Evidence map›Paper›PMID 34899303›Full record

ArticleFrontiers in pharmacology2021

Off-Label Use of Venetoclax in Patients With Acute Myeloid Leukemia: Single Center Experience and Data From Pharmacovigilance Database.

Lucia Gozzo, Calogero Vetro, Serena Brancati, Laura Longo, Daniela Cristina Vitale, Giovanni Luca Romano, Elisa Mauro, Paolo Fabio Fiumara, Cinzia Maugeri, Marina Silvia Parisi and 6 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 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

16 authors at 2 institutions in 1 country.

Lucia GozzoClinical Pharmacology Unit/Regional Pharmacovigilance Centre, A.O.U. Policlinico "G.Rodolico-S.Marco", Catania, Italy.
Calogero VetroHaematology Unit, A.O.U. Policlinico "G.Rodolico-S.Marco", Catania, Italy.
Serena BrancatiClinical Pharmacology Unit/Regional Pharmacovigilance Centre, A.O.U. Policlinico "G.Rodolico-S.Marco", Catania, Italy.
Laura LongoClinical Pharmacology Unit/Regional Pharmacovigilance Centre, A.O.U. Policlinico "G.Rodolico-S.Marco", Catania, Italy.
Daniela Cristina VitaleClinical Pharmacology Unit/Regional Pharmacovigilance Centre, A.O.U. Policlinico "G.Rodolico-S.Marco", Catania, Italy.
Giovanni Luca RomanoDepartment of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy.
Elisa MauroHaematology Unit, A.O.U. Policlinico "G.Rodolico-S.Marco", Catania, Italy.
Paolo Fabio FiumaraHaematology Unit, A.O.U. Policlinico "G.Rodolico-S.Marco", Catania, Italy.
Cinzia MaugeriHaematology Unit, A.O.U. Policlinico "G.Rodolico-S.Marco", Catania, Italy.
Marina Silvia ParisiHaematology Unit, A.O.U. Policlinico "G.Rodolico-S.Marco", Catania, Italy.
Ilaria DulcamareHaematology Unit, A.O.U. Policlinico "G.Rodolico-S.Marco", Catania, Italy.
Bruno GaribaldiPostgraduate School of Hematology, University of Catania, Catania, Italy.
Andrea DuminucoPostgraduate School of Hematology, University of Catania, Catania, Italy.
Giuseppe Alberto PalumboHaematology Unit, A.O.U. Policlinico "G.Rodolico-S.Marco", Catania, Italy.
Francesco Di RaimondoHaematology Unit, A.O.U. Policlinico "G.Rodolico-S.Marco", Catania, Italy.
Filippo DragoClinical Pharmacology Unit/Regional Pharmacovigilance Centre, A.O.U. Policlinico "G.Rodolico-S.Marco", Catania, Italy.
Policlinico Universitario di Catania · ITUniversity of Catania · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The potent oral inhibitor of BCL2, venetoclax (VEN), used to treat adults with chronic lymphocytic leukaemia, has been approved in US for the treatment of naïve patients with acute myeloid leukemia (AML) unfit for intensive chemotherapy and recently in Europe, too. However, the drug has been used for years in combination with hypomethylating agents (HMAs) in patients not eligible to other treatment option, according to the so-called off-label use. We collected real-world data about patients treated with VEN + HMAs in the context of a pharmacovigilance project focused on the evaluation of the safety and effectiveness of drugs used for unapproved indication in Italian hospitals. From March to December 2020, 24 patients started treatment with VEN combined with HMAs. 21 patients have been assessed for response. Eleven (52%) patients reached complete remission (CR), and three patients (14%) CR with partial hematological recovery (CRh), with a median duration of response of 4.5 months (range 0.5-12.5). 19 patients experienced at least 1 adverse drug reaction (ADR), mostly serious, including 3 deaths (9% of ADRs; 12.5% of patients) in febrile neutropenia. Hematological toxicities and infections (cytopenia, neutropenia, febrile neutropenia, sepsis), were the most reported ADRs (84.4%). In general, neutropenic fever occurred more frequently in patients treated with decitabine (7 out of 9, 78%) compared to azacitidine (5 out of 15, 33%;

Indexed as

acute myeloid leukemiaadverse eventeffectivenessoff-labelvenetoclax

Identifiers

PMID34899303
PMCPMC8660092
OpenAlexW3214399270

What OpenQuestion holds

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LicenceCC BY
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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.