Evidence map›Paper›PMID 32983178›Full record

ArticleFrontiers in immunology2020

BTK Inhibition Impairs the Innate Response Against Fungal Infection in Patients With Chronic Lymphocytic Leukemia.

Stefania Fiorcari, Rossana Maffei, Daniela Vallerini, Lydia Scarfò, Patrizia Barozzi, Monica Maccaferri, Leonardo Potenza, Paolo Ghia, Mario Luppi, Roberto Marasca

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07215273 (A Phase 2, Multicenter, Randomized, Double-blind Study of Safety and Efficacy of EL219), which is not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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.

NCT07215273 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

A Phase 2, Multicenter, Randomized, Double-blind Study of Safety and Efficacy of EL219 (Turletricin) Versus Liposomal Amphotericin B or Voriconazole for Early Antifungal Therapy of Invasive Mould Infections (TREAT-1)

TypeinterventionalSponsorElion Therapeutics, Inc.Ran2026 to 2026Enrolled60ConditionsInvasive Mould InfectionArmsEL219, Active Comparator- IV Antifungal (LAmB or voriconazole)
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

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  13. AngioinvasiveClinical case reports · 2023
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  17. All Bruton's tyrosine kinase inhibitors have similar efficacy and risks: No.Multiple sclerosis (Houndmills, Basingstoke, England) · 2022
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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 4 institutions in 1 country.

Stefania FiorcariHematology Unit, Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Rossana MaffeiHematology Unit, Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Daniela ValleriniHematology Unit, Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Lydia ScarfòUniversità Vita-Salute San Raffaele and IRCCS Istituto Scientifico San Raffaele, Milan, Italy.
Patrizia BarozziHematology Unit, Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Monica MaccaferriHematology Unit, Department of Oncology and Hematology, A.O.U of Modena, Policlinico, Modena, Italy.
Leonardo PotenzaHematology Unit, Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Paolo GhiaUniversità Vita-Salute San Raffaele and IRCCS Istituto Scientifico San Raffaele, Milan, Italy.
Mario LuppiHematology Unit, Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Roberto MarascaHematology Unit, Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy.
University of Modena and Reggio Emilia · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITPoliclinico di Modena · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infections represent a cause of morbidity and mortality in patients affected by chronic lymphocytic leukemia (CLL). Introduction of new drugs in CLL clinical practice has showed impressive efficacy, in particular those targeting BTK. Among the consistent clinical data, an increasing number of reports describing the occurrence of unexpected opportunistic fungal infections has been reported during treatment with ibrutinib in the first 6 months of treatment. The reason underlying manifestations of invasive fungal infections in patients treated with ibrutinib is still under investigation. Our study aimed to understand the impact of BTK inhibition on immune response to fungal infection mediated by macrophages and CD14+ monocytic population obtained from CLL patients. Exposure to ibrutinib and acalabrutinib reduced signaling pathways activated by KEYPOINTS: •BTK inhibition affects a productive immune response of CLL-associated macrophages (NLC) during

Indexed as

AdenineAgammaglobulinaemia Tyrosine KinaseAntineoplastic AgentsAspergillosisAspergillus fumigatusHumansImmunity, InnateImmunomodulationLeukemia, Lymphocytic, Chronic, B-CellMacrophagesPhagocytosisPiperidinesSignal TransductionTumor Cells, CulturedTumor Necrosis Factor-alphaAdenineAgammaglobulinaemia Tyrosine KinaseAntineoplastic AgentsBTK protein, humanibrutinibPiperidinesTumor Necrosis Factor-alphachronic lymphocytic lefungal infectionibrutinibimmunomodulationmacrophages

Identifiers

PMID32983178
PMCPMC7485008
OpenAlexW3081729908

What OpenQuestion holds

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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.