{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T20:00:19Z","timestamp":1772827219715,"version":"3.50.1"},"reference-count":59,"publisher":"Becaris Publishing Limited","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Comp. Eff. Res."],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:p>\n            <jats:bold>Aim:<\/jats:bold>\n            A systematic literature review and network meta-analysis were conducted to determine the relative efficacy and safety of interventions for treatment-naive chronic lymphocytic leukemia patients, as comparative evidence is scarce.\n            <jats:bold>Materials &amp; methods:<\/jats:bold>\n            Relative treatment effects of progression-free survival, overall survival and safety outcomes were estimated via network meta-analysis based on data identified via systematic literature review.\n            <jats:bold>Results:<\/jats:bold>\n            Ibrutinib was superior in all pairwise comparisons for progression-free survival (probability to be better [P] range: overall population:\u00a069\u2013100%; fludarabine-ineligible population: 69\u2013100%) and overall survival (P range: overall: 89\u2013100%; fludarabine-ineligible: 91\u2013100%) and had the highest probability of being best for all outcomes.\n            <jats:bold>Conclusion:<\/jats:bold>\n            Ibrutinib provides superior benefit in survival and safety compared with other front-line treatments of chronic lymphocytic leukemia.\n          <\/jats:p>","DOI":"10.2217\/cer-2017-0086","type":"journal-article","created":{"date-parts":[[2017,12,6]],"date-time":"2017-12-06T14:34:59Z","timestamp":1512570899000},"page":"421-441","source":"Crossref","is-referenced-by-count":8,"title":["Front-line treatment of patients with chronic lymphocytic leukemia: a systematic review and network meta-analysis"],"prefix":"10.57264","volume":"7","author":[{"given":"Yingxin","family":"Xu","sequence":"first","affiliation":[{"name":"Evidera, Waltham, MA, 02451 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyle","family":"Fahrbach","sequence":"additional","affiliation":[{"name":"Evidera, Waltham, MA, 02451 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Dorman","sequence":"additional","affiliation":[{"name":"Evidera, Bethesda, MD, 20814 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simona","family":"Baculea","sequence":"additional","affiliation":[{"name":"Janssen-Cilag Ltd, High Wycombe, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"C\u00f4t\u00e9","sequence":"additional","affiliation":[{"name":"Janssen-Cilag Ltd, High Wycombe, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzy van","family":"Sanden","sequence":"additional","affiliation":[{"name":"Janssen-Cilag Ltd, Beerse, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joris","family":"Diels","sequence":"additional","affiliation":[{"name":"Janssen-Cilag Ltd, Beerse, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"36897","reference":[{"issue":"5","key":"e_1_3_4_3_2","doi-asserted-by":"crossref","first-page":"V78","DOI":"10.1093\/annonc\/mdv303","article-title":"Chronic lymphocytic leukaemia: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up","volume":"26","author":"Eichhorst B","year":"2015","unstructured":"Eichhorst B , Robak T , Montserrat E Chronic lymphocytic leukaemia: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up . 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Oncol."},{"issue":"21","key":"e_1_3_4_23_2","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1182\/blood.V122.21.6.6","article-title":"Head-to-head comparison of obinutuzumab (GA101) plus chlorambucil (Clb) versus rituximab plus Clb in patients with chronic lymphocytic leukemia (CLL) and co-existing medical conditions (comorbidities): final stage 2 results of the CLL11 trial. Presented at: The 55th American Society of Hematology (ASH) Annual Meeting and Exposition. LA, USA, 7\u201310 December","volume":"122","author":"Goede V","year":"2013","unstructured":"Goede V , Fischer K , Busch R Head-to-head comparison of obinutuzumab (GA101) plus chlorambucil (Clb) versus rituximab plus Clb in patients with chronic lymphocytic leukemia (CLL) and co-existing medical conditions (comorbidities): final stage 2 results of the CLL11 trial. Presented at: The 55th American Society of Hematology (ASH) Annual Meeting and Exposition. LA, USA, 7\u201310 December . Blood 122 ( 21 ), 6 ( 2013 ).","journal-title":"Blood"},{"key":"e_1_3_4_24_2","volume-title":"ASCO Annual Meeting 2013","author":"Goede V","year":"2013","unstructured":"Goede V , Fischer K , Humphrey K Obinutuzumab (GA101) + chlorambucil (CLB) or rituximab (R) + CLB versus CLB alone in patients with chronic lymphocytic leukaemia (CLL) and pre-existing medical conditions (comorbidities): final stage 1 results of the CLL11 (BO21004) Phase III trial . Presented at : ASCO Annual Meeting 2013 . IL, USA , 31 May\u20134 June 2013 ."},{"issue":"1","key":"e_1_3_4_25_2","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1111\/bjh.12000","article-title":"Bendamustine compared with chlorambucil in previously untreated patients with chronic lymphocytic leukaemia: updated results of a randomized Phase III trial","volume":"159","author":"Knauf WU","year":"2012","unstructured":"Knauf WU , Lissitchkov T , Aldaoud A Bendamustine compared with chlorambucil in previously untreated patients with chronic lymphocytic leukaemia: updated results of a randomized Phase III trial . Br. J. Haematol. 159 ( 1 ), 67 \u2013 77 ( 2012 ).","journal-title":"Br. J. Haematol."},{"key":"e_1_3_4_26_2","doi-asserted-by":"crossref","DOI":"10.1182\/blood.V110.11.2043.2043","article-title":"Bendamustine versus chlorambucil in treatment-naive patients with B cell chronic lymphocytic leukemia (B-CLL): results of an international Phase III study","volume":"110","author":"Knauf WU","year":"2007","unstructured":"Knauf WU , Lissitchkov T , Aldaoud A Bendamustine versus chlorambucil in treatment-naive patients with B cell chronic lymphocytic leukemia (B-CLL): results of an international Phase III study . 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First results from the international randomized Phase III trial","volume":"110","author":"Karlsson K","year":"2007","unstructured":"Karlsson K , Stromberg M , Jonsson V , Mulligan SP , Liliemark J , Juliusson G . Cladribine (CdA) gives longer response duration than fludarabine (F) and high-dose intermittent chlorambucil (Chl) as first-line treatment of symptomatic chronic lymphocytic leukemia (CLL). First results from the international randomized Phase III trial . Blood 110 , Abstract 630 ( 2007 ).","journal-title":"Blood"},{"key":"e_1_3_4_29_2","doi-asserted-by":"crossref","DOI":"10.1182\/blood.V104.11.3470.3470","article-title":"Cladribine (CdA) or fludarabine (F) or high-dose intermittent chlorambucil (Chl) as first-line treatment of symptomatic chronic lymphocytic leukemia? First interim analysis of data from the international randomized Phase III trial","volume":"104","author":"Karlsson K","year":"2004","unstructured":"Karlsson K , Stromberg M , Jonsson V Cladribine (CdA) or fludarabine (F) or high-dose intermittent chlorambucil (Chl) as first-line treatment of symptomatic chronic lymphocytic leukemia? First interim analysis of data from the international randomized Phase III trial . Blood 104 , Abstract 3470 ( 2004 ).","journal-title":"Blood"},{"issue":"3","key":"e_1_3_4_30_2","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1182\/blood-2005-06-2395","article-title":"Fludarabine plus cyclophosphamide versus fludarabine alone in first-line therapy of younger patients with chronic lymphocytic leukemia","volume":"107","author":"Eichhorst BF","year":"2006","unstructured":"Eichhorst BF , Busch R , Hopfinger G Fludarabine plus cyclophosphamide versus fludarabine alone in first-line therapy of younger patients with chronic lymphocytic leukemia . Blood 107 ( 3 ), 885 \u2013 891 ( 2006 ).","journal-title":"Blood"},{"issue":"5","key":"e_1_3_4_31_2","first-page":"V89","article-title":"Fludarabine plus cyclophosphamide (FC) induces higher remission rates and longer progression free survival (PFS) than fludarabine (F) alone in first line therapy of younger patients (Pts) with chronic lymphocytic leukemia (CLL): results of a Phase III study of the German CLL Study Group (GCLLSG)","volume":"16","author":"Eichhorst B","year":"2005","unstructured":"Eichhorst B , Busch R , Emmerich B , Hallek M Fludarabine plus cyclophosphamide (FC) induces higher remission rates and longer progression free survival (PFS) than fludarabine (F) alone in first line therapy of younger patients (Pts) with chronic lymphocytic leukemia (CLL): results of a Phase III study of the German CLL Study Group (GCLLSG) . Ann. Oncol. 16 ( Suppl. 5 ), V89 \u2013 V90 ( 2005 ).","journal-title":"Ann. 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Blood 102 ( 11 ), 72a ( 2003 ).","journal-title":"Blood"},{"issue":"1","key":"e_1_3_4_34_2","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1111\/j.1365-2141.2006.06382.x","article-title":"Due to low infection rates no routine anti-infective prophylaxis is required in younger patients with chronic lymphocytic leukaemia during fludarabine-based first line therapy","volume":"136","author":"Eichhorst BF","year":"2007","unstructured":"Eichhorst BF , Busch R , Schweighofer C Due to low infection rates no routine anti-infective prophylaxis is required in younger patients with chronic lymphocytic leukaemia during fludarabine-based first line therapy . Br. J. Haematol. 136 ( 1 ), 63 \u2013 72 ( 2007 ).","journal-title":"Br. J. 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