FRASER, G., P. CRAMER, F. DEMIRKAN, R.S. SILVA, S. GROSICKI, A. PRISTUPA, A. JANSSENS, Jiří MAYER, N.L. BARTLETT, M.S. DILHUYDY, H. PYLYPENKO, J. LOSCERTALES, A. AVIGDOR, S. RULE, D. VILLA, O. SAMOILOVA, P. PANAGIOTIDIS, A. GOY, M.A. PAVLOVSKY, C. KARLSSON, M. HALLEK, M. MAHLER, M. SALMAN, S. SUN, C. PHELPS, S. BALASUBRAMANIAN, A. HOWES and A. CHANAN-KHAN. Updated results from the phase 3 HELIOS study of ibrutinib, bendamustine, and rituximab in relapsed chronic lymphocytic leukemia/small lymphocytic lymphoma. Leukemia. London: Nature Publishing Group, 2019, vol. 33, No 4, p. 969-980. ISSN 0887-6924. Available from: https://dx.doi.org/10.1038/s41375-018-0276-9.
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Basic information
Original name Updated results from the phase 3 HELIOS study of ibrutinib, bendamustine, and rituximab in relapsed chronic lymphocytic leukemia/small lymphocytic lymphoma
Authors FRASER, G. (124 Canada), P. CRAMER (276 Germany), F. DEMIRKAN (792 Turkey), R.S. SILVA (76 Brazil), S. GROSICKI (616 Poland), A. PRISTUPA (643 Russian Federation), A. JANSSENS (56 Belgium), Jiří MAYER (203 Czech Republic, belonging to the institution), N.L. BARTLETT (840 United States of America), M.S. DILHUYDY (250 France), H. PYLYPENKO (804 Ukraine), J. LOSCERTALES (724 Spain), A. AVIGDOR (376 Israel), S. RULE (826 United Kingdom of Great Britain and Northern Ireland), D. VILLA (124 Canada), O. SAMOILOVA (643 Russian Federation), P. PANAGIOTIDIS (300 Greece), A. GOY (840 United States of America), M.A. PAVLOVSKY (32 Argentina), C. KARLSSON (752 Sweden), M. HALLEK (276 Germany), M. MAHLER (840 United States of America), M. SALMAN (840 United States of America), S. SUN (840 United States of America), C. PHELPS (840 United States of America), S. BALASUBRAMANIAN (840 United States of America), A. HOWES (826 United Kingdom of Great Britain and Northern Ireland) and A. CHANAN-KHAN (826 United Kingdom of Great Britain and Northern Ireland).
Edition Leukemia, London, Nature Publishing Group, 2019, 0887-6924.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30205 Hematology
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 8.665
RIV identification code RIV/00216224:14110/19:00109488
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1038/s41375-018-0276-9
UT WoS 000463162400012
Keywords in English ibrutinib; bendamustine; rituximab
Tags 14110212, rivok
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 18/4/2019 11:29.
Abstract
We report follow-up results from the randomized, placebo-controlled, phase 3 HELIOS trial of ibrutinib+bendamustine and rituximab (BR) for previously treated chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL) without deletion 17p. Overall, 578 patients were randomized 1: 1 to either ibrutinib (420 mg daily) or placebo, in combination with 6 cycles of BR, followed by ibrutinib or placebo alone. Median follow-up was 34.8 months (range: 0.1-45.8). Investigator-assessed median progression-free survival (PFS) was not reached for ibrutinib+BR, versus 14.3 months for placebo+BR (hazard ratio [HR] [95% CI], 0.206 [0.159-0.265]; P < 0.0001); 36-month PFS rates were 68.0% versus 13.9%, respectively. The results are consistent with the primary analysis findings (HR = 0.203, as assessed by independent review committee, with 17-month median follow-up). Median overall survival was not reached in either arm; HR (95% CI) for ibrutinib+BR versus placebo: 0.652 (0.454-0.935; P = 0.019). Minimal residual disease (MRD)-negative response rates were 26.3% for ibrutinib+BR and 6.2% for placebo+BR (P < 0.0001). Incidence of treatment-emergent adverse events (including grades 34) were generally consistent with the initial HELIOS report. These long-term data support improved survival outcomes and deepening responses with ibrutinib+BR compared with BR in relapsed CLL/SLL.
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