Skip to main content
. Author manuscript; available in PMC: 2016 Aug 16.
Published in final edited form as: Leukemia. 2015 Oct 7;30(2):346–350. doi: 10.1038/leu.2015.273

Table 4.

Treatment Emergent AIC Cases

Patient 1 Patient 2 Patient 3* Patient 4 Patient 5 Patient 6
Age at study entry, Gender 50’s M 70’s F 60’s M 70’s M 70’s M 70’s F
Number of prior CLL Treatments 5 0 3 6 2 0
Rai Stage IV I II IV I IV
Complex Karyotype Y N Y Y Y N
IGHV mutational status mutated mutated unmutated unknown unmutated unmutated
FISH panel abnormalities BCL6 (3q27)
CMYC (8q24)
TP53 (17p13·1)
D13S319(13q14·3)
D12Z3 (12cen) D13S319(13q14·3)
ATM (11q22·3)
none D13S319(13q14·3)
TP53 (17p13·1)
D13S319(13q14·3)
AIC prior to ibrutinib none none AIHA AIHA AIHA ITP
AIC therapies prior to ibrutinib n/a n/a Prednisone, IVIG, Rituximab, Dexamethsone, Aranesp Rituximab, oral cyclophosphamide, mycophenolate mofetil, IVIG, prednisone, cyclosporine Prednisone, IVIG None
On an AIC therapy when starting ibrutinib n/a n/a No Yes, Prednisone 10mg Yes, Prednisone 10mg n/a
Treatment emergent AIC type New AIHA New AIHA Relapsed AIHA Relapsed AIHA New ITP Relapsed ITP
AIC therapy received Prednisone, IVIG IVIG IVIG Prednisone Prednisone Prednisone, Dexamethasone
AIC controlled Yes Yes Yes No Yes No
On ibrutinib at last follow up No Yes Yes No Yes No
Patient outcome Died from infection Alive and well Alive and well Stopped ibrutinib due need for steroids and infections, died from infection Alive and well Discontinued ibrutinib due to rash

Characteristics are at time of ibrutinib initiation unless otherwise specified. Patient 3 is the only patient who received concomitant treatment with ofatumumab.

*

Developed autoimmune granulocytopenia which was treated with cyclosporine.