Evidence map›Paper›PMID 31700137›Full record

ArticleBone marrow transplantation2020

Ibrutinib as a salvage therapy after allogeneic HCT for chronic lymphocytic leukemia.

Mauricette Michallet, Peter Dreger, Mohamad Sobh, Linda Koster, Jennifer Hoek, Ariane Boumendil, Christof Scheid, Christopher P Fox, Gerald Wulf, William Krüger and 15 more

Abstract read
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In one paragraph

Article in Bone marrow transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
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  9. Review
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

25 authors.

Mauricette MichalletHematology Department, Centre Léon Bérard, Lyon, France. mauricette.michallet@lyon.unicancer.fr.
Peter DregerInternal Medicine V, University of Heidelberg, Heidelberg, Germany.
Mohamad SobhHematology Department, Centre Léon Bérard, Lyon, France.
Linda KosterEBMT Data Office, Leiden, Netherlands.
Jennifer HoekEBMT Data Office, Leiden, Netherlands.
Ariane BoumendilEBMT, EBMT Lymphoma Working Party, Paris, France.
Christof ScheidDepartment I of Internal Medicine, University Hospital of Cologne, Cologne, Germany.
Christopher P FoxDepartment of Clinical Haematology, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Gerald WulfDepartment of Hematology and Oncology, Universitaetsklinikum Goettingen, Goettingen, Germany.
William KrügerDepartment of Hematology, Universitaetsmedizin Greifswald, Greifswald, Germany.
Michel van GelderDepartment of Internal Medicine/Hematology, University Medical Center, Maastricht, Netherlands.
Paolo CorradiniHematology Division, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, University of Milano, Milan, Italy.
Domenico RussoUnit of Blood Diseases and Stem Cell Transplantation, Department of Clinical and Experimental Sciences, Brescia University, ASST Spedali Civili Brescia, Brescia, Italy.
Jakob PasswegDepartment of Hematology, University Hospital, Basel, Switzerland.
Hélène SchoemansDepartment of Hematology, University Hospital Leuven and KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0002-7568-8239
Wolfgang BethgeDepartment of Hematology, Eberhard Karls University Tuebingen, Tuebingen, Germany.
Nicolaas SchaapDepartment of Hematology, Radboud University Medical Centre, Nijmegen, Netherlands.
Jan CornelissenDepartment of Hematology, Erasmus MC Cancer Institute, Rotterdam, Netherlands.
Paul BrowneHope Directorate, St. James's Hospital, Dublin, Ireland.
Nadira DurakovicDepartment of Hematology, Clinical Hospital Center Zagreb, Zagreb, Croatia.
Lutz MullerDepartment of Hematology, Martin-Luther-Univeristy, Halle, Germany.
Silvia MontotoDepartment of Haemato-oncology, St. Bartholomew's Hospital, Barts Health NHS Trust, London, UK.
Nicolaus KrogerUniversity Hospital Eppendorf, Hamburg, Germany.
Johannes ScheteligDepartment of Hematology, University Hospital Dresden, Dresden, Germany.
French Cooperative Group for CLL, SFGM-TC, and the EBMT Chronic Malignancy and Lymphoma Working Parties

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of our study is to provide information on safety and efficacy of ibrutinib as salvage treatment after allo-HSCT for CLL. A total of 56 patients were included, 36 (64%) males; median age at transplantation was 48 years (range: 35-64) and the median number of treatment lines prior to transplantation was 3 (1-10). The median time between allo-HSCT and Ibrutinib was 30 months (range: 1-140). Overall, 40 (71%) patients responded to Ibrutinib; 23 (41%) PR, and 17 (30%) CR. At time of ibrutinib initiation, ten patients had active chronic GVHD that resolved under Ibrutinib, whilst a single patient developed limited de novo chronic GVHD on Ibrutinib. Fourteen patients discontinued ibrutinib, four because of toxicity and ten because of disease progression. Overall, 14 patients progressed (median PFS = 24 months) among them 10 died. Two-year OS and PFS probabilities were 72% (95% CI: 52-84) and 50% (95% CI: 32-66), respectively. Patients with late relapse after allo-HSCT (≥24 months) had a better PFS after ibrutinib. Our study shows that ibrutinib can be safely administered for CLL relapse after allo-HSCT, with comparable efficacy to non-transplanted patients with high-risk disease.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Lymphocytic, Chronic, B-CellAdenineHumansMalePiperidinesRetrospective StudiesSalvage TherapyAdenineibrutinibPiperidines

Identifiers

What OpenQuestion holds

Textmetadata
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.