Evidence map›Paper›PMID 31506282›Full record

ArticleBlood advances2019

Distinct immune composition in lymph node and peripheral blood of CLL patients is reshaped during venetoclax treatment.

Iris de Weerdt, Tom Hofland, Renate de Boer, Johan A Dobber, Julie Dubois, Denise van Nieuwenhuize, Mehrdad Mobasher, Fransien de Boer, Mels Hoogendoorn, Gerjo A Velders and 9 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article 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 trial NCT05183854 (Phase II Study of the Efficacy of the Pneumococcal Pneumonia Vaccine Series in Patients With Chronic Lymphocytic Leukemia Associated Immunodeficiency), which is not on this map. Cited by 71 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 1 pooled it
8.8field-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.

NCT05183854 phase2recruitingnot on this mapstarted 2022, after this paper: background citation

Phase II Study of the Efficacy of the Pneumococcal Pneumonia Vaccine Series in Patients With Chronic Lymphocytic Leukemia Associated Immunodeficiency (PROTECT CLL)

TypeinterventionalSponsorUniversity of UtahRan2022 to 2028Enrolled61ConditionsChronic Lymphocytic Leukemia, Small Lymphocytic LymphomaArmsPneumococcal 20-valent Conjugate Vaccine, Pneumococcal Polyvalent Vaccine
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.

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  3. Phase II Study of Combination Obinutuzumab, Ibrutinib, and Venetoclax in Treatment-Naïve and Relapsed or Refractory Chronic Lymphocytic Leukemia.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
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11 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 9 institutions in 2 countries.

Iris de WeerdtDepartment of Hematology, Cancer Center Amsterdam, and.
Tom HoflandDepartment of Hematology, Cancer Center Amsterdam, and.
Renate de BoerDepartment of Hematology, Cancer Center Amsterdam, and.
Johan A DobberDepartment of Hematology, Cancer Center Amsterdam, and.
Julie DuboisDepartment of Hematology, Cancer Center Amsterdam, and.
Denise van NieuwenhuizeDepartment of Hematology, Cancer Center Amsterdam, and.
Mehrdad MobasherGenentech Inc., South San Francisco, CA.
Fransien de BoerInternal Medicine, Ikazia Hospital, Rotterdam, The Netherlands.
Mels HoogendoornInternal Medicine, Medical Center Leeuwarden, Leeuwarden, The Netherlands.
Gerjo A VeldersDepartment of Internal Medicine, Gelderse Vallei Hospital, Ede, The Netherlands.
Marjolein van der KliftDepartment of Internal Medicine, Amphia Hospital, Breda, The Netherlands.
Ester B M RemmerswaalDepartment of Experimental Immunology, Amsterdam Infection and Immunity Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0003-4694-6048
Frederike J BemelmanRenal Transplant Unit, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Carsten U NiemannDepartment of Haematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Sabina KerstingDepartment of Hematology, Haga Hospital, The Hague, The Netherlands.
Mark-David LevinDepartment of Internal Medicine, Albert Schweitzer Hospital, Dordrecht, The Netherlands; and.
Eric ElderingDepartment of Experimental Immunology, Amsterdam Infection and Immunity Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Sanne H ToninoDepartment of Hematology, Cancer Center Amsterdam, and.ORCID 0000-0002-3253-8759
Arnon P KaterDepartment of Hematology, Cancer Center Amsterdam, and.ORCID 0000-0003-3190-1891
Amsterdam University Medical Centers · NLCancer Center Amsterdam · NLAlbert Schweitzer Ziekenhuis · NLAmphia Ziekenhuis · NLCopenhagen University Hospital · DKHaga Hospital · NLIkazia Ziekenhuis · NLMedisch Centrum Leeuwarden · NLZiekenhuis Gelderse Vallei · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Morbidity and mortality due to immunosuppression remain among the foremost clinical challenges in chronic lymphocytic leukemia (CLL). Although immunosuppression is considered to originate within the lymph node (LN) microenvironment, alterations in T and natural killer (NK) cells have almost exclusively been studied in peripheral blood (PB). Whereas chemoimmunotherapy further deteriorates immune function, novel targeted agents like the B-cell lymphoma 2 inhibitor venetoclax potentially spare nonmalignant lymphocytes; however, the effects of venetoclax on nonleukemic cells have not been explored. We address these unresolved issues using a comprehensive analysis of nonmalignant lymphocytes in paired LN and PB samples from untreated CLL patients, and by analyzing the effects of venetoclax-based treatment regimens on the immune system in PB samples from previously untreated and relapsed/refractory patients. CLL-derived LNs contained twice the amount of suppressive regulatory T cells (T

Indexed as

AdultAgedAntineoplastic AgentsBloodBridged Bicyclo Compounds, HeterocyclicCD8-Positive T-LymphocytesFemaleHumansImmune SystemImmunosuppression TherapyKiller Cells, NaturalLeukemia, Lymphocytic, Chronic, B-CellLymph NodesLymphocytesMaleMiddle AgedAntineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicSulfonamidesvenetoclax

Identifiers

PMID31506282
PMCPMC6737416
OpenAlexW2973024487

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.