Evidence map›Paper›PMID 38348963›Full record

ArticleCancer medicine2024

Real-world analysis of adverse event rates after initiation of ibrutinib among Medicare beneficiaries with chronic lymphocytic leukemia.

Scott F Huntington, Enrico de Nigris, Justin T Puckett, Sachin Kamal-Bahl, Mohammed Farooqui, Katherine Ryland, Eric M Sarpong, Siyang Leng, Xiaoqin Yang, Jalpa A Doshi

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

10 authors at 5 institutions in 2 countries.

Scott F HuntingtonDepartment of Internal Medicine, Section of Hematology, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0001-7071-6475
Enrico de NigrisMSD (UK) Limited, London, UK.
Justin T PuckettCOVIA Health Solutions, Ambler, Pennsylvania, USA.ORCID 0000-0002-5135-7216
Sachin Kamal-BahlCOVIA Health Solutions, Ambler, Pennsylvania, USA.
Mohammed FarooquiMerck & Co., Inc, Rahway, New Jersey, USA.
Katherine RylandMerck & Co., Inc, Rahway, New Jersey, USA.
Eric M SarpongMerck & Co., Inc, Rahway, New Jersey, USA.
Siyang LengMerck & Co., Inc, Rahway, New Jersey, USA.
Xiaoqin YangMerck & Co., Inc, Rahway, New Jersey, USA.
Jalpa A DoshiDivision of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Merck & Co., Inc., Rahway, NJ, USA (United States) · USMoberg Research (United States) · USMSD (UK) Limited (United Kingdom) · GBUniversity of Pennsylvania · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundThe first-generation BTK inhibitor ibrutinib is a standard-of-care therapy in the treatment of chronic lymphocytic leukemia (CLL) despite potential side effects that often lead to discontinuation.

methodsThis study used 2013-2019 claims data to describe the incidence rate of adverse events (AEs) among elderly Medicare beneficiaries newly initiating ibrutinib for CLL.

resultsThe final sample contained 11,870 Medicare beneficiaries with CLL (mean age 77.2) newly initiating ibrutinib, of whom 65.2% discontinued over mean follow-up of 2.3 years. The overall incidence rate of AEs was 62.5 per 1000 patient-months for all discontinuers and 32.9 per 1000 patient-months for non-discontinuers. Discontinuers had a higher incidence rate of AEs per 1000 patient-months compared with non-discontinuers for all AEs examined, including infection (22.8 vs. 14.5), atrial fibrillation (15.1 vs. 7.0), anemia (21.9 vs. 14.5), and arthralgia/myalgia (19.5 vs. 13.6).

conclusionIn this first real-world study of a national sample of elderly US patients treated with ibrutinib, we found a clear unmet need for improved management of ibrutinib-related AEs and/or new treatments to improve real-world outcomes in patients with CLL.

Indexed as

Leukemia, Lymphocytic, Chronic, B-CellAdenineAgedHumansMedicarePiperidinesProtein Kinase InhibitorsUnited StatesAdenineibrutinibPiperidinesProtein Kinase Inhibitorsadverse eventchronic lymphocytic leukemiadiscontinuationelderlyibrutinibMedicare

Identifiers

PMID38348963
PMCPMC10832339
OpenAlexW4391453466

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.