Evidence map›Paper›PMID 32455989›Full record

ReviewCancers2020

Ibrutinib Resistance Mechanisms and Treatment Strategies for B-Cell lymphomas.

Bhawana George, Sayan Mullick Chowdhury, Amber Hart, Anuvrat Sircar, Satish Kumar Singh, Uttam Kumar Nath, Mukesh Mamgain, Naveen Kumar Singhal, Lalit Sehgal, Neeraj Jain

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed
8.5field-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

60 citing papers in PubMed, 98 citations in OpenAlex.

  1. Targeting the BMX in cancer: molecular mechanisms and emerging therapeutic strategies.Journal of enzyme inhibition and medicinal chemistry · 2026
    Review
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  20. Maintenance therapy for chronic lymphocytic leukaemia.The Cochrane database of systematic reviews · 2024
    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

10 authors at 3 institutions in 2 countries.

Bhawana GeorgeDepartment of Hematopathology, MD Anderson Cancer Center, Houston, TX 77030, USA.
Sayan Mullick ChowdhuryDepartment of Internal Medicine, The Ohio State University, Columbus, OH 43210, USA.
Amber HartDepartment of Internal Medicine, The Ohio State University, Columbus, OH 43210, USA.
Anuvrat SircarDepartment of Internal Medicine, The Ohio State University, Columbus, OH 43210, USA.
Satish Kumar SinghDepartment of Internal Medicine, The Ohio State University, Columbus, OH 43210, USA.
Uttam Kumar NathDepartment of Medical Oncology & Hematology, All India Institute of Medical Sciences, Rishikesh 249203, India.
Mukesh MamgainDepartment of Biochemistry, All India Institute of Medical Sciences, Rishikesh 249203, India.
Naveen Kumar SinghalDepartment of Biochemistry, All India Institute of Medical Sciences, Rishikesh 249203, India.
Lalit SehgalDepartment of Internal Medicine, The Ohio State University, Columbus, OH 43210, USA.ORCID 0000-0002-1151-5427
Neeraj JainDepartment of Medical Oncology & Hematology, All India Institute of Medical Sciences, Rishikesh 249203, India.ORCID 0000-0002-3736-8621
The Ohio State University · USAll India Institute of Medical Sciences Rishikesh · INThe University of Texas MD Anderson Cancer Center · US

Funding

Department of Biotechnology, Ministry of Science and Technology, India (BT/RLF/Re-entry/18/2017
6 · The paper itself

Abstract

Chronic activation of B-cell receptor (BCR) signaling via Bruton tyrosine kinase (BTK) is largely considered to be one of the primary mechanisms driving disease progression in B-Cell lymphomas. Although the BTK-targeting agent ibrutinib has shown promising clinical responses, the presence of primary or acquired resistance is common and often leads to dismal clinical outcomes. Resistance to ibrutinib therapy can be mediated through genetic mutations, up-regulation of alternative survival pathways, or other unknown factors that are not targeted by ibrutinib therapy. Understanding the key determinants, including tumor heterogeneity and rewiring of the molecular networks during disease progression and therapy, will assist exploration of alternative therapeutic strategies. Towards the goal of overcoming ibrutinib resistance, multiple alternative therapeutic agents, including second- and third-generation BTK inhibitors and immunomodulatory drugs, have been discovered and tested in both pre-clinical and clinical settings. Although these agents have shown high response rates alone or in combination with ibrutinib in ibrutinib-treated relapsed/refractory(R/R) lymphoma patients, overall clinical outcomes have not been satisfactory due to drug-associated toxicities and incomplete remission. In this review, we discuss the mechanisms of ibrutinib resistance development in B-cell lymphoma including complexities associated with genomic alterations, non-genetic acquired resistance, cancer stem cells, and the tumor microenvironment. Furthermore, we focus our discussion on more comprehensive views of recent developments in therapeutic strategies to overcome ibrutinib resistance, including novel BTK inhibitors, clinical therapeutic agents, proteolysis-targeting chimeras and immunotherapy regimens.

Indexed as

acquired resistanceBTK-PROTACCAR T-cellsgenetic alterationsibrutinibtumor microenvironment

Identifiers

PMID32455989
PMCPMC7281539
OpenAlexW3026138764

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.