Evidence map›Paper›PMID 40558238›Full record

ArticleCurrent oncology (Toronto, Ont.)2025

Ibrutinib in Elderly Patients with Chronic Lymphocytic Leukemia: Adverse Event Incidence, Management, and Outcomes in a Canadian Real-World Setting.

Ibraheem Othman, Seyedeh Zahra Mona Moossavi, Samaneh Bayati, Yi Sin Chang, Shubrandu Sanjoy, Karolina Grzyb, Eric Sy, Kayla Cropper, Sandy Kassir, Waleed Sabry

Abstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2025. 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
–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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Ibraheem OthmanDivision of Hematology, Department of Medical Oncology and Hematology, Allan Blair Cancer Centre, Regina, SK S4T 7T1, Canada.ORCID 0000-0001-5673-9945
Seyedeh Zahra Mona MoossaviCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N 5E5, Canada.
Samaneh BayatiCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N 5E5, Canada.
Yi Sin ChangCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N 5E5, Canada.ORCID 0009-0002-2926-8919
Shubrandu SanjoyEpidemiology and Performance Measurement, Saskatchewan Cancer Agency, Saskatoon, SK S7N 4H4, Canada.
Karolina GrzybResearch Department, Saskatchewan Health Authority, Regina, SK S7K 0M7, Canada.
Eric SyCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N 5E5, Canada.ORCID 0000-0001-5033-797X
Kayla CropperCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N 5E5, Canada.
Sandy KassirResearch Department, Saskatchewan Health Authority, Regina, SK S7K 0M7, Canada.
Waleed SabryCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N 5E5, Canada.ORCID 0000-0001-8912-5771

Funding

Johnson & Johnson Innovative Medicine N/A
6 · The paper itself

Abstract

backgroundLong-term clinical trials and real-world data have established a comprehensive risk-benefit profile for ibrutinib, informing adverse event (AE) management strategies to optimize safety and efficacy.

methodsWe retrospectively assessed the incidence of AEs of special interest and management strategies in all patients treated with ibrutinib for chronic lymphocytic leukemia (CLL) in Saskatchewan, Canada, since 2014.

resultsAmong 187 patients (median age 75.7 years, 63% male), the median time from ibrutinib treatment initiation to data cutoff was 3.1 years. Approximately two-thirds of patients received ibrutinib for relapsed CLL (33.7% second-line and 32.6% third-line and beyond), with 33.7% receiving it first-line. All patients initiated ibrutinib as monotherapy at 420 mg. AEs of interest were observed in 81.3% of patients, with 42.8% experiencing ≥2 AEs. No grade 5 AEs were reported. Among the 284 first-onset AEs observed in 152 patients, 90.8% were successfully managed, allowing treatment continuation. The median time to successful management ranged from 27.0 days (range: 12.5-73.0) for infections to 84.0 days (range: 55.0-141.0) for hypertension. Both AE and discontinuation rates were comparable or favourable to previous reports.

conclusionThis real-world analysis suggests that ibrutinib may be safely used in the majority of CLL patients encountered in routine practice.

Indexed as

Leukemia, Lymphocytic, Chronic, B-CellPyrazolesPyrimidinesAdenineAgedAged, 80 and overCanadaFemaleHumansIncidenceMaleMiddle AgedPiperidinesRetrospective StudiesTreatment OutcomeAdenineibrutinibPiperidinesPyrazolesPyrimidinesadverse eventschronic lymphocytic leukemiaibrutinibtreatment discontinuation

Identifiers

PMID40558238
PMCPMC12191809

What OpenQuestion holds

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LicenceCC BY
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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.