ByrdThe Ohio State University Comprehensive Cancer Center, Columbus, OH.
Peter HillmenLeeds Cancer Centre, St. James's Institute of Oncology, Leeds, United Kingdom.
Jacqueline C BarrientosHofstra Northwell School of Medicine, Hempstead, NY.
Paul M BarrWilmot Cancer Institute, University of Rochester Cancer Center, Rochester, NY.
Stephen DevereuxKing's College Hospital, National Health Service Foundation Trust, London, United Kingdom.
Tadeusz RobakMedical University of Lodz, Lodz, Poland.
Thomas J KippsMoores Cancer Center, University of California San Diego, La Jolla, CA.
Anna SchuhOxford National Institute for Health Research Biomedical Research Centre, University of Oxford, Oxford, United Kingdom.
Carol MorenoHospital de la Santa Creu i Sant Pau, Autonomous University of Barcelona, Barcelona, Spain.
Richard R FurmanWeill Cornell Medical College, New York Presbyterian Hospital, New York, NY.
Jan A BurgerThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-6177-7572
Michael O'DwyerUniversity College Hospital Galway, Galway, Ireland.ORCID 0000-0002-6173-7140
Paolo GhiaUniversità Vita-Salute San Raffaele and Istituto di Ricovero e Cura a Carattere Scientifico Ospedale San Raffaele, Milan, Italy.ORCID 0000-0003-3750-7342
Rudolph ValentinoPharmacyclics LLC, an AbbVie Company, Sunnyvale, CA; and.
Stephen ChangPharmacyclics LLC, an AbbVie Company, Sunnyvale, CA; and.
James P DeanPharmacyclics LLC, an AbbVie Company, Sunnyvale, CA; and.
Danelle F JamesPharmacyclics LLC, an AbbVie Company, Sunnyvale, CA; and.
Susan M O'BrienChao Family Comprehensive Cancer Center, University of California Irvine, Irvine, CA.
AbbVie (United States) · USHofstra University · USMedical University of Lodz · PLNational Health Service · GBNational Institute for Health Research · GBNewYork–Presbyterian Hospital · USStanford University · USSt James's University Hospital · GBThe Ohio State University · USThe University of Texas MD Anderson Cancer Center · USUniversitat Autònoma de Barcelona · ESUniversity Hospital Galway · IEUniversity of California, Irvine · USUniversity of California San Diego · USUniversity of Rochester · USVita-Salute San Raffaele University · IT

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
Targeted Therapy for LeukemiaR35CA197734 · NCI · UNIVERSITY OF CINCINNATI · PI BYRD, JOHN C. · 2015 to 2021
$6.6M
NCI NIH HHS P30 CA016672NCI NIH HHS R35 CA197734
6 · The paper itself

Abstract

Ibrutinib, a first-in-class once-daily oral Bruton tyrosine kinase inhibitor indicated for chronic lymphocytic leukemia (CLL), is continued until progressive disease or unacceptable toxicity. We conducted an integrated safety analysis of single-agent ibrutinib from randomized phase 3 studies PCYC-1112 (RESONATE, n = 195) and PCYC-1115/1116 (RESONATE-2, n = 135), and examined longer-term safety separately in the phase 1b/2 PCYC-1102/1103 study (n = 94, 420 mg/d). In the integrated analysis (ibrutinib treatment up to 43 months), the most common adverse events (AEs) were primarily grade 1/2; diarrhea (n = 173, 52% any-grade; n = 15, 5% grade 3) and fatigue (n = 119, 36% any-grade; n = 10, 3% grade 3). The most common grade 3/4 AEs were neutropenia (n = 60, 18%) and pneumonia (n = 38, 12%). Over time, prevalence of AEs of interest (diarrhea, fatigue, grade ≥3 infection, bleeding, and neutropenia) trended down; prevalence of hypertension increased, but incidence decreased after year 1. AEs led to dose reductions in 42 (13%) patients and permanent discontinuations in 37 (11%); dose modifications due to AEs were most common during year 1 and decreased in frequency thereafter. The most common AEs (preferred term) contributing to discontinuation included pneumonia (n = 4), anemia (n = 3), and atrial fibrillation (n = 3). With long-term follow-up on PCYC-1102/1103 (ibrutinib treatment up to 67 months), grade 3/4 AEs were generally similar to those in the integrated analysis. Overall, AEs were primarily grade 1/2 and manageable during prolonged ibrutinib treatment in patients with CLL. These trials were registered at www.clinicaltrials.gov as #NCT01578707, #NCT01722487, #NCT01724346, #NCT01105247, and #NCT01109069.

Indexed as

AdenineAdultAgedAged, 80 and overAnemiaAtrial FibrillationDiarrheaDrug ToleranceFatigueFemaleFollow-Up StudiesHemorrhageHumansHypertensionInfectionsLeukemia, Lymphocytic, Chronic, B-CellAdenineibrutinibPiperidinesProtein Kinase InhibitorsPyrazolesPyrimidines

Identifiers

PMID31196847
PMCPMC6595265
OpenAlexW2952939985

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.