Evidence map›Paper›PMID 33907299›Full record

ArticleLeukemia2021

Pooled analysis of safety data from clinical trials evaluating acalabrutinib monotherapy in mature B-cell malignancies.

Richard R Furman, John C Byrd, Roger G Owen, Susan M O'Brien, Jennifer R Brown, Peter Hillmen, Deborah M Stephens, Nataliya Chernyukhin, Tamara Lezhava, Ahmed M Hamdy and 13 more

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Leukemia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 3% 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.

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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Review
  9. Navigating the Complexities of Cancer Treatment-Induced Hypertension.Journal of cardiovascular development and disease · 2025
    Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Evaluation of second-generation Bruton's tyrosine kinase inhibitors for the treatment of mantle cell lymphoma.Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners · 2025
    Observational
  15. Review
  16. Article
  17. BTK inhibitors: past, present, and future.Trends in pharmacological sciences · 2024
    Review
  18. Review
  19. Article
  20. 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

23 authors at 15 institutions in 4 countries.

Richard R FurmanWeill Cornell Medicine, New York Presbyterian Hospital, New York, NY, USA. rrfurman@med.cornell.edu.
John C ByrdThe Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Roger G OwenSt. James's University Hospital, Leeds, UK.
Susan M O'BrienChao Family Comprehensive Cancer Center, University of California-Irvine, Irvine, CA, USA.
Jennifer R BrownDana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0003-2040-4961
Peter HillmenSt. James's University Hospital, Leeds, UK.
Deborah M StephensUniversity of Utah Huntsman Cancer Institute, Salt Lake City, UT, USA.
Nataliya ChernyukhinAstraZeneca, South San Francisco, CA, USA.
Tamara LezhavaAstraZeneca, South San Francisco, CA, USA.
Ahmed M HamdyAstraZeneca, South San Francisco, CA, USA.
Raquel IzumiAstraZeneca, South San Francisco, CA, USA.
Priti PatelAstraZeneca, South San Francisco, CA, USA.
Marshall BaekAstraZeneca, South San Francisco, CA, USA.
Beth ChristianThe Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Martin J S DyerThe Ernest and Helen Scott Haematological Research Institute, University Hospitals of Leicester NHS Trust, Leicester, UK.ORCID http://orcid.org/0000-0002-5033-2236
Matthew J StreetlyGuy's Hospital, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Clare SunNational Heart, Lung, and Blood Institute, Bethesda, MD, USA.ORCID http://orcid.org/0000-0001-8498-4729
Simon RulePlymouth University Medical School, Plymouth, UK.ORCID http://orcid.org/0000-0001-8937-6351
Michael WangThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0001-9748-5486
Paolo GhiaUniversità Vita-Salute San Raffaele and IRCCS Ospedale San Raffaele, Milano, Italy.ORCID http://orcid.org/0000-0003-3750-7342
Wojciech JurczakMaria Sklodowska-Curie National Research Institute of Oncology, Krakow, Poland.ORCID http://orcid.org/0000-0003-1879-8084
John M PagelSwedish Cancer Institute, Seattle, WA, USA.ORCID http://orcid.org/0000-0001-5745-8125
Jeff P SharmanWillamette Valley Cancer Institute/US Oncology, Eugene, OR, USA.
AstraZeneca (United States) · USSt James's University Hospital · GBThe Ohio State University · USDana-Farber Cancer Institute · USGuy's Hospital · GBNational Heart Lung and Blood Institute · USNewYork–Presbyterian Hospital · USThe Maria Sklodowska-Curie National Research Institute of Oncology · PLThe University of Texas MD Anderson Cancer Center · USUniversity Hospitals of Leicester NHS Trust · GBUniversity of California, Irvine · USUniversity of Plymouth · GBUniversity of Utah · USVita-Salute San Raffaele University · ITWillamette Valley Cancer Institute and Research Center · US

Funding

NCI NIH HHS R35 CA198183
6 · The paper itself

Abstract

Bruton tyrosine kinase (BTK) inhibition is an effective therapy for many B-cell malignancies. Acalabrutinib is a next-generation, potent, highly selective, covalent BTK inhibitor. To characterize acalabrutinib tolerability, we pooled safety data from 1040 patients with mature B-cell malignancies treated with acalabrutinib monotherapy in nine clinical studies (treatment-naïve: n = 366 [35%], relapsed/refractory: n = 674 [65%]; median [range] age: 67 [32-90] years; median [range] prior treatments: 1 [0-13]; median [range] duration of exposure: 24.6 [0.0-58.5] months). The most common adverse events (AEs) were headache (38%), diarrhea (37%), upper respiratory tract infection (22%), contusion (22%), nausea (22%), fatigue (21%), and cough (21%). Serious AEs (SAEs) occurred in 39% of patients; pneumonia (6%) was the only SAE that occurred in ≥2%. Deaths due to AEs occurred in 52 patients (5%); pneumonia (n = 8) was the only fatal AE to occur in ≥3 patients. AEs led to treatment discontinuation in 9%. Rates for the AEs of interest (all grades) included infections (67%), hemorrhages (46%), neutropenia (16%), anemia (14%), second primary malignancies (12%), thrombocytopenia (9%), hypertension (8%), and atrial fibrillation (4%). This pooled analysis confirmed acalabrutinib's tolerability and identified no newly emerging late toxicities, supporting acalabrutinib as a long-term treatment for patients with mature B-cell malignancies.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsBenzamidesClinical Trials as TopicDrug-Related Side Effects and Adverse ReactionsFemaleFollow-Up StudiesHumansLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedPrognosisPyrazinesRetrospective StudiesacalabrutinibAntineoplastic AgentsBenzamidesPyrazines

Identifiers

PMID33907299
OpenAlexW3159691003

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.