Evidence map›Paper›PMID 32579486›Full record

ArticleJCO global oncology2020

Chronic Lymphocytic Leukemia: Real-World Data From India.

V Tejaswi, Deepesh P Lad, Nishant Jindal, Gaurav Prakash, Pankaj Malhotra, Alka Khadwal, Arihant Jain, Sreejesh Sreedharanunni, Manupdesh Singh Sachdeva, Shano Naseem and 2 more

Abstract read
In one paragraph

Article in JCO global oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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

19 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. How Do We Manage Chronic Lymphocytic Leukemia in India.Current hematologic malignancy reports · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Bendamustine-Rituximab in Young CLL: Relevance in the Era of Small Molecule Inhibitors.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2023
    Article
  10. Article
  11. Safety and Efficacy of Bendamustine and Rituximab (BR) Regimen in Indian Chronic Lymphocytic Leukaemia Patients.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2023
    Article
  12. Article
  13. Article
  14. Efficacy, safety, and quality of life of generic and innovator ibrutinib in Indian CLL patients.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2021
    Article
  15. Article
  16. Article
  17. Emergence of Triazole Resistance inCurrent fungal infection reports · 2021
    Review
  18. Article
  19. Article
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

12 authors.

V TejaswiDepartment of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Deepesh P LadDepartment of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Nishant JindalDepartment of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Gaurav PrakashDepartment of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Pankaj MalhotraDepartment of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Alka KhadwalDepartment of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Arihant JainDepartment of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Sreejesh SreedharanunniDepartment of Hematology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Manupdesh Singh SachdevaDepartment of Hematology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Shano NaseemDepartment of Hematology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Neelam VarmaDepartment of Hematology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Subhash VarmaDepartment of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChronic lymphocytic leukemia (CLL) is uncommon in India. There are limited studies on CLL from the Indian subcontinent.

methodsThis was a prospective study (2011-2017) of consecutively diagnosed patients with CLL at a single center. The diagnosis, prognosis, treatment indication, response criteria, and adverse events were recorded as per International Workshop on Chronic Lymphocytic Leukemia guidelines. Biosimilar rituximab dosing (375 mg/m

resultsA total of 409 patients with CLL were enrolled over the study period. The median follow-up was 32 months (range, 2-135 months). The median age was 61 years, and 31.8% of patients with CLL were ≤ 55 years of age; 43.3% of patients had a cumulative illness rating scale score ≥ 3. Prognostic fluorescence in situ hybridization data were available in 53.3% of patients. Chlorambucil (94/180; 52.2%) and bendamustine + rituximab (BR; 57/180; 31.6%) were the most common regimens used up front. The overall response rates after front-line therapy were 74.4% and 91.2%, respectively. The TTNT was 33 months and not reached, respectively (

conclusionIndian patients with CLL are younger in chronological age but have higher morbidity burden. Treatment outcomes with biosimilar fixed-dose BR are comparable to those reported in the literature. Chlorambucil is still a valid option, given the economic burden of the disease and treatment.

Indexed as

Leukemia, Lymphocytic, Chronic, B-CellAdultAntineoplastic Combined Chemotherapy ProtocolsHumansIndiaIn Situ Hybridization, FluorescenceMiddle AgedProspective Studies

Identifiers

PMID32579486
PMCPMC7328099

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Registered trials

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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.