Evidence map›Paper›PMID 34590164›Full record

ArticleCancer chemotherapy and pharmacology2022

Venetoclax penetrates in cerebrospinal fluid of an acute myeloid leukemia patient with leptomeningeal involvement.

Annalisa Condorelli, Cristina Matteo, Salvatore Leotta, Giovanni Schininà, Roberta Sciortino, Gianna Maria Piccolo, Nunziatina Laura Parrinello, Maria Proietto, Maria Grazia Camuglia, Massimo Zucchetti and 2 more

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In one paragraph

Article in Cancer chemotherapy and pharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Annalisa CondorelliUOC di Ematologia Con Trapianto di Midollo Osseo AOU Policlinico G. Rodolico-San Marco, Via Santa Sofia 78, 95123, Catania, Italy. condorelli.1312@gmail.com.ORCID http://orcid.org/0000-0002-6940-333X
Cristina MatteoDepartment of Oncology, Istituto Di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, 20156, Milano, Italy.
Salvatore LeottaUOC di Ematologia Con Trapianto di Midollo Osseo AOU Policlinico G. Rodolico-San Marco, Via Santa Sofia 78, 95123, Catania, Italy.
Giovanni SchininàUOC di Ematologia Con Trapianto di Midollo Osseo AOU Policlinico G. Rodolico-San Marco, Via Santa Sofia 78, 95123, Catania, Italy.
Roberta SciortinoUOC di Ematologia Con Trapianto di Midollo Osseo AOU Policlinico G. Rodolico-San Marco, Via Santa Sofia 78, 95123, Catania, Italy.
Gianna Maria PiccoloUOC di Anestesia, Policlinico G. Rodolico-San Marco, Via Santa Sofia 78, 95123, Catania, Italy.
Nunziatina Laura ParrinelloUOC di Ematologia Con Trapianto di Midollo Osseo AOU Policlinico G. Rodolico-San Marco, Via Santa Sofia 78, 95123, Catania, Italy.
Maria ProiettoDivision of Neurology, Azienda Ospedaliera Policlinico G.Rodolico-San Marco, Via Santa Sofia 78, 95123, Catania, Italy.
Maria Grazia CamugliaUOC di Ematologia Con Trapianto di Midollo Osseo AOU Policlinico G. Rodolico-San Marco, Via Santa Sofia 78, 95123, Catania, Italy.
Massimo ZucchettiDepartment of Oncology, Istituto Di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, 20156, Milano, Italy.
Giuseppe MiloneUOC di Ematologia Con Trapianto di Midollo Osseo AOU Policlinico G. Rodolico-San Marco, Via Santa Sofia 78, 95123, Catania, Italy.
Francesco Di RaimondoUOC di Ematologia Con Trapianto di Midollo Osseo AOU Policlinico G. Rodolico-San Marco, Via Santa Sofia 78, 95123, Catania, Italy.
Policlinico Universitario di Catania · ITMario Negri Institute for Pharmacological Research · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Relapse at the central nervous system (CNS) in acute myeloid leukemia (AML) carries a dismal prognosis. Treatment options are limited to intrathecal therapy, high-dose cytarabine, high-dose methotrexate, and radiotherapy. Novel strategies are needed. Venetoclax has recently been approved by the FDA, in combination with hypomethylating agents or low-dose cytarabine, for elderly adults or patients ineligible for intensive chemotherapy affected by AML. However, little is known on its efficacy in patients with leptomeningeal involvement. Here, we present a case of a 52-year-old patient affected by AML relapsed at CNS after allogeneic bone marrow transplantation who was treated with venetoclax. We evaluated the concentration of the drug in cerebrospinal fluid (CSF) by HPLC MS/MS method on three different occasions to verify the penetration of the drug through the brain-blood barrier and we observed that the concentration in CSF was similar to the IC50 established in vitro.

Indexed as

Antineoplastic AgentsBlood-Brain BarrierBone Marrow TransplantationBridged Bicyclo Compounds, HeterocyclicChromatography, High Pressure LiquidHumansLeukemia, Myeloid, AcuteMaleMeningeal NeoplasmsMiddle AgedSulfonamidesTandem Mass SpectrometryTissue DistributionAntineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicSulfonamidesvenetoclaxAcute myeloid leukemiaBone marrow transplantationLeptomeningeal involvementRelapseVenetoclax

Identifiers

PMID34590164
OpenAlexW3203565627

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.