Evidence map›Paper›PMID 34653574›Full record

ArticleInternational journal of cardiology2021

Cardiovascular complications associated with novel agents in the chronic lymphocytic leukemia armamentarium: A pharmacovigilance analysis.

Udhayvir Singh Grewal, Sahith Reddy Thotamgari, Aakash Rajendra Sheth, Shiva Jashwanth Gaddam, Javaria Ahmad, Kavitha Beedupalli, Paari Dominic

Abstract read
In one paragraph

Article in International journal of cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Article
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  7. Observational
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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.

Udhayvir Singh GrewalDepartment of Internal Medicine, Louisiana State University Health Sciences Center, Shreveport, LA, USA.
Sahith Reddy ThotamgariDepartment of Internal Medicine, Louisiana State University Health Sciences Center, Shreveport, LA, USA.
Aakash Rajendra ShethDepartment of Internal Medicine, Louisiana State University Health Sciences Center, Shreveport, LA, USA.
Shiva Jashwanth GaddamDepartment of Internal Medicine, Louisiana State University Health Sciences Center, Shreveport, LA, USA.
Javaria AhmadDepartment of Internal Medicine, Louisiana State University Health Sciences Center, Shreveport, LA, USA.
Kavitha BeedupalliDivision of Hematology and Oncology, Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, LA, USA.
Paari DominicDivision of Cardiology, Department of Medicine, and Center for Cardiovascular Diseases and Sciences, Louisiana State University Health Sciences Center, Shreveport, LA, USA. Electronic address: paari.dominic@lsuhs.edu.

Funding

Stress Exacerbates Myocardial Ischemic Injury by Blocking Estrogen's Antidoxidant Protection in the Female HeartP20GM121307 · NIGMS · LOUISIANA STATE UNIV HSC SHREVEPORT · PI Vesna Tesic · 2018 to 2026
$23.6M
NIGMS NIH HHS P20 GM121307
6 · The paper itself

Abstract

introductionOver the last few years, improved outcomes in patients with chronic lymphocytic leukemia (CLL) have been credited to the introduction of novel agents for its treatment. However, the overall cardiovascular safety profile of these agents has not been studied adequately.

methodsWe searched the Food and Drug Administration Adverse Event Reporting System (FAERS) database for adverse events reported for several of these novel agents: ibrutinib, acalabrutinib, venetoclax, and idelalisib.

resultsA total of 6074 cardiac adverse events were identified; ibrutinib (4832/36581; 13.2%) was found to have the highest risk of cardiac adverse events. The frequency of atrial fibrillation was highest (41.5%) in the ibrutinib group, while the idelalisib and acalabrutinib groups had the highest reported frequencies of heart failure (25.1%) and myocardial infarction (13.6%), respectively. Hypertension was noted to be relatively higher in the acalabrutinib (25.6%) and venetoclax (11.8%) groups. Overall reported mortality associated with cardiac events was highest in the venetoclax (29.4%) and idelalisib (27.1%) groups.

conclusionNovel agents in the CLL armamentarium have been associated with several cardiovascular adverse events. Further studies are needed to identify high-risk groups that would benefit from robust cardiovascular surveillance after initiation of treatment with these novel agents.

Indexed as

Antineoplastic AgentsHeart DiseasesLeukemia, Lymphocytic, Chronic, B-CellHumansPharmacovigilancePyrazolesPyrimidinesAntineoplastic AgentsPyrazolesPyrimidinesAtrial fibrillationCardiac safetyCardioOncologyChronic lymphocytic leukemia

Identifiers

PMID34653574
PMCPMC9006143

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Registered trials

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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.