Evidence map›Paper›PMID 34640501›Full record

ArticleJournal of clinical medicine2021

Ibrutinib Monotherapy as Bridge-to-Transplant for Relapsed/Refractory Primary Oculo-Cerebral Lymphoma.

Dalma Deak-Mihaly, Sabina Iluta, Sergiu Pasca, Ciprian Jitaru, Andrei Roman, Alexandra Andries, Monica Padurariu-Covit, Bobe Petrushev, Anca Vasilache, Anca Bojan and 8 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
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

18 authors at 6 institutions in 1 country.

Dalma Deak-MihalyDepartment of Hematology, Iuliu Hatieganu University of Medicine and Pharmacy, 400005 Cluj Napoca, Romania.ORCID 0000-0002-4072-1289
Sabina IlutaDepartment of Hematology, Iuliu Hatieganu University of Medicine and Pharmacy, 400005 Cluj Napoca, Romania.
Sergiu PascaDepartment of Hematology, Iuliu Hatieganu University of Medicine and Pharmacy, 400005 Cluj Napoca, Romania.
Ciprian JitaruDepartment of Hematology, Ion Chiricuta Clinical Cancer Center, 400125 Cluj Napoca, Romania.
Andrei RomanDepartment of Radiology, Iuliu Hatieganu University of Medicine and Pharmacy, 400124 Cluj Napoca, Romania.ORCID 0000-0001-5340-5325
Alexandra AndriesDepartment of Radiology, Ion Chiricuta Clinical Cancer Center, 400124 Cluj Napoca, Romania.
Monica Padurariu-CovitDepartment of Internal Medicine, Sf. Apostol Andrei Emergency County Hospital, 800366 Galati, Romania.ORCID 0000-0002-4237-2297
Bobe PetrushevMedfuture Research Center for Advanced Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, 400124 Cluj Napoca, Romania.
Anca VasilacheDepartment of Hematology, Ion Chiricuta Clinical Cancer Center, 400125 Cluj Napoca, Romania.
Anca BojanDepartment of Hematology, Iuliu Hatieganu University of Medicine and Pharmacy, 400005 Cluj Napoca, Romania.
Mihnea ZdrengheaDepartment of Hematology, Iuliu Hatieganu University of Medicine and Pharmacy, 400005 Cluj Napoca, Romania.
Angela DascalescuDepartment of Hematology, Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania.
Ion AntoheDepartment of Hematology, Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania.
Anca ColitaDepartment of Stem Cell Transplantation, Fundeni Clinical Institute, 420003 Bucharest, Romania.
Andrei ColitaDepartment of Hematology, Coltea Hospital, 420003 Bucharest, Romania.
Delia DimaDepartment of Hematology, Ion Chiricuta Clinical Cancer Center, 400125 Cluj Napoca, Romania.
Alina TanaseDepartment of Stem Cell Transplantation, Fundeni Clinical Institute, 420003 Bucharest, Romania.ORCID 0000-0003-3075-499X
Ciprian TomuleasaDepartment of Hematology, Iuliu Hatieganu University of Medicine and Pharmacy, 400005 Cluj Napoca, Romania.ORCID 0000-0001-5500-1519
Iuliu Hațieganu University of Medicine and Pharmacy · ROInstitute of Oncology Prof. Dr. Ion Chiricuta · ROCarol Davila University of Medicine and Pharmacy · ROGrigore T. Popa University of Medicine and Pharmacy · ROClinical Emergency Hospital Bucharest · ROInstitutul Clinic Fundeni · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrimary central nervous system lymphoma is an uncommon form of extranodal non-Hodgkin's lymphoma, with increasing incidence, a relatively aggressive course and a poor 5-year survival. Because of its localization, the therapeutic compounds used in this disease must be able to pass through the blood-brain barrier. Chemotherapy regimens based on high-dose methotrexate are currently the standard of care for all patients who can tolerate such drugs. Autologous stem cell transplantation is indicated for malignant lymphomas in the relapsed/refractory setting.

methodsThree patients, with a median age of 60 years, range 53-64, were diagnosed with primary CNS lymphoma, and treated with ibrutinib monotherapy in the Department of Hematology, Ion Chiricuta Clinical Cancer Center, Cluj-Napoca, Romania, between September 2018 and November 2020 All the patients were relapsed-refractory following high-dose methotrexate chemotherapy. We present our experience using ibrutinib monotherapy-based treatment as a bridge-to-transplant option on a single-center case series and a review of the literature in this field.

resultsTwo of the patients were given ibrutinib as a second line therapy, both achieving complete remission and being eligible for an autologous stem cell transplantation. The third patient achieved a short remission using six cycles of systemic chemotherapy, but was started on ibrutinib monotherapy, with limited results.

conclusionOur data is limited, and these results should be confirmed by multicentric clinical trials and should be regarded as a single-center case series, with all its limitations. Still, it brings forward a new therapeutic option for this rare subtype of malignant lymphomas, which if left untreated has a dismal prognosis.

Indexed as

bridge-to-transplantibrutinibprimary central nervous system lymphomarelapsed/refractory

Identifiers

PMID34640501
PMCPMC8509719
OpenAlexW3202996147

What OpenQuestion holds

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LicenceCC BY
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.