Evidence map›Paper›PMID 33094474›Full record

Trial reportInternational journal of hematology2021

Phase 1/2 study of venetoclax, a BCL-2 inhibitor, in Japanese patients with relapsed or refractory chronic lymphocytic leukemia and small lymphocytic lymphoma.

Koji Izutsu, Kazuhito Yamamoto, Koji Kato, Takayuki Ishikawa, Noriko Fukuhara, Yasuhito Terui, Ilseung Choi, Kathryn Humphrey, Su Young Kim, Sumiko Okubo and 4 more

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase IIComparative Study
PubMed Publisher
In one paragraph

Trial report in International journal of hematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02265731 (A Phase 1/2 Study Evaluating the Safety, Pharmacokinetics and Efficacy of Venetoclax in Japanese Subjects With Hematological Malignancies), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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.

NCT02265731 phase1 / phase2completednot on this map

A Phase 1/2 Study Evaluating the Safety, Pharmacokinetics and Efficacy of Venetoclax in Japanese Subjects With Hematological Malignancies

TypeinterventionalSponsorAbbVieRan2014 to 2021Enrolled38ConditionsNon-Hodgkin Lymphoma (NHL), Multiple Myeloma (MM), Chronic Lymphocytic Leukemia (CLL), Small Lymphocytic Lymphoma (SLL)Armsazacitadine, venetoclax, rituximab / IDEC-C2B8
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

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  15. BH3-mimetics: recent developments in cancer therapy.Journal of experimental & clinical cancer research : CR · 2021
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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

14 authors at 11 institutions in 3 countries.

Koji IzutsuDepartment of Hematology, National Cancer Center Hospital, Tokyo, Japan. kizutsu@ncc.go.jp.ORCID http://orcid.org/0000-0001-9129-8057
Kazuhito YamamotoDepartment of Hematology and Cell Therapy, Aichi Cancer Center, Nagoya, Japan.
Koji KatoDepartment of Hematology, Oncology and Cardiovascular Medicine, Kyushu University Hospital, Fukuoka, Japan.
Takayuki IshikawaDepartment of Hematology, Kobe City Medical Center General Hospital, Hyogo, Japan.
Noriko FukuharaDepartment of Hematology, Tohoku University Hospital, Sendai, Japan.
Yasuhito TeruiDepartment of Hematology Oncology, The Cancer Institute Hospital JFCR, Tokyo, Japan.
Ilseung ChoiDepartment of Hematology, National Hospital Organization, Kyushu Cancer Center, Fukuoka, Japan.
Kathryn HumphreyRoche Holding AG, Basel, Switzerland.
Su Young KimAbbVie, Inc., North Chicago, IL, USA.
Sumiko OkuboAbbVie GK, Osaka, Japan.
Natsumi OgawaAbbVie GK, Tokyo, Japan.
Yasuko NishimuraAbbVie GK, Tokyo, Japan.
Ahmed Hamed SalemAbbVie, Inc., North Chicago, IL, USA.
Dai MaruyamaDepartment of Hematology, National Cancer Center Hospital, Tokyo, Japan.
ABB (Japan) · JPAbbVie (United States) · USAichi Cancer Center · JPKobe City Medical Center General Hospital · JPKyushu University Hospital · JPNational Cancer Centre Japan · JPNational Hospital Organization Kyushu Cancer Center · JPRoche (Switzerland) · CHThe Cancer Institute Hospital · JPTohoku University Hospital · JPTokyo National Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with relapsed/refractory (R/R) chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) have limited treatment options. Venetoclax is a potent BCL-2 inhibitor that induces apoptosis in CLL cells. This open-label, phase 1/2 study (NCT02265731) evaluated the safety, pharmacokinetics, and efficacy of venetoclax in Japanese patients with R/R CLL/SLL. Patients enrolled in phase 1 received 400 mg/day venetoclax monotherapy. Patients enrolled in phase 2 received 400 mg/day venetoclax, plus rituximab. Venetoclax was administered with a weekly stepwise ramp-up in doses. In phase 2, efficacy was evaluated by objective response rate (ORR). Twelve patients were enrolled, six in each arm. The most common grade ≥ 3 adverse events were neutropenia (83%), lymphopenia (67%), leukopenia (33%), and thrombocytopenia (17%). Patients receiving venetoclax monotherapy achieved an ORR of 100%, including a complete remission (CR) rate of 17%. Patients receiving combination therapy had an ORR of 67% and a CR rate of 50%. The venetoclax pharmacokinetics profile in Japanese patients was similar to that of Western patients. Venetoclax 400 mg/day monotherapy or in combination with rituximab was well-tolerated and induced promising responses in Japanese patients with R/R CLL/SLL. Although patient numbers were small, the safety profile was largely consistent with other Western studies. Clinical trial registration: clinicaltrials.gov; NCT02265731.

Indexed as

Molecular Targeted TherapyAdultAgedAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsBridged Bicyclo Compounds, HeterocyclicFemaleHematologic DiseasesHumansJapanLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedNauseaNeoplasm ProteinsProgression-Free SurvivalAntineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicNeoplasm ProteinsProto-Oncogene Proteins c-bcl-2RituximabSulfonamidesvenetoclaxBCL-2Chronic lymphocytic leukemiaSmall lymphocytic lymphomaVenetoclax

Identifiers

PMID33094474
OpenAlexW3093819340

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.