Evidence map›Paper›PMID 33022066›Full record

ArticleBlood advances2020

Zanubrutinib (BGB-3111) plus obinutuzumab in patients with chronic lymphocytic leukemia and follicular lymphoma.

Constantine S Tam, Hang Quach, Andrew Nicol, Xavier Badoux, Hannah Rose, H Miles Prince, Michael F Leahy, Richard Eek, Nicholas Wickham, Sushrut S Patil and 7 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase I
In one paragraph

Article in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02569476 (A Phase 1b Study to Assess Safety, Tolerability and Antitumor Activity of the Combination of BGB 3111 With Obinutuzumab in Subjects With B-Cell Lymphoid Malignancies), which is not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
4.2field-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.

NCT02569476 phase1completednot on this map

A Phase 1b Study to Assess Safety, Tolerability and Antitumor Activity of the Combination of BGB 3111 With Obinutuzumab in Subjects With B-Cell Lymphoid Malignancies

TypeinterventionalSponsorBeiGeneRan2016 to 2020Enrolled119ConditionsB-cell Lymphoid MalignanciesArmsZanubrutinib, Obinutuzumab
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. The evolving frontline management of CLL: are triplets better than doublets? How will we find out?Hematology. American Society of Hematology. Education Program · 2024
    Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Zanubrutinib: past, present, and future.Blood cancer journal · 2023
    Review
  15. Review
  16. Review
  17. Immune therapy: a new therapy for acute myeloid leukemia.Blood science (Baltimore, Md.) · 2023
    Review
  18. Review
  19. Advances in the multi-omics landscape of follicular lymphoma.International journal of biological sciences · 2023
    Review
  20. 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

17 authors at 8 institutions in 2 countries.

Constantine S TamPeter MacCallum Cancer Centre, St Vincent's Hospital, Royal Melbourne Hospital, University of Melbourne, Melbourne, VIC, Australia.
Hang QuachDepartment of Haematology, St Vincent's Hospital, University of Melbourne, Melbourne, VIC, Australia.
Andrew NicolBrisbane Clinic for Lymphoma, Myeloma, and Leukaemia, Brisbane, QLD, Australia.
Xavier BadouxDepartment of Haematology, St George Hospital, Sydney, NSW, Australia.
Hannah RoseUniversity Hospital, Geelong, VIC, Australia.
H Miles PrinceEpworth Healthcare, Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC, Australia.
Michael F LeahyDepartment of Haematology, Royal Perth Hospital, University of Western Australia, Perth, WA, Australia.
Richard EekBorder Medical Oncology, Albury, NSW, Australia.
Nicholas WickhamAshford Cancer Centre Research, Adelaide Cancer Centre, Adelaide, SA, Australia.
Sushrut S PatilAlfred Hospital and Monash University, Melbourne, VIC, Australia.
Jane HuangBeiGene USA, Inc., San Mateo, CA; and.
Radha PrathikantiBeiGene USA, Inc., San Mateo, CA; and.
Aileen CohenBeiGene USA, Inc., San Mateo, CA; and.
Rebecca ElstromBeiGene USA, Inc., San Mateo, CA; and.
William ReedBeiGene USA, Inc., San Mateo, CA; and.
Jingjing SchneiderBeiGene USA, Inc., San Mateo, CA; and.
Ian W FlinnSarah Cannon Research Institute, Tennessee Oncology, PLLC, Nashville, TN.
The University of Melbourne · AUCentre for Cancer Biology · AUGeelong Hospital · AUMonash University · AUSarah Cannon · USSt George Hospital · AUThe Royal Melbourne Hospital · AUThe University of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Zanubrutinib (BGB-3111) is a next-generation Bruton tyrosine kinase inhibitor designed to be more selective with fewer off-target effects. We conducted a phase 1 study to assess the safety of its combination with obinutuzumab and evaluate early efficacy in 81 patients with chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL) or relapsed/refractory (R/R) follicular lymphoma (FL). In this phase 1b study, zanubrutinib was tolerable at 160 mg twice daily or 320 mg once daily combined with IV obinutuzumab in patients with CLL/SLL (n = 45) and FL (n = 36). Common adverse events (AEs) included upper respiratory tract infection (51%; n = 23), neutropenia (44%; n = 20), contusion (33%; n = 15), cough, diarrhea, or fatigue (27%; n = 12 each), and pyrexia (22%; n = 10) in CLL/SLL patients and upper respiratory tract infection (39%; n = 14), contusion (28%; n = 10), fatigue (25%; n = 9), and cough (22%; n = 8) in FL patients. Neutropenia was the most common grade 3/4 AE (CLL/SLL, 31% [n = 14]; FL, 14% [n = 5]). Five patients required temporary dose reductions, and 5 discontinued the study drug because of AEs. Overall response rate (ORR) was 100% (n = 20) in treatment-naïve CLL patients and 92% (n = 23) in R/R CLL patients. ORR in 36 R/R FL patients was 72% (n = 26), with 14 complete and 12 partial responses. Median follow-up was 29 months (range, 8-37) for CLL patients and 20 months (range, 2-37) for FL patients. Zanubrutinib and obinutuzumab combination therapy was generally well tolerated. This trial was registered at www.clinicaltrials.gov as #NCT02569476.

Indexed as

Leukemia, Lymphocytic, Chronic, B-CellLymphoma, FollicularAntibodies, Monoclonal, HumanizedHumansPiperidinesPyrazolesPyrimidinesAntibodies, Monoclonal, HumanizedobinutuzumabPiperidinesPyrazolesPyrimidineszanubrutinib

Identifiers

PMID33022066
PMCPMC7556127
OpenAlexW3092128927

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.