Evidence map›Paper›PMID 37728835›Full record

ArticleTargeted oncology2023

Results from a Real-World Multicenter Analysis of 482 Patients with Chronic Lymphocytic Leukemia Treated with Ibrutinib: A Look at Racial Differences.

Jacqueline C Barrientos, Ayed O Ayed, Agnes Cha, Senxi Du, Bruno Fang, Ryan Hall, Stanley M Marks, Eileen Peng, Joanna M Rhodes, Kellie Ryan and 3 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Targeted oncology, 2023. 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
1.4field-weighted citation impact, top 16% 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, 5 citations in OpenAlex.

  1. Article
  2. Article
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

13 authors at 6 institutions in 1 country.

Jacqueline C BarrientosZucker School of Medicine at Hofstra/Northwell, Lake Success, NY and Mount Sinai Comprehensive Cancer Center, Miami, FL, USA.
Ayed O AyedCancer Specialists of North Florida, Jacksonville, FL, USA.
Agnes ChaNorthwell Health, New Hyde Park, NY, USA.
Senxi DuDepartment of Medicine, University of California, Los Angeles, CA, USA.
Bruno FangAstera Cancer Care, East Brunswick, NJ, USA.
Ryan HallCARTI Cancer Center, Little Rock, AR, USA.
Stanley M MarksUniversity of Pittsburgh Medical Center (UPMC) Hillman Cancer Center, 5115 Centre Ave, Pittsburgh, PA, 15232, USA.
Eileen PengAstera Cancer Care, East Brunswick, NJ, USA.
Joanna M RhodesNorthwell Health, New Hyde Park, NY, USA.
Kellie RyanAstraZeneca, Gaithersburg, MD, USA.
Sharon B WintersUniversity of Pittsburgh Medical Center (UPMC) Hillman Cancer Center, 5115 Centre Ave, Pittsburgh, PA, 15232, USA.
Percy L YeungAstera Cancer Care, East Brunswick, NJ, USA.
Jing-Zhou HouUniversity of Pittsburgh Medical Center (UPMC) Hillman Cancer Center, 5115 Centre Ave, Pittsburgh, PA, 15232, USA. houj@upmc.edu.ORCID 0000-0001-8916-0921
CancerCare · USUPMC Hillman Cancer Center · USNorthwell Health · USAstraZeneca (United States) · USFlorida Cancer Specialists & Research Institute · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite recent approvals of lifesaving treatments for chronic lymphocytic leukemia (CLL), real-world data on the tolerability of the Bruton tyrosine kinase inhibitor ibrutinib for CLL treatment are lacking, especially in Black patients.

objectiveTo expand upon a previously reported retrospective chart review of ibrutinib-treated patients with CLL to increase the number of sites and the enrollment period in first-line (1L) and relapsed/refractory (R/R) settings with a subanalysis based on ethnicity. PATIENTS AND

methodsAdults with CLL who initiated ibrutinib treatment from five centers were followed for ≥ 6 months.

resultsWe identified 482 patients with CLL [405 White (153 1L, 252 R/R), 37 Black (17 1L, 20 R/R), 40 other/unidentified]. At baseline, 58.5% of all patients (68.8% of Black patients) had hypertension. At a median follow-up of 28.2 months, 31.1% of patients overall discontinued ibrutinib, 16.2% due to adverse events (12.2% 1L, 18.8% R/R). Overall, 46.0% of patients experienced ≥ 1 dose hold (40.2% 1L, 49.8% R/R), and 28.8% of patients experienced ≥ 1 dose reduction (24.9% 1L, 31.4% R/R). Among Black patients, ibrutinib was discontinued in 24.3% of patients (17.6% 1L, 30.0% R/R), 8.1% due to disease progression and 5.4% due to adverse events; 40.5% of patients experienced ≥ 1 dose hold (35.3% 1L, 45.0% R/R), and 32.4% of patients experienced ≥ 1 dose reduction (23.5% 1L, 40.0% R/R).

conclusionsToxicity and disease progression were the most common reasons for ibrutinib discontinuations in the overall population and among Black patients, respectively. Encouraging research participation of underrepresented patient groups will help clinicians better understand treatment outcomes.

Indexed as

Leukemia, Lymphocytic, Chronic, B-CellAdenineAdultDisease ProgressionHumansPiperidinesRace FactorsRetrospective StudiesAdenineibrutinibPiperidines

Identifiers

PMID37728835
PMCPMC10517886
OpenAlexW4386878353

What OpenQuestion holds

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Registered trials

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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.