Evidence map›Paper›PMID 36048142›Full record

Observational studyEuropean journal of haematology2022

Ibrutinib as a treatment of hematologic autoimmune disorders in patients with indolent B-cell lymphoma.

Adrien Daniel, David Ghez, Camille Ravaiau, Doriane Cavalieri, Olivier Tournilhac, Charles Herbaux, Mélanie Roriz, Mathieu Wemeau, Stéphanie Guillet, Jean Baptiste Bossard and 8 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in European journal of haematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Observational
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 14 institutions in 3 countries.

Adrien DanielDepartment of Hematology, Claude Huriez University Hospital, Lille, France.
David GhezDepartment of Hematology and INSERM UMR1030, Gustave Roussy, Villejuif, France.
Camille RavaiauDepartment of Internal Medicine, Angers University Hospital, Angers, France.
Doriane CavalieriDepartment of Hematology, Estaing University Hospital, Clermont-Ferrand, France.
Olivier TournilhacDepartment of Hematology, Estaing University Hospital, Clermont-Ferrand, France.
Charles HerbauxDepartment of Hematology, St Eloi University Hospital, Montpellier, France.
Mélanie RorizDepartment of Internal Medicine, Agen-Nérac Hospital, Agen, France.
Mathieu WemeauDepartment of Hematology, Victor Provo Hospital, Roubaix, France.
Stéphanie GuilletDepartment of Internal Medicine, Henri-Mondor University Hospital, Assistance Publique des Hôpitaux de Paris, Paris, France.
Jean Baptiste BossardDepartment of Hematology, Lens Hospital, Lens, France.
Demarquette HélèneDepartment of Hematology, Dunkerque Hospital, Dunkerque, France.
Eleonore KaphanDepartment of Hematology, Grenoble-Alpes University Hospital, Grenoble, France.
Regny CarolineDepartment of Hematology, Pierre Oudot Hospital, Bourgoin-Jallieu, France.
Lachenal FlorenceDepartment of Hematology, Pierre Oudot Hospital, Bourgoin-Jallieu, France.
Adeline PieracheUniv.Lille, CHU Lille, ULR 2694-METRICS: évaluation des technologies de santé et des pratiques médicales, Lille, France.
Marc MichelDepartment of Internal Medicine, Henri-Mondor University Hospital, Assistance Publique des Hôpitaux de Paris, Paris, France.ORCID https://orcid.org/0000-0002-9822-7400
Bertrand GodeauDepartment of Internal Medicine, Henri-Mondor University Hospital, Assistance Publique des Hôpitaux de Paris, Paris, France.
Louis TerriouDepartment of Internal Medicine and Clinical Immunology, University of Lille, Lille, France.
Hôpitaux Universitaires Henri-Mondor · FRUniversity of Clermont Auvergne · FRZiauddin Hospital · PKCentre Hospitalier Agen - Nérac · FRCentre Hospitalier de Lens · FRCentre Hospitalier de Roubaix · FRCentre Hospitalier Universitaire de Grenoble · FRCentre Hospitalier Universitaire de Lille · FRCentre Hospitalier Universitaire de Montpellier · FRHôpital Claude Huriez · FRIkerbasque · ESInserm · FRUniversité d'Angers · FRUniversité de Lille · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutoimmune conditions in B-cell lymphomas are frequent. Steroids are standard of care, but many patients require other immunosuppressive agents. Ibrutinib is a Bruton Tyrosine Kinase inhibitor that is approved for B-cell indolent lymphoma treatment. We evaluated the use of ibrutinib in previously treated hematologic immune manifestations associated with B-cell lymphomas.

resultsWe conducted a retrospective multicentric observational study. Patients presenting with active, relapsed/refractory B-cell lymphoma associated hematological immune manifestation (autoimmune cytopenia, acquired immune-mediated bleeding disorders) were included. Twenty-five patients were identified. Median age at ibrutinib introduction was 69 years (range 44-84) and median number of previous treatment lines before ibrutinib was 2 (1-7). Twenty-two patients (88%) were on concomitant stable treatment at inclusion. Within a median exposure of 8 months (2-35), overall response rate to ibrutinib on immune manifestations was 76% (95% CI, 54.9-90.6); complete response rate 44%. Fourteen patients (63%) were able to be weaned from concomitant treatments. Fourteen patients (56%) presented treatment-related adverse events, mostly Grade 1 or 2.

conclusionsIbrutinib in this setting provides good efficacy and safety profile. Clinical trials are needed to define subgroups of patients who will benefit from this strategy and establish its place in the therapeutic arsenal.

Indexed as

Autoimmune DiseasesHematologic DiseasesLeukemia, Lymphocytic, Chronic, B-CellLymphoma, B-CellAdenineAdultAgedAged, 80 and overHumansMiddle AgedPiperidinesProtein Kinase InhibitorsPyrazolesPyrimidinesRetrospective StudiesAdenineibrutinibPiperidinesProtein Kinase InhibitorsPyrazolesPyrimidinesB-cell lymphomahematologic immune disordersibrutinib

Identifiers

PMID36048142
PMCPMC9826375
OpenAlexW4294011156

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.