Evidence map›Paper›PMID 42394130›Full record

Observational studyBritish journal of haematology2026

Real-world effectiveness and safety of acalabrutinib in chronic lymphocytic leukaemia: Multicentre experience.

Andrea Duminuco, Dario Leotta, Alessandro Allegra, Daniele Caracciolo, Laura Caruso, Annalisa Chiarenza, Vittorio Del Fabro, Valentina Di Martina, Amalia Figuera, Paolo Fabio Fiumara and 12 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in British journal of haematology, 2026. 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. 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

22 authors.

Andrea DuminucoDipartimento di Scienze Mediche Chirurgiche e Tecnologie Avanzate 'G.F. Ingrassia', University of Catania, Catania, Italy.ORCID https://orcid.org/0000-0002-9510-4755
Dario LeottaHematology Unit With BMT, AOU Policlinico 'G.Rodolico-San Marco', Catania, Italy.
Alessandro AllegraHematology Section, A.O.U. Policlinico 'G. Martino', University of Messina, Messina, Italy.
Daniele CaraccioloHematology Unit, Department of Clinical and Experimental Medicine, University Magna Graecia, Catanzaro, Italy.
Laura CarusoHematology Unit With BMT, AOU Policlinico 'G.Rodolico-San Marco', Catania, Italy.
Annalisa ChiarenzaHematology Unit With BMT, AOU Policlinico 'G.Rodolico-San Marco', Catania, Italy.
Vittorio Del FabroFaculty of Medicine and Surgery, 'Kore' University of Enna, Enna, Italy.
Valentina Di MartinaHematology Unit, Ospedale 'San Vincenzo', Taormina, Italy.
Amalia FigueraHematology Unit With BMT, AOU Policlinico 'G.Rodolico-San Marco', Catania, Italy.
Paolo Fabio FiumaraHematology Unit With BMT, AOU Policlinico 'G.Rodolico-San Marco', Catania, Italy.
Massimo GentileHematology Unit, Department of Onco-Hematology, Azienda Ospedaliera Annunziata, Cosenza, Italy.ORCID https://orcid.org/0000-0002-5256-0726
Vanessa InnaoHematology Unit, Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Garibaldi, Catania, Italy.ORCID https://orcid.org/0000-0001-7596-1912
Salvatrice MancusoHematology Unit, Policlinico Universitario 'P. Giaccone', Palermo, Italy.
Enrica Antonia MartinoHematology Unit, Ospedale 'San Vincenzo', Taormina, Italy.
Antonio MoscaHematology Unit, Azienda Universitaria Ospedaliera Renato Dulbecco, Catanzaro, Italy.
Giovanna MottaHematology Unit With BMT, AOU Policlinico 'G.Rodolico-San Marco', Catania, Italy.
Francesca PedalinoHematology Unit, Policlinico Universitario 'P. Giaccone', Palermo, Italy.
Marco RossiHematology Unit, Azienda Universitaria Ospedaliera Renato Dulbecco, Catanzaro, Italy.
Fabio StagnoHematology Section, A.O.U. Policlinico 'G. Martino', University of Messina, Messina, Italy.
Giorgio TonaHematology Unit, Ospedale 'Sant'Elia', Caltanissetta, Italy.
Francesco Di RaimondoHematology Unit With BMT, AOU Policlinico 'G.Rodolico-San Marco', Catania, Italy.
Giuseppe Alberto PalumboDipartimento di Scienze Mediche Chirurgiche e Tecnologie Avanzate 'G.F. Ingrassia', University of Catania, Catania, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic lymphocytic leukaemia (CLL) primarily affects elderly patients with comorbidities, yet real-world data on acalabrutinib, a second-generation Bruton's Tyrosine Kinase (BTK) inhibitor, remain limited outside clinical trials, particularly in Italy. This retrospective multicentre study evaluated acalabrutinib monotherapy across 10 Italian haematology centres (2021-2025), including 155 adults with CLL/small lymphocytic lymphoma (SLL) (median age 74 years, 44.5% ≥75 years, 35.5% relapsed/refractory, 59.4% cardiovascular comorbidities, 24.5% del17p/TP53). Primary end-point was time-to-discontinuation (TTD ≥28 days interruption/progression/death); secondary included response rates (based on International Workshop on Chronic Lymphocytic Leukemia criteria), haematological recovery, overall survival (OS) and safety. Median TTD was not reached (16 months follow-up), overall response rate 84.5% (32.9% clinical complete remission, reinforced by bone marrow evaluation in four cases), OS median not reached (78.7% alive), reporting rapid haematological recovery occurred (at 6 months haemoglobin 11.1-12.6 g/dL, platelets 146-160 × 10

Indexed as

BenzamidesLeukemia, Lymphocytic, Chronic, B-CellProtein Kinase InhibitorsPyrazinesAgedAged, 80 and overFemaleHumansItalyMaleMiddle AgedRetrospective StudiesTreatment OutcomeacalabrutinibBenzamidesProtein Kinase InhibitorsPyrazinesacalabrutinibcardiovascular comorbiditieschronic lymphocytic leukaemiareal‐world experiencetime‐to‐discontinuation

Identifiers

PMID42394130
PMCPMC13570129

What OpenQuestion holds

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Registered trials

None linked

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.