Evidence map›Paper›PMID 39777647›Full record

ArticleBritish journal of haematology2025

Venetoclax therapy in chronic lymphocytic leukaemia patients relapsed after allogeneic haematopoietic stem cell transplantation.

Francesca Perutelli, Elia Boccellato, Maria Chiara Montalbano, Gioacchino Catania, Marina Deodato, Anna Maria Frustaci, Idanna Innocenti, Riccardo Moia, Francesca Maria Quaglia, Giulia Quaresmini and 8 more

Abstract readMulticenter Study
In one paragraph

Article in British journal of haematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

18 authors.

Francesca PerutelliUniversity Division of Hematology, A.O.U. Città Della Salute e Della Scienza di Torino and Department of Molecular Biotechnology and Health Sciences, University of Torino, Torino, Italy.ORCID https://orcid.org/0000-0002-7538-9626
Elia BoccellatoAzienda Santa Croce e Carle, Cuneo, Italy.
Maria Chiara MontalbanoUniversity Division of Hematology, A.O.U. Città Della Salute e Della Scienza di Torino and Department of Molecular Biotechnology and Health Sciences, University of Torino, Torino, Italy.
Gioacchino CataniaDipartimento di Medicina Traslazionale Università del Piemonte Orientale and S.C.D.U, Ematologia Azienda Ospedaliero Universitaria Santi Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Marina DeodatoDepartment of Haematology, Niguarda Cancer Center, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Anna Maria FrustaciDepartment of Haematology, Niguarda Cancer Center, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID https://orcid.org/0000-0003-2587-7901
Idanna InnocentiDepartment of Diagnostic Imaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Riccardo MoiaDivision of Hematology, Azienda Ospedaliero-Universitaria Maggiore Della Carità, Novara, Italy.ORCID https://orcid.org/0000-0001-7393-1138
Francesca Maria QuagliaHematology and Bone Marrow Transplant Unit, Section of Biomedicine of Innovation, Department of Engineering for Innovative Medicine, University of Verona, Verona, Italy.ORCID https://orcid.org/0000-0003-4347-3775
Giulia QuaresminiDepartment of Oncology and Hematology University of Milan and ASST Papa Giovanni XXIII, Bergamo, Italy.
Paolo RivelaDipartimento di Medicina Traslazionale Università del Piemonte Orientale and S.C.D.U, Ematologia Azienda Ospedaliero Universitaria Santi Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Gianluca GaidanoDivision of Hematology, Azienda Ospedaliero-Universitaria Maggiore Della Carità, Novara, Italy.
Mauro KramperaHematology and Bone Marrow Transplant Unit, Section of Biomedicine of Innovation, Department of Engineering for Innovative Medicine, University of Verona, Verona, Italy.
Luca LaurentiDepartment of Diagnostic Imaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.ORCID https://orcid.org/0000-0002-4527-4131
Alessandro RambaldiDepartment of Oncology and Hematology University of Milan and ASST Papa Giovanni XXIII, Bergamo, Italy.
Benedetto BrunoUniversity Division of Hematology, A.O.U. Città Della Salute e Della Scienza di Torino and Department of Molecular Biotechnology and Health Sciences, University of Torino, Torino, Italy.
Candida VitaleUniversity Division of Hematology, A.O.U. Città Della Salute e Della Scienza di Torino and Department of Molecular Biotechnology and Health Sciences, University of Torino, Torino, Italy.
Marta CosciaDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.ORCID https://orcid.org/0000-0003-2123-7675

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Allogeneic hematopoietic stem cell transplantation (alloHSCT) remains an option for young and fit chronic lymphocytic leukaemia (CLL) patients with high-risk disease features. However, allotransplanted patients are generally excluded from clinical trials, making data regarding the use of venetoclax after alloHSCT extremely rare. We report data from 7 CLL patients who received venetoclax after alloHSCT among 53 Italian centers. These patients underwent alloHSCT between 2006 and 2021 after failing chemoimmunotherapy (7/7), ibrutinib (5/7) and/or idelalisib (1/7). Of note, 3/7 patients had already received venetoclax-based therapy before alloHSCT. Post-allo HSCT venetoclax treatment resulted safe, with adverse events not different from what reported in clinical trials. Importantly, no meaningful impact on graft versus host disease (GvHD) course was observed: 4/7 patients with pre-existing chronic GvHD had no exacerbation after venetoclax start, and only one patient developed GvHD during venetoclax therapy, that was managed as per standard clinical practice. Concerning efficacy, 5/7 patients presented a clinical response to venetoclax, with two patients achieving an undetectable minimal residual disease. To our knowledge, this is the largest reported series of CLL patients treated with venetoclax after alloHSCT. In these heavily pretreated and high-risk patients, previous alloHSCT did not compromise the feasibility of venetoclax therapy, that lacked unexpected toxicities and did not exacerbate GvHD.

Indexed as

Antineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicHematopoietic Stem Cell TransplantationLeukemia, Lymphocytic, Chronic, B-CellSulfonamidesAdultAgedFemaleGraft vs Host DiseaseHumansMaleMiddle AgedRecurrenceTransplantation, HomologousAntineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicSulfonamidesvenetoclaxchronic lymphocytic leukaemiastem cell transplantationvenetoclax

Identifiers

PMID39777647
PMCPMC11886935

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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.