Evidence map›Paper›PMID 36246422›Full record

ArticleTherapeutic advances in hematology2022

Coexisting conditions and concomitant medications do not affect venetoclax management and survival in chronic lymphocytic leukemia.

Anna Maria Frustaci, Giovanni Del Poeta, Andrea Visentin, Paolo Sportoletti, Alberto Fresa, Candida Vitale, Roberta Murru, Annalisa Chiarenza, Alessandro Sanna, Francesca Romana Mauro and 20 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in hematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Fitness in CLL.Cancers · 2026
    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

30 authors at 19 institutions in 1 country.

Anna Maria FrustaciDepartment of Hematology, Niguarda Cancer Center, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore 3, Milano 20162, Italy.ORCID https://orcid.org/0000-0003-2587-7901
Giovanni Del PoetaHematology, Department of Biomedicine and Prevention, University Tor Vergata, Roma, Italy.
Andrea VisentinHematology and Clinical Immunology Unit, Department of Medicine, University of Padova, Padova, Italy.
Paolo SportolettiCentro di Ricerca Emato-Oncologica (CREO), Department of Medicine and Surgery, Institute of Hematology, University of Perugia, Perugia, Italy.ORCID https://orcid.org/0000-0002-5630-9862
Alberto FresaDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.ORCID https://orcid.org/0000-0002-8084-9009
Candida VitaleDivision of Hematology, A.O.U. Città della Salute e della Scienza di Torino and Department of Molecular Biotechnology and Health Sciences, Università di Torino, Torino, Italy.
Roberta MurruHematology and Stem Cell Transplantation Unit, Ospedale Oncologico A.Businco, ARNAS 'G. Brotzu', Cagliari, Italy.
Annalisa ChiarenzaHematology Division, A.O.U. Policlinico 'G. Rodolico-S.Marco', Catania, Italy.
Alessandro SannaHematology, Department of Oncology, AOU Careggi, Firenze, Italy.
Francesca Romana MauroHematology, Department of Translational and Precision Medicine, 'Sapienza' University, Roma, Italy.
Gianluigi RedaU.O.C. Ematologia, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milano, Italy.
Massimo GentileHematology Section, Cosenza Hospital, Cosenza, Italy.
Marzia VarettoniDivision of Hematology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Claudia BaratèDepartment of Clinical and Experimental Medicine, Section of Hematology, University of Pisa, Pisa, Italy.
Chiara BorellaDepartment of Hematology, Ospedale San Gerardo, Monza, Italy.
Antonino GrecoDepartment of Hematology, Azienda Ospedaliera Giovanni Panìco, Tricase, Italy.
Marina DeodatoDepartment of Hematology, Niguarda Cancer Center, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.
Giulia ZamprognaDepartment of Hematology, Niguarda Cancer Center, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.
Roberta LaureanaHematology, Department of Biomedicine and Prevention, University Tor Vergata, Roma, Italy.
Alessandra CipicianiCentro di Ricerca Emato-Oncologica (CREO), Department of Medicine and Surgery, Institute of Hematology, University of Perugia, Perugia, Italy.
Andrea GalitziaDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.ORCID https://orcid.org/0000-0002-9122-4258
Angelo Curto PelleHematology Division, A.O.U. Policlinico 'G. Rodolico-S.Marco', University of Catania, Catania, Italy.
Francesca MorelliHematology, University of Florence, Firenze, Italy.
Lucio MalvisiAliraHealth, Verona, Italy.
Marta CosciaDivision of Hematology, A.O.U. Città della Salute e della Scienza di Torino and Department of Molecular Biotechnology and Health Sciences, Università di Torino, Torino, Italy.
Luca LaurentiDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.
Livio TrentinHematology and Clinical Immunology Unit, Department of Medicine, University of Padova, Padova, Italy.
Marco MontilloDepartment of Hematology, Niguarda Cancer Center, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.ORCID https://orcid.org/0000-0003-0010-032X
Roberto CairoliDepartment of Hematology, Niguarda Cancer Center, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.
Alessandra TedeschiDepartment of Hematology, Niguarda Cancer Center, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.
Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITAgostino Gemelli University Polyclinic · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversity of Padua · ITUniversity of Perugia · ITUniversity of Rome Tor Vergata · ITUniversity of Turin · ITAzienda Ospedaliera di Cosenza · ITAzienda Ospedaliera G. Brotzu · ITAzienda Ospedaliera San Gerardo · ITAzienda Ospedaliera San Giovanni Addolorata · ITAzienda Ospedaliero-Universitaria Careggi · ITPoliclinico San Matteo Fondazione · ITPoliclinico Universitario di Catania · ITSapienza University of Rome · ITUniversity of Cagliari · ITUniversity of Catania · ITUniversity of Florence · ITUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The question of which parameters may be informative on venetoclax outcome in chronic lymphocytic leukemia (CLL) is still unclear. Furthermore, the choice to treat with venetoclax can be challenging in patients with baseline characteristics or comorbidities that may potentially favor some specific adverse events. Objectives: This study was aimed to evaluate whether age, fitness status, patients'/disease characteristics, or concomitant medications may predict outcomes in CLL patients receiving venetoclax. Design: Retrospective observational study. Methods: Impact of age, presence of Cumulative Illness Rating Scale (CIRS) >6 or severe organ impairment (CIRS3+), Eastern Cooperative Oncology Group-Performance Status (ECOG-PS), renal function, and concomitant medications were retrospectively analyzed on treatment management (definitive discontinuation due to toxicity, discontinuation due to toxicity, Tox-DTD; permanent dose reduction, PDR) and survival [progression free survival (PFS), event free survival (EFS), overall survival (OS)] in unselected patients receiving venetoclax monotherapy in common practice. Results: A total of 221 relapsed/refractory patients were included. Tox-DTD and PDR were reported in 5.9% and 21.7%, respectively, and were not influenced by any fitness parameter, age, number or type of concomitant medication, baseline neutropenia, or impaired renal function. None of these factors were associated with tumor lysis syndrome (TLS) development. Age and coexisting conditions had no influence on PFS and EFS. At univariate analysis, OS was significantly shorter only in patients with ECOG-PS >1 ( Conclusion: Clinical outcome with venetoclax is not influenced by comorbidities, patients' clinical characteristics, or concomitant medications. Differently from other targeted therapies, this demonstrates that, except ECOG-PS, none of the parameters generally considered for treatment choice, including baseline neutropenia or impaired renal function, should rule the decision process with this agent. Anyway, if clinically needed, a correct drug management does not compromise treatment efficacy and may avoid toxicity-driven discontinuations. Plain Language Summary:

Indexed as

CIRSCLLcomorbiditiesdiscontinuationsECOGfitnessreductiontargeted therapiesvenetoclax

Identifiers

PMID36246422
PMCPMC9554118
OpenAlexW4306667377

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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.