Evidence map›Paper›PMID 38079089›Full record

Trial reportAdvances in therapy2024

Ibrutinib Efficacy, Safety, and Pharmacokinetics in Chinese Patients with Relapsed or Refractory Waldenström's Macroglobulinemia: A Multicenter, Single-Arm, Phase 4 Study.

Shuhua Yi, Zhen Cai, Yu Hu, Aili He, Sujun Gao, Qian Li, Linlin Sha, Nating Zhang, Yupeng Ren, Xue Gai and 3 more

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyClinical Trial, Phase IV
In one paragraph

Trial report in Advances in therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04042376 (A Single Arm, Multicenter, Phase 4 Study of the Bruton's Tyrosine Kinase), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 30% 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.

NCT04042376 phase4completednot on this map

A Single Arm, Multicenter, Phase 4 Study of the Bruton's Tyrosine Kinase (BTK) Inhibitor, Ibrutinib (PCI-32765) in Chinese Subjects With Relapse or Refractory Waldenström's Macroglobulinemia

TypeinterventionalSponsorJanssen Research & Development, LLCRan2019 to 2024Enrolled17ConditionsWaldenstrom MacroglobulinemiaArmsIbrutinib
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 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 7 institutions in 2 countries.

Shuhua YiState Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin, China.
Zhen CaiBone Marrow Transplantation Center, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Yu HuInstitute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Aili HeDepartment of Hematology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Sujun GaoDepartment of Hematology, The First Hospital of Jilin University, Jilin University, Changchun, China.
Qian LiJanssen China Research & Development, Beijing, China.
Linlin ShaJanssen China Research & Development, Shanghai, China.
Nating ZhangJanssen China Research & Development, Shanghai, China.
Yupeng RenJanssen China Research & Development, Shanghai, China.
Xue GaiJanssen China Research & Development, Beijing, China.
Xue YangJanssen China Research & Development, Shanghai, China.
Rui QinJanssen Research & Development, Raritan, NJ, USA.
Lugui QiuState Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin, China. qiulg@ihcams.ac.cn.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNDevelopment Research Center · CNJanssen (United States) · USJilin University · CNSecond Affiliated Hospital of Xi'an Jiaotong University · CNUnion Hospital · CNZhejiang University · CN

Funding

Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences 2022-I2M-1-022
6 · The paper itself

Abstract

introductionWaldenström's macroglobulinemia (WM) is a rare malignant B cell lymphoma which occurs in around 1-2% of all hematologic tumors. Ibrutinib was approved in China for WM on the basis of two global pivotal studies which enrolled no Chinese patients. The aim of this study was to determine the efficacy, safety, and pharmacokinetics of ibrutinib in Chinese patients with relapsed or refractory (r/r) WM.

methodsThis was an open-label, single-arm, multicenter phase 4 study conducted across five sites in China. Enrolled patients with clinicopathological confirmed WM received ibrutinib 420 mg once daily orally until disease progression or unacceptable toxicity. The primary endpoint was major response rate (MRR, partial response [PR], or better) according to the modified consensus criteria from the Sixth International Workshop on WM.

resultsSeventeen patients were enrolled; at data cutoff (March 19, 2022), MRR was 64.7% (90% confidence interval [CI] 42.0-83.4) and overall response rate was 100% (90% CI 83.8-100.0). One (5.9%) patient achieved very good PR, 10 (58.8%) achieved PR, and six (35.3%) achieved minor response. The median duration of response (PR or better) was 14.8 months (95% CI 10.8-not estimable [NE]). Median progression-free survival was 18.4 months (95% CI 12.9-NE). All patients experienced at least one treatment-emergent adverse event (TEAE) related to the study drug, and grade ≥ 3 TEAEs were reported in 13 (76.5%) patients. There were no TEAEs leading to dose reduction or death. The median model estimated maximum plasma concentration and area under the plasma concentration-time curve during 24 h after dosing at steady state were 40.5 ng/mL and 204 ng·h/mL, respectively.

conclusionsIbrutinib demonstrated durable responses in Chinese patients with r/r WM. Treatment was well tolerated with no new safety signals compared with the pivotal global studies. Ibrutinib exposure was also comparable between Chinese and non-Chinese patients.

trial registrationClinicalTrials.gov identifier NCT04042376.

Indexed as

Lymphoma, B-CellWaldenstrom MacroglobulinemiaAdenineHumansPiperidinesAdenineibrutinibPiperidinesChinese patientsEfficacyIbrutinibPharmacokineticsRelapsed/refractorySafetyWaldenström’s macroglobulinemia

Identifiers

PMID38079089
PMCPMC10838836
OpenAlexW4389565935

What OpenQuestion holds

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LicenceCC BY-NC
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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.