Evidence map›Paper›PMID 37705497›Full record

ArticleCancer medicine2023

Long-term outcomes of second-line versus later-line zanubrutinib treatment in patients with relapsed/refractory mantle cell lymphoma: An updated pooled analysis.

Yuqin Song, Keshu Zhou, Dehui Zou, Dengju Li, Jianda Hu, Haiyan Yang, Huilai Zhang, Jie Ji, Wei Xu, Jie Jin and 12 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.6field-weighted citation impact, top 10% 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.

NCT02343120 phase1 / phase2completednot on this map

A Phase I/II, Open-Label, Multiple-Dose, Dose Escalation and Expansion Study to Investigate the Safety and Pharmacokinetics of the BTK Inhibitor BGB-3111 in Subjects With B-Cell Lymphoid Malignancies

TypeinterventionalSponsorBeiGeneRan2014 to 2021Enrolled385ConditionsB-cell MalignanciesArmsZanubrutinib
NCT03206970 phase2completednot on this map

A Single-Arm, Open-Label, Multicenter Phase 2 Study to Evaluate Efficacy and Safety of BGB-3111, a Bruton's Tyrosine Kinase (BTK) Inhibitor, in Subjects With Relapsed or Refractory Mantle Cell Lymphoma (MCL)

TypeinterventionalSponsorBeiGeneRan2017 to 2020Enrolled86ConditionsRefractory Mantle Cell Lymphoma, Relapsed Mantle Cell LymphomaArmsZanubrutinib
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. 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

22 authors at 19 institutions in 4 countries.

Yuqin SongPeking University Cancer Hospital and Institute, Beijing, China.
Keshu ZhouAffiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China.ORCID 0000-0001-5467-1377
Dehui ZouInstitute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin, China.
Dengju LiTongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Jianda HuFujian Medical University Union Hospital, Fuzhou, China.ORCID 0000-0002-4438-2544
Haiyan YangThe Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institute of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou, China.
Huilai ZhangTianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Jie JiWest China Hospital of Sichuan University, Chengdu, China.
Wei XuThe First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.ORCID 0000-0003-4208-7477
Jie JinThe First Affiliated Hospital, Zhejiang University College of Medicine, Hangzhou, China.
Fangfang LvFudan University Shanghai Cancer Center, Shanghai, China.
Ru FengNanfang Hospital of Southern Medical University, Guangzhou, China.
Sujun GaoThe First Hospital of Jilin University, Changchun, China.
Daobin ZhouPeking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.ORCID 0000-0002-1592-1932
Constantine S TamPeter MacCallum Cancer Centre, St. Vincent's Hospital, University of Melbourne, Melbourne, Victoria, Australia.
David SimpsonNorth Shore Hospital, Auckland, New Zealand.
Michael WangThe University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0001-9748-5486
Tycel J PhillipsUniversity of Michigan, Ann Arbor, Michigan, USA.
Stephen OpatMonash Health, Monash University, Clayton, Victoria, Australia.ORCID 0000-0002-0308-6458
Cheng FangBeiGene (Beijing) Co., Ltd., Beijing, China.
Shaohui SunBeiGene (Beijing) Co., Ltd., Beijing, China.
Jun ZhuPeking University Cancer Hospital and Institute, Beijing, China.ORCID 0000-0003-3479-2547
BeiGene (China) · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNPeking University · CNFirst Affiliated Hospital Zhejiang University · CNFudan University Shanghai Cancer Center · CNFujian Medical University · CNJiangsu Province Hospital · CNJilin University · CNMonash Health · AUNanfang Hospital · CNNorth Shore Hospital · NZSichuan University · CNThe University of Melbourne · AUThe University of Texas MD Anderson Cancer Center · USTianjin Medical University Cancer Institute and Hospital · CNTongji Hospital · CNUniversity of Michigan · USZhejiang Cancer Hospital · CNZhengzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe previously reported results of a pooled analysis of two zanubrutinib studies in relapsed or refractory (R/R) MCL showing better survival outcomes when zanubrutinib is used in second-line versus later-line. Here, we present an updated pooled analysis with a longer follow-up of 35.2 months.

methodsData were pooled from two studies-BGB-3111-AU-003 (NCT02343120) and BGB-3111-206 (NCT03206970) of zanubrutinib in R/R MCL. The patients were divided into two groups based on the treatment line of zanubrutinib: the second-line and the later-line group. The inverse propensity score weighting method was used to balance the baseline covariates between the groups. The primary outcome was overall survival (OS). Secondary outcomes included progression-free survival (PFS), PFS, and OS rates, objective response rate (ORR), duration of response (DOR), and safety.

resultsAmong 112 pooled patients, 41 (36.6%) patients received zanubrutinib as second-line and 71 (63.4%) patients as later-line therapy. After weighting, OS was significantly improved in the second-line versus later-line group (HR, 0.459 [95% CI: 0.215, 0.98]; p = 0.044) with median OS not estimable in both groups. The PFS was similar between the two groups (HR, 0.78 [95% CI: 0.443, 1.373]; p = 0.389) but with numerically longer median PFS in the second-line versus later-line group (27.8 vs. 22.1 months). ORR was numerically higher in the second-line versus later-line (88.6% vs. 85.7%), and DOR was similar between the two groups (25.2 vs. 25.1 months). Zanubrutinib showed a similar safety profile in both groups.

conclusionZanubrutinib in second-line treatment was associated with significantly improved OS compared with later-line treatment of R/R MCL.

Indexed as

Antineoplastic AgentsLymphoma, Mantle-CellNeoplasm Recurrence, LocalPiperidinesProtein Kinase InhibitorsPyrazolesPyrimidinesAdultAgedAged, 80 and overDrug Resistance, NeoplasmFemaleHumansMaleMiddle AgedTreatment OutcomeAntineoplastic AgentsPiperidinesProtein Kinase InhibitorsPyrazolesPyrimidineszanubrutinibmantle cell lymphomaoverall survivalpooled analysissecond-line therapyzanubrutinib

Identifiers

PMID37705497
PMCPMC10557885
OpenAlexW4386726644

What OpenQuestion holds

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LicenceCC BY
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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.