Characteristics of included studies
Reference . | Design . | Disease . | Indication . | Age (y), median (range) . | Sample size . | Follow-up (mo) . | Overall bleeding incidence (ibrutinib/control)* . | Major bleeding incidence (ibrutinib/control) . | Definition of major bleeding . | Risk of bias . |
---|---|---|---|---|---|---|---|---|---|---|
15 | RCT | CLL/SLL | Relapsed/refractory | 67 (30-88) | 195 ibrutinib, 196 ofatumumab | 9.4 | 86/24 | 2/3 | Grade ≥3, transfused or hospitalized | Uncertain† |
6 | RCT | CLL/SLL | Relapsed/refractory | 64 (31-86) | 289 ibrutinib, 289 placebo | 17 | 89/42 | 11/5 | Grade ≥3 or CNS | Uncertain |
1 | RCT | CLL/SLL | First line | 73 (65-90) | 136 ibrutinib, 133 chlorambucil | 18.4 | — | 6/3 | Grade ≥3 or CNS | Uncertain† |
3 | RCT | MCL | Relapsed/refractory | 68 (IQR 13) | 139 ibrutinib, 141 temsirolimus | 20 | — | 14/9 | Grade ≥3 or CNS | High† |
16‡ | Phase 2 | CLL/SLL | Relapsed/refractory | 67 (55-84) | 24 | 7.5 | 13 | 1 | Grade ≥3 | High |
8 | Phase 2 | CLL/SLL | Both first and relapsed/refractory | 65.8 (33-85) | 86 | 24 | 47 | — | Unknown | High |
17 | Phase 2 | CLL/SLL | Both first and relapsed/refractory | 68 (37-84) | 132 | 36 | 81 | 10 | Unknown | High |
26 | Phase 2 | CLL/SLL | Both first and relapsed/refractory | 63 (35-82) | 40 | 16.8 | — | 1 | Grade ≥2 | High |
29‡ | Phase 2 | CLL/SLL | Relapsed/refractory | 64 | 144 | 11.5 | — | 7 | Grade 2/3 | High |
28 | Phase 2 | CLL/SLL | Relapsed/refractory | N = 31 >65 y | 71 | 12.5 | — | 7 | Grade ≥3 | High |
18‡ | Phase 2 | Follicular lymphoma | First line | 58 (32-84) | 60 | 10.2 | 13 | 0 | Unknown | High |
19 | Phase 2 | MCL | Relapsed/refractory | 68 (40-84) | 111 | 26.7 | 56 | 7 | Grade ≥3 | High |
5 | Phase 2 | MCL | Relapsed/refractory | 67 (45-86) | 50 | 16.5 | — | 1 | Requiring drug discontinuation | High |
15 | Phase 2 | CLL/SLL | Relapsed/refractory | 66 (37-82) | 85 | 20.9 | — | 4 | Grade ≥3 | High |
22 | Prospective | WM | Relapsed/refractory | 67 (47-90) | 31 | 7.7 | 5 | 0 | Unknown | High |
20 | Prospective | CLL/SLL | Relapsed/refractory | 66 (35-83) | 88 | 28 | 1 | — | Unknown | High |
4 | Prospective | WM | Relapsed/refractory | 63 (44-86) | 63 | 19.1 | — | 4 | Grade ≥2 | High |
24‡ | Retrospective | CLL/SLL | Both first and relapsed/refractory | 66 | 96 | 7.6 | 10 | 4 | Requiring hospitalization | High |
21‡ | Retrospective | CLL/SLL | Relapsed/refractory | Not stated | 124 | 6.4 | 3 | — | Requiring drug discontinuation | High |
23‡ | Retrospective | CLL/SLL | Relapsed/refractory | 69 | 92 | 6.8 | 30 | — | Unknown | High |
27‡ | Retrospective | CLL/SLL | Relapsed/refractory | 62 (36-80) | 54 | 9.1 | — | 3 | Requiring drug discontinuation | High |
25 | Retrospective | MCL | Relapsed/refractory | 69 (35-84) | 42 | 10.7 | 1 | — | Unknown | High |
Reference . | Design . | Disease . | Indication . | Age (y), median (range) . | Sample size . | Follow-up (mo) . | Overall bleeding incidence (ibrutinib/control)* . | Major bleeding incidence (ibrutinib/control) . | Definition of major bleeding . | Risk of bias . |
---|---|---|---|---|---|---|---|---|---|---|
15 | RCT | CLL/SLL | Relapsed/refractory | 67 (30-88) | 195 ibrutinib, 196 ofatumumab | 9.4 | 86/24 | 2/3 | Grade ≥3, transfused or hospitalized | Uncertain† |
6 | RCT | CLL/SLL | Relapsed/refractory | 64 (31-86) | 289 ibrutinib, 289 placebo | 17 | 89/42 | 11/5 | Grade ≥3 or CNS | Uncertain |
1 | RCT | CLL/SLL | First line | 73 (65-90) | 136 ibrutinib, 133 chlorambucil | 18.4 | — | 6/3 | Grade ≥3 or CNS | Uncertain† |
3 | RCT | MCL | Relapsed/refractory | 68 (IQR 13) | 139 ibrutinib, 141 temsirolimus | 20 | — | 14/9 | Grade ≥3 or CNS | High† |
16‡ | Phase 2 | CLL/SLL | Relapsed/refractory | 67 (55-84) | 24 | 7.5 | 13 | 1 | Grade ≥3 | High |
8 | Phase 2 | CLL/SLL | Both first and relapsed/refractory | 65.8 (33-85) | 86 | 24 | 47 | — | Unknown | High |
17 | Phase 2 | CLL/SLL | Both first and relapsed/refractory | 68 (37-84) | 132 | 36 | 81 | 10 | Unknown | High |
26 | Phase 2 | CLL/SLL | Both first and relapsed/refractory | 63 (35-82) | 40 | 16.8 | — | 1 | Grade ≥2 | High |
29‡ | Phase 2 | CLL/SLL | Relapsed/refractory | 64 | 144 | 11.5 | — | 7 | Grade 2/3 | High |
28 | Phase 2 | CLL/SLL | Relapsed/refractory | N = 31 >65 y | 71 | 12.5 | — | 7 | Grade ≥3 | High |
18‡ | Phase 2 | Follicular lymphoma | First line | 58 (32-84) | 60 | 10.2 | 13 | 0 | Unknown | High |
19 | Phase 2 | MCL | Relapsed/refractory | 68 (40-84) | 111 | 26.7 | 56 | 7 | Grade ≥3 | High |
5 | Phase 2 | MCL | Relapsed/refractory | 67 (45-86) | 50 | 16.5 | — | 1 | Requiring drug discontinuation | High |
15 | Phase 2 | CLL/SLL | Relapsed/refractory | 66 (37-82) | 85 | 20.9 | — | 4 | Grade ≥3 | High |
22 | Prospective | WM | Relapsed/refractory | 67 (47-90) | 31 | 7.7 | 5 | 0 | Unknown | High |
20 | Prospective | CLL/SLL | Relapsed/refractory | 66 (35-83) | 88 | 28 | 1 | — | Unknown | High |
4 | Prospective | WM | Relapsed/refractory | 63 (44-86) | 63 | 19.1 | — | 4 | Grade ≥2 | High |
24‡ | Retrospective | CLL/SLL | Both first and relapsed/refractory | 66 | 96 | 7.6 | 10 | 4 | Requiring hospitalization | High |
21‡ | Retrospective | CLL/SLL | Relapsed/refractory | Not stated | 124 | 6.4 | 3 | — | Requiring drug discontinuation | High |
23‡ | Retrospective | CLL/SLL | Relapsed/refractory | 69 | 92 | 6.8 | 30 | — | Unknown | High |
27‡ | Retrospective | CLL/SLL | Relapsed/refractory | 62 (36-80) | 54 | 9.1 | — | 3 | Requiring drug discontinuation | High |
25 | Retrospective | MCL | Relapsed/refractory | 69 (35-84) | 42 | 10.7 | 1 | — | Unknown | High |