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Use of anticoagulants and antiplatelet in patients with chronic lymphocytic leukaemia treated with single-agent ibrutinib.


ABSTRACT: Bleeding events have been observed among a subgroup of chronic lymphocytic leukaemia (CLL) patients treated with ibrutinib. We analysed data from two studies of single-agent ibrutinib to better characterize bleeding events and pattern of anticoagulation and antiplatelet use. Among 327 ibrutinib-treated patients, concomitant anticoagulation (11%) or antiplatelet use (34%) was common, but major bleeding was infrequent (2%). Bleeding events were primarily grade 1, and infrequently (1%) led to discontinuation. Among 175 patients receiving concomitant anticoagulant or antiplatelet agents, 5 had major bleeding events (3%). These events were typically observed in conjunction with other factors, such as coexisting medical conditions and/or concurrent medications.

SUBMITTER: Jones JA 

PROVIDER: S-EPMC6084297 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature

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Use of anticoagulants and antiplatelet in patients with chronic lymphocytic leukaemia treated with single-agent ibrutinib.

Jones Jeffrey A JA   Hillmen Peter P   Coutre Steven S   Tam Constantine C   Furman Richard R RR   Barr Paul M PM   Schuster Stephen J SJ   Kipps Thomas J TJ   Flinn Ian W IW   Jaeger Ulrich U   Burger Jan A JA   Cheng Mei M   Ninomoto Joi J   James Danelle F DF   Byrd John C JC   O'Brien Susan M SM  

British journal of haematology 20170410 2


Bleeding events have been observed among a subgroup of chronic lymphocytic leukaemia (CLL) patients treated with ibrutinib. We analysed data from two studies of single-agent ibrutinib to better characterize bleeding events and pattern of anticoagulation and antiplatelet use. Among 327 ibrutinib-treated patients, concomitant anticoagulation (11%) or antiplatelet use (34%) was common, but major bleeding was infrequent (2%). Bleeding events were primarily grade 1, and infrequently (1%) led to disco  ...[more]

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