Evidence map›Paper›PMID 37722354›Full record

Trial reportBlood advances2023

Phase 3 SELENE study: ibrutinib plus BR/R-CHOP in previously treated patients with follicular or marginal zone lymphoma.

Loretta J Nastoupil, Georg Hess, Miguel A Pavlovsky, Iwona Danielewicz, Jane Freeman, Alejandro Martin García-Sancho, Valeria Glazunova, Andrew Grigg, Jing-Zhou Hou, Ann Janssens and 17 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Blood advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01974440 (A Randomized, Double-Blind, Placebo-Controlled Phase 3 Study of the Bruton's Tyrosine Kinase Inhibitor, PCI-32765), which is not on this map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
5.9field-weighted citation impact, top 3% 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.

NCT01974440 phase3completednot on this map

A Randomized, Double-Blind, Placebo-Controlled Phase 3 Study of the Bruton's Tyrosine Kinase Inhibitor, PCI-32765 (Ibrutinib), in Combination With Either Bendamustine and Rituximab (BR) or Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (R-CHOP) in Subjects With Previously Treated Indolent Non-Hodgkin Lymphoma (iNHL)

TypeinterventionalSponsorJanssen Research & Development, LLCRan2014 to 2023Enrolled403ConditionsLymphomaArmsBendamustine, Rituximab, Cyclophosphamide, Doxorubicin, Vincristine
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 23 citations in OpenAlex.

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  14. Current and future therapies for follicular lymphoma.Experimental hematology & oncology · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors at 20 institutions in 17 countries.

Loretta J NastoupilDepartment of Lymphoma-Myeloma, The University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0001-6071-8610
Georg HessHematology Department, Johannes Gutenberg-Universität Mainz, Mainz, Germany.ORCID 0000-0002-9282-5688
Miguel A PavlovskyDepartment of Hematology, Fundaleu, Buenos Aires, Argentina.ORCID 0000-0003-4561-3153
Iwona DanielewiczDepartment of Clinical Oncology, Maritime Hospital in Gdynia, Gdynia, Poland.
Jane FreemanNorthern Haematology and Oncology Arm, Sydney Adventist Hospital, Sydney, NSW, Australia.
Alejandro Martin García-SanchoDepartment of Hematology, Hospital Universitario de Salamanca, Centro de Investigación Biomédica en Red Cáncer, Centro de Investigación del Cáncer de Salamanca-Instituto Universitario de Biología Molecular y Celular del Cáncer, Salamanca, Spain.ORCID 0000-0001-6330-1028
Valeria GlazunovaSP Botkin City Clinical Hospital, Moscow, Russia.
Andrew GriggDepartment of Clinical Haematology, Austin Hospital, Melbourne, VIC, Australia.
Jing-Zhou HouUniversity of Pittsburgh Medical Center, Hillman Cancer Center, University of Pittsburgh, Pittsburgh, PA.
Ann JanssensDepartment of Hematology, Universitair Ziekenhuis Leuven, Leuven, Belgium.ORCID 0000-0002-1812-412X
Seok Jin KimDivision of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Zvenyslava MasliakInstitute of Blood Pathology and Transfusion Medicine, Lviv, Ukraine.
Pam McKayThe Beatson West of Scotland Cancer Centre, Glasgow, Scotland.ORCID 0000-0002-3959-9730
Francesco MerliHematology, Azienda Unità Sanitaria Locale - Istituti di Ricovero e Cura a Carattere Scientifico di Reggio Emilia, Reggio Emilia, Italy.ORCID 0000-0002-0979-7883
Wataru MunakataDepartment of Hematology, National Cancer Center Hospital, Tokyo, Japan.ORCID 0000-0002-4679-0656
Hirokazu NagaiDepartment of Hematology, National Hospital Organization Nagoya Medical Center, Nagoya, Japan.
Muhit ÖzcanDepartment of Hematology, Ankara University School of Medicine, Ankara, Turkey.ORCID 0000-0002-1326-1918
Meir PreisInstitute of Hematology, Lady Davis Carmel Medical Center, Haifa, Israel.
Tingyu WangState Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, China.
Melissa RoweJanssen Research & Development, High Wycombe, United Kingdom.
Monelle TamegnonJanssen Research & Development, Raritan, NJ.
Rui QinJanssen Research & Development, Raritan, NJ.
Todd HenningerJanssen Research & Development, Raritan, NJ.
Madeliene CurtisJanssen Research & Development, High Wycombe, United Kingdom.
Donne Bennett CacesJanssen Research & Development, Raritan, NJ.
Catherine ThieblemontHemato-Oncology Department, Hôpital Saint-Louis, Paris, France.
Gilles SallesDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-9541-8666
Janssen (United States) · USJanssen (United Kingdom) · GBAnkara University · TRAustin Hospital · AUAzienda Sanitaria Unità Locale di Reggio Emilia · ITBeatson West of Scotland Cancer Centre · GBBotkin Hospital · RUCarmel Medical Center · ILCentro de Investigación Biomédica en Red · ESChinese Academy of Medical Sciences & Peking Union Medical College · CNFundación para la Investigación, Docencia y Prevención del Cáncer · ARGdynia Maritime University · PLHôpital Saint-Louis · FRInstitute of Blood Pathology and Transfusion Medicine of the National Academy of Medical Sciences of Ukraine · UAJohannes Gutenberg University Mainz · DEMemorial Sloan Kettering Cancer Center · USNational Hospital Organization · JPSamsung Medical Center · KRSydney Adventist Hospital · AUThe University of Texas MD Anderson Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

The phase 3 SELENE study evaluated ibrutinib + chemoimmunotherapy (CIT; bendamustine and rituximab [BR]; or rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone [R-CHOP]) for patients with relapsed/refractory (R/R) follicular lymphoma (FL) or marginal zone lymphoma (MZL). Adult patients who had received ≥1 prior line of CIT were randomized 1:1 to oral ibrutinib (560 mg) or placebo daily, plus 6 cycles of BR/R-CHOP. The primary end point was investigator-assessed progression-free survival (PFS). Overall, 403 patients were randomized to ibrutinib + CIT (n = 202) or placebo + CIT (n = 201). Most patients received BR (90.3%) and had FL (86.1%). With a median follow-up of 84 months, median PFS was 40.5 months in the ibrutinib + CIT arm and 23.8 months in the placebo + CIT arm (hazard ratio [HR], 0.806; 95% confidence interval [CI], 0.626-1.037; P = .0922). Median overall survival was not reached in either arm (HR, 0.980; 95% CI, 0.686-1.400). Grade ≥3 treatment-emergent adverse events (TEAEs) were reported in 85.6% and 75.4% of patients in the ibrutinib + CIT and placebo + CIT arms, respectively. In each arm, 13 patients had TEAEs leading to death. The addition of ibrutinib to CIT did not significantly improve PFS compared with placebo + CIT. The safety profile was consistent with known profiles of ibrutinib and CIT. This trial was registered at www.clinicaltrials.gov as #NCT01974440.

Indexed as

Lymphoma, B-Cell, Marginal ZoneLymphoma, FollicularAdenineAdultBendamustine HydrochlorideCyclophosphamideDoxorubicinHumansPiperidinesPrednisoneRituximabVincristineAdenineBendamustine HydrochlorideCyclophosphamideDoxorubicinibrutinibPiperidinesPrednisoneRituximabVincristine

Identifiers

PMID37722354
PMCPMC10709678
OpenAlexW4386823027

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.