Evidence map›Paper›PMID 34555843›Full record

ArticleBlood advances2021

Combined ibrutinib and venetoclax treatment vs single agents in the TCL1 mouse model of chronic lymphocytic leukemia.

Arnon P Kater, Erik Slinger, Gaspard Cretenet, Anne W Martens, Sriram Balasubramanian, Joel D Leverson, Eric Eldering

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.1field-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.

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

29 citing papers in PubMed, 37 citations in OpenAlex.

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  4. Ibrutinib and Venetoclax for First-Line Treatment of CLL.The New England journal of medicine · 2019
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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

7 authors at 3 institutions in 2 countries.

Arnon P Kater
Erik SlingerDepartment of Experimental Immunology and Hematology.ORCID 0000-0002-4919-3419
Gaspard CretenetDepartment of Experimental Immunology and Hematology.
Anne W Martens
Sriram BalasubramanianJanssen R&D, Spring House, PA; and.
Joel D LeversonAbbVie Oncology Discovery, North Chicago, IL.
Eric Eldering
University of Amsterdam · NLAbbVie (United States) · USJanssen (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The covalent inhibitor of Bruton's tyrosine kinase ibrutinib and the specific Bcl-2 inhibitor venetoclax are both highly efficacious single-agent drugs in the treatment of chronic lymphocytic leukemia (CLL). Based on their complementary modes of action, ibrutinib and venetoclax are hypothesized to act in a synergistic fashion. Currently, it is unclear whether combined treatment is indeed superior to continuous single-agent treatment and what mechanisms underlie the resistance to combination treatment. In addition, the effects of such treatment on the skewed T-cell compartment characteristic of CLL are as yet unknown. In the murine Eµ-TCL1 adoptive transfer model resembling aggressive CLL, we found that combined treatment resulted in the deepest responses, with the longest duration related to a combination of decreased proliferation and increased induction of apoptosis. In addition, alterations in T-cell subsets were most prominent after combination treatment, with increased naive cells and reduced effector memory cells. Remarkably, effects of single agents but also combination treatment were eventually interrupted by relapse, and we found downregulation of BIM expression as a plausible cause of acquired drug resistance. Nevertheless, in this murine model, the combination of venetoclax and ibrutinib has increased efficacy over single agents, accompanied by a restoration of the T-cell compartment.

Indexed as

Leukemia, Lymphocytic, Chronic, B-CellAdenineAnimalsBridged Bicyclo Compounds, HeterocyclicDisease Models, AnimalMicePiperidinesProto-Oncogene ProteinsPyrazolesPyrimidinesSulfonamidesAdenineBridged Bicyclo Compounds, HeterocyclicibrutinibPiperidinesProto-Oncogene ProteinsPyrazolesPyrimidinesSulfonamidesTcl1 protein, mousevenetoclax

Identifiers

PMID34555843
PMCPMC9153000
OpenAlexW3200592707

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.