Evidence map›Paper›PMID 34822104›Full record

Trial reportAdvances in therapy2022

Population Pharmacokinetics and Exposure-Response Analyses for Venetoclax in Combination with R-CHOP in Relapsed/Refractory and Previously Untreated Patients with Diffuse Large B Cell Lymphoma.

Divya Samineni, Weize Huang, Leonid Gibiansky, Hao Ding, Rong Zhang, Chunze Li, Arijit Sinha, Richa Rajwanshi, Kathryn Humphrey, Alexandra Bazeos and 2 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Advances in therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02055820 (A Phase Ib/II, Open-Label Study Evaluating the Safety, Efficacy and Pharmacokinetics of GDC-0199), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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.

NCT02055820 phase1 / phase2completednot on this map

A Phase Ib/II, Open-Label Study Evaluating the Safety, Efficacy and Pharmacokinetics of GDC-0199 (ABT-199) in Combination With Rituximab (R) or Obinutuzumab (G) Plus Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (CHOP) in Patients With B-Cell Non-Hodgkin's Lymphoma (NHL) and DLBCL

TypeinterventionalSponsorHoffmann-La RocheRan2013 to 2019Enrolled267ConditionsLymphoma, Non-HodgkinArmsVenetoclax, Cyclophosphamide, Obinutuzumab, Rituximab, Doxorubicin
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
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  7. Review
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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 3 institutions in 4 countries.

Divya SamineniGenentech, Inc., 1 DNA Way, South San Francisco, CA, USA. samineni.divya@gene.com.ORCID http://orcid.org/0000-0001-6300-2044
Weize HuangGenentech, Inc., 1 DNA Way, South San Francisco, CA, USA.
Leonid GibianskyQuantPharm LLC, North Potomac, MD, USA.
Hao DingGenentech, Inc., 1 DNA Way, South San Francisco, CA, USA.
Rong ZhangGenentech, Inc., 1 DNA Way, South San Francisco, CA, USA.
Chunze LiGenentech, Inc., 1 DNA Way, South San Francisco, CA, USA.
Arijit SinhaRoche Products Ltd, Welwyn Garden City, UK.
Richa RajwanshiGenentech, Inc., 1 DNA Way, South San Francisco, CA, USA.
Kathryn HumphreyRoche Products Ltd, Welwyn Garden City, UK.
Alexandra BazeosRoche Products Ltd, Welwyn Garden City, UK.
Ahmed Hamed SalemAbbVie Inc., North Chicago, IL, USA.
Dale MilesGenentech, Inc., 1 DNA Way, South San Francisco, CA, USA.
Roche (United Kingdom) · GBAin Shams University · EGGene Therapy Laboratory · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOutcomes remain poor in patients with diffuse large B cell lymphoma (DLBCL) who overexpress BCL-2 protein. We present population pharmacokinetics (PopPK) and exposure-response (ER) analyses for venetoclax (a selective BCL-2 inhibitor) administered with rituximab-cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) in patients with relapsed/refractory (R/R) and previously untreated (1L) non-Hodgkin lymphoma (NHL) from the phase 1b/2 CAVALLI study, to confirm dose selection for future studies.

methodsAnalyses included 216 patients with R/R or 1L NHL treated for eight 21-day cycles with 400-800 mg venetoclax (cycle 1: days 4-10; cycles 2-8: days 1-10) in combination with R for eight cycles and CHOP for 6-8 cycles. A legacy PopPK model for venetoclax was used to describe the observed data and provide post hoc PK parameters. Venetoclax steady-state exposure (AUC

resultsThere was no significant association between venetoclax AUC

conclusionsThe PopPK and ER analyses, in addition to the positive benefit-risk observed in the clinical data, support the selection of 800 mg venetoclax given with R-CHOP for future studies in BCL-2-immunohistochemistry-positive patients with 1L DLBCL.

trial registrationClinicalTrials.gov Identifier NCT02055820.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsLymphoma, Large B-Cell, DiffuseBridged Bicyclo Compounds, HeterocyclicCyclophosphamideDoxorubicinHumansPrednisoneRituximabSulfonamidesTreatment OutcomeVincristineBridged Bicyclo Compounds, HeterocyclicCyclophosphamideDoxorubicinPrednisoneRituximabSulfonamidesvenetoclaxVincristineDiffuse Large B cell LymphomaLymphomaPharmacokineticsR-CHOPVenetoclax

Identifiers

PMID34822104
PMCPMC8799559
OpenAlexW3216779617

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.