PMID- 35227147 OWN - NLM STAT- MEDLINE DCOM- 20220712 LR - 20220726 IS - 1029-2403 (Electronic) IS - 1026-8022 (Linking) VI - 63 IP - 7 DP - 2022 Jul TI - Characterization of low-grade arthralgia, myalgia, and musculoskeletal pain with ibrutinib therapy: pooled analysis of clinical trials in patients with chronic lymphocytic leukemia and mantle cell lymphoma. PG - 1580-1588 LID - 10.1080/10428194.2022.2038372 [doi] AB - Joint and muscle pain, including arthralgia, myalgia, and musculoskeletal pain, are among the common adverse events (AEs) reported for ibrutinib, a once-daily Bruton's tyrosine kinase inhibitor approved for the treatment of various B-cell malignancies, including chronic lymphocytic leukemia (CLL) and mantle cell lymphoma (MCL). This pooled analysis from nine clinical trials of ibrutinib in CLL and MCL (N = 1178) evaluated patterns of these AEs. Any grade arthralgia, myalgia, and musculoskeletal pain occurred in 18%, 10%, and 6% of patients, respectively. AEs were primarily low-grade (grade 1/2: 97‒99%) and occurred during the first year of treatment; most resolved (67%-80%) at first occurrence. Few (<5%) patients required ibrutinib dose modification; no patients discontinued ibrutinib due to these AEs. Among patients evaluated for concomitant medication use, all those receiving concomitant medications after the first AE occurrence experienced AE resolution. These data suggest that these AEs were not treatment-limiting during ibrutinib therapy. FAU - Siddiqi, Tanya AU - Siddiqi T AD - City of Hope National Medical Center, Duarte, CA, USA. FAU - Coutre, Steven AU - Coutre S AUID- ORCID: 0000-0001-8420-5748 AD - Stanford Cancer Center, Stanford University School of Medicine, Stanford, CA, USA. FAU - McKinney, Matthew AU - McKinney M AD - Duke University, Durham, NC, USA. FAU - Barr, Paul M AU - Barr PM AUID- ORCID: 0000-0002-9733-401X AD - Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA. FAU - Rogers, Kerry AU - Rogers K AD - Ohio State University, Columbus, OH, USA. FAU - Mokatrin, Ahmad AU - Mokatrin A AD - Pharmacyclics LLC, an AbbVie Company, South San Francisco, CA, USA. FAU - Valentino, Rudy AU - Valentino R AD - Pharmacyclics LLC, an AbbVie Company, South San Francisco, CA, USA. FAU - Szoke, Anita AU - Szoke A AD - Pharmacyclics LLC, an AbbVie Company, South San Francisco, CA, USA. FAU - Deshpande, Sanjay AU - Deshpande S AD - Johnson & Johnson, Raritan, NJ, USA. FAU - Zhu, Angeline AU - Zhu A AD - Johnson & Johnson, Raritan, NJ, USA. FAU - Arango-Hisijara, Israel AU - Arango-Hisijara I AD - Pharmacyclics LLC, an AbbVie Company, South San Francisco, CA, USA. FAU - Osei-Bonsu, Kojo AU - Osei-Bonsu K AD - Pharmacyclics LLC, an AbbVie Company, South San Francisco, CA, USA. FAU - Wang, Michael AU - Wang M AUID- ORCID: 0000-0001-9748-5486 AD - The University of Texas, MD Anderson Cancer Center, Houston, TX, USA. FAU - O'Brien, Susan AU - O'Brien S AD - UC Irvine, Chao Family Comprehensive Cancer Center, Irvine, CA, USA. LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220228 PL - United States TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 RN - 0 (Piperidines) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Pyrazoles) RN - 0 (Pyrimidines) RN - 1X70OSD4VX (ibrutinib) RN - JAC85A2161 (Adenine) SB - IM MH - Adenine/analogs & derivatives MH - Adult MH - Arthralgia/chemically induced/drug therapy MH - Humans MH - *Leukemia, Lymphocytic, Chronic, B-Cell/complications/diagnosis/drug therapy MH - *Lymphoma, Mantle-Cell/drug therapy/pathology MH - *Musculoskeletal Pain/chemically induced/diagnosis MH - Myalgia/chemically induced/diagnosis MH - Piperidines MH - Protein Kinase Inhibitors/adverse effects MH - Pyrazoles/adverse effects MH - Pyrimidines/adverse effects OTO - NOTNLM OT - Ibrutinib OT - arthralgia OT - chronic lymphocytic leukemia OT - mantle cell lymphoma OT - musculoskeletal pain OT - myalgia EDAT- 2022/03/02 06:00 MHDA- 2022/07/14 06:00 CRDT- 2022/03/01 05:42 PHST- 2022/03/02 06:00 [pubmed] PHST- 2022/07/14 06:00 [medline] PHST- 2022/03/01 05:42 [entrez] AID - 10.1080/10428194.2022.2038372 [doi] PST - ppublish SO - Leuk Lymphoma. 2022 Jul;63(7):1580-1588. doi: 10.1080/10428194.2022.2038372. Epub 2022 Feb 28.