Evidence map›Paper›PMID 33054121›Full record

ArticleHaematologica2021

Zanubrutinib monotherapy for patients with treatment naïve chronic lymphocytic leukemia and 17p deletion

Constantine S Tam, Tadeusz Robak, Paolo Ghia, Brad S Kahl, Patricia Walker, Wojciech Janowski, David Simpson, Mazyar Shadman, Peter S Ganly, Luca Laurenti and 16 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Haematologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03336333 (An International, Phase 3, Open-Label, Randomized Study of BGB-3111 Compared With Bendamustine Plus Rituximab in Patients With Previously Untreated Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma), which is not on this map. Cited by 64 papers.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed
8.1field-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.

NCT03336333 phase3active not recruitingnot on this map

An International, Phase 3, Open-Label, Randomized Study of BGB-3111 Compared With Bendamustine Plus Rituximab in Patients With Previously Untreated Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma (CLL/SLL)

TypeinterventionalSponsorBeiGeneRan2017 to 2027Enrolled590ConditionsChronic Lymphocytic Leukemia, Small Lymphocytic LymphomaArmsZanubrutinib, Bendamustine, Rituximab, Venetoclax
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 101 citations in OpenAlex.

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  15. Greek Consensus on Chronic Lymphocytic Leukemia (CLL) Treatment.Mediterranean journal of hematology and infectious diseases · 2025
    Article
  16. Risk-stratification in frontline CLL therapy: standard of care.Hematology. American Society of Hematology. Education Program · 2024
    Review
  17. Review
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  19. Article
  20. New Means and Challenges in the Targeting of BTK.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Review

4 more citing papers are in PubMed but not listed here.

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

26 authors at 20 institutions in 8 countries.

Constantine S TamPeter MacCallum Cancer Centre, Melbourne, Victoria, Australia; University of Melbourne, Parkville, Victoria, Australia; Royal Melbourne Hospital, Parkville, Victoria, Australia; St Vincent's Hospital Melbourne, Fitzroy, Victoria. constantine.tam@petermac.org.
Tadeusz RobakMedical University of Lodz, Lodz.
Paolo GhiaUniversità Vita-Salute San Raffaele and IRCCS Ospedale San Raffaele, Milano.
Brad S KahlWashington University School of Medicine, St Louis, MO.
Patricia WalkerPeninsula Private Hospital, Frankston, Victoria.
Wojciech JanowskiCalvary Mater Newcastle, Waratah, NSW.
David SimpsonNorth Shore Hospital, Auckland.
Mazyar ShadmanFred Hutchinson Cancer Research Center, Seattle, WA, USA; Department of Medicine, University of Washington, Seattle, WA.
Peter S GanlyDepartment of Haematology, Christchurch Hospital, Christchurch.
Luca LaurentiFondazione Policlinico Universitario A. Gemelli IRCCS, Rome.
Stephen OpatMonash Health, Clayton, Victoria, Australia; Monash University, Clayton, Victoria.
Monica TaniHematology Unit, Santa Maria delle Croci Hospital, Ravenna.
Hanna CiepluchCopernicus Wojewódzkie Centrum Onkologii, Gdánsk.
Emma VernerConcord Repatriation General Hospital, Concord, NSW, Australia; University of Sydney, Concord, NSW.
Martin ŠimkovičFourth Department of Internal Medicine - Hematology, University Hospital, Hradec Kralove, Czech Republic; Faculty of Medicine, Charles University, Prague, Czech Republic.
Anders ÖsterborgDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden; Department of Hematology, Karolinska University Hospital, Stockholm.
Marek TrněnýFirst Department of Medicine, First Faculty of Medicine, Charles University, General Hospital, Prague, Czech Republic.
Alessandra TedeschiASST Grande Ospedale Metropolitano Niguarda, Milan.
Jason C PaikBeiGene USA, Inc., San Mateo, CA.
Sowmya B KuwaharaBeiGene USA, Inc., San Mateo, CA.
Shibao FengBeiGene USA, Inc., San Mateo, CA.
Vanitha RamakrishnanBeiGene USA, Inc., San Mateo, CA.
Aileen CohenBeiGene USA, Inc., San Mateo, CA.
Jane HuangBeiGene USA, Inc., San Mateo, CA.
Peter HillmenSt James's University Hospital, Leeds.
Jennifer R BrownDana-Farber Cancer Institute, Boston, MA.
Agostino Gemelli University Polyclinic · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITCalvary Mater Newcastle Hospital · AUCentrum Onkologii · PLCharles University · CZChristchurch Hospital · NZConcord Repatriation General Hospital · AUDana-Farber Cancer Institute · USFrankston Hospital · AUIRCCS Ospedale San Raffaele · ITKarolinska University Hospital · SEMedical University of Lodz · PLMonash University · AUNorth Shore Hospital · NZOspedale "Santa Maria delle Croci" di Ravenna · ITSt James's University Hospital · GBSt Vincent's Hospital Melbourne · AUUniversity Hospital Hradec Králové · CZUniversity of Washington · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with chronic lymphocytic leukemia or small lymphocytic lymphoma whose tumors carry deletion of chromosome 17p13.1 [del(17p)] have an unfavorable prognosis and respond poorly to standard chemoimmunotherapy. Zanubrutinib is a selective next-generation Bruton tyrosine kinase inhibitor. We evaluated the safety and efficacy of zanubrutinib 160 mg twice daily in treatment-naïve patients with del(17p) disease enrolled in a dedicated, nonrandomized cohort (Arm C) of the phase 3 SEQUOIA trial. A total of 109 patients (median age, 70 years; range, 42 - 86) with centrally confirmed del(17p) were enrolled and treated. After a median of 18.2 months (range, 5.0 - 26.3), seven patients had discontinued study treatment due to progressive disease, four due to an adverse event, and one due to withdrawal of consent. The overall response rate was 94.5% with 3.7% of patients achieving complete response with or without incomplete hematologic recovery. The estimated 18-month progression-free survival rate was 88.6% (95% CI, 79.0 - 94.0) and the estimated 18-month overall survival rate was 95.1% (95% CI, 88.4 - 98.0). Most common all-grade adverse events included contusion (20.2%), upper respiratory tract infection (19.3%), neutropenia/neutrophil count decreased (17.4%), and diarrhea (16.5%). Grade ≥ 3 adverse events were reported in 53 patients (48.6%), most commonly neutropenia (12.9%) and pneumonia (3.7%). An adverse event of atrial fibrillation was reported in three patients (2.8%). Zanubrutinib was active and well tolerated in this large, prospectively enrolled treatment cohort of previously untreated patients with del(17p) chronic lymphocytic leukemia/small lymphocytic lymphoma. This trial was registered at ClinicalTrials.gov as #NCT03336333.

Indexed as

Leukemia, Lymphocytic, Chronic, B-CellAgedHumansPiperidinesPyrazolesPyrimidinesPiperidinesPyrazolesPyrimidineszanubrutinib

Identifiers

PMID33054121
PMCPMC8409041
OpenAlexW3092937247

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.