Evidence map›Paper›PMID 19536846›Full record

Trial reportAmerican journal of hematology2009

Phase II study of bryostatin 1 and vincristine for aggressive non-Hodgkin lymphoma relapsing after an autologous stem cell transplant.

Paul M Barr, Hillard M Lazarus, Brenda W Cooper, Mark D Schluchter, Ashok Panneerselvam, James W Jacobberger, Jack W Hsu, Nalini Janakiraman, Aleksandra Simic, Afshin Dowlati and 1 more

Open access · bronzeAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in American journal of hematology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Imaging Retinal Ganglion Cell Death and Dysfunction in Glaucoma.International ophthalmology clinics · 2019
    Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
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  14. Article
  15. Function through synthesis-informed design.Accounts of chemical research · 2015
    Article
  16. Article
  17. Emerging strategies to deplete the HIV reservoir.Current opinion in infectious diseases · 2014
    Review
  18. Microbial natural products: molecular blueprints for antitumor drugs.Journal of industrial microbiology & biotechnology · 2013
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Paul M BarrDepartment of Medicine, Case Comprehensive Cancer Center, University Hospitals Case Medical Center, Cleveland, Ohio 44106, USA. paul.barr@uhhospitals.org
Hillard M Lazarus
Brenda W Cooper
Mark D Schluchter
Ashok Panneerselvam
James W Jacobberger
Jack W Hsu
Nalini Janakiraman
Aleksandra Simic
Afshin Dowlati
Scot C Remick
Case Western Reserve University · USUniversity Hospitals Case Medical Center · USOregon Health & Science University · USUniversity of Florida · USWest Virginia University · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
Zosuquidar trihydrochloride for acute myeloid leukemia &refractory anemiaM01RR000080 · NCRR · UNIVERSITY HOSPITALS OF CLEVELAND · PI DAVIS, PAMELA B · 1985 to 2007
$22.2M
Early Clinical Trials of New Anti-Cancer Agents with Phase I EmphasisU01CA062502 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI DOWLATI, AFSHIN · 1994 to 2013
$9.3M
NCI NIH HHS CA62502NCI NIH HHS U01 CA062502NCRR NIH HHS M01 RR000080NCRR NIH HHS M01-RR-00080
6 · The paper itself

Abstract

Bryostatin 1, isolated from a marine bryozoan, enhances the efficacy of cytotoxic agents through modulation of the protein kinase C pathway and is active in combination with vincristine for diffuse large B-cell lymphoma. Further, the apoptotic frequency of peripheral blood T lymphocytes as determined by flow cytometry may predict which patients will respond to this combination. We tested the efficacy and safety of bryostatin 1 50 microg/m(2) given over 24 hr and vincristine 1.4 mg/m(2) on days 1 and 15 every 28 days in aggressive B-cell non-Hodgkin lymphoma (NHL) relapsing after autologous stem cell transplantation. End points included tumor response, toxicity, and survival. Responses were correlated with an increase in apoptotic frequency of CD5+ cells by flow cytometry using annexin V staining. Fourteen patients were enrolled with 13 being evaluable for a response. The overall response rate was 31% with two patients achieving a complete response. The most common toxicities were Grade 3 lymphopenia (seven patients), Grade 3 to 4 neutropenia (two patients), and Grade 3 hypophosphatemia (two patients). Median progression-free and overall survivals for all patients were 5.7 and 21.4 months, respectively. One patient demonstrated an increase in T-cell apoptotic frequency, also achieving a complete response. Bryostatin 1 and vincristine have efficacy in select patients with aggressive NHL. Future investigations of agents targeting the protein kinase C pathway may benefit from early response assessment using flow cytometry to evaluate T-cell apoptosis.

Indexed as

Stem Cell TransplantationAgedAnnexin A5Antineoplastic Combined Chemotherapy ProtocolsApoptosisBryostatinsCD5 AntigensDisease-Free SurvivalFemaleHumansLymphoma, B-CellLymphopeniaMaleMiddle AgedProtein Kinase CRecurrenceAnnexin A5bryostatin 1BryostatinsCD5 AntigensProtein Kinase CVincristine

Identifiers

PMID19536846
PMCPMC4465083
OpenAlexW2027656346

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.