Evidence map›Paper›PMID 20032498›Full record

Trial reportBlood2010

Molecular remission is an independent predictor of clinical outcome in patients with mantle cell lymphoma after combined immunochemotherapy: a European MCL intergroup study.

Christiane Pott, Eva Hoster, Marie-Helene Delfau-Larue, Kheira Beldjord, Sebastian Böttcher, Vahid Asnafi, Anne Plonquet, Reiner Siebert, Evelyne Callet-Bauchu, Niels Andersen and 15 more

2 registry-linked trialsOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Blood, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 98 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 3 pooled it
9.4field-weighted citation impact, top 2% 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.

NCT00209209 phase3unknown statusnot on this map

Efficacy of Maintenance Therapy With Rituximab After Induction Chemotherapy (R-CHOP vs. R-FC) for Elderly Patients With Mantle Cell Lymphoma Not Suitable for Autologous Stem Cell Transplantation

TypeinterventionalSponsorEuropean Mantle Cell Lymphoma NetworkRan2004 to 2018Enrolled570ConditionsLymphoma, Mantle-CellArmsRituximab, Cyclophosphamide, Doxorubicin, Vincristine, Prednisone
NCT00209222 phase3unknown statusnot on this map

Efficacy of 6x R-CHOP Followed by Myeloablative Radiochemotherapy and Autologous Stem Cell Transplantation vs. 3 x (R-CHOP/R-DHAP) Followed by a High Dose ARA-C Containing Myeloablative Regimen and Autologous Stem Cell Transplantation

TypeinterventionalSponsorEuropean Mantle Cell Lymphoma NetworkRan2004 to 2014Enrolled360ConditionsLymphoma, Mantle-CellArmsRituximab, Cyclophosphamide, Doxorubicin, Vincristine, Prednisone
3 · Its place in the literature

Who cites it

98 citing papers in PubMed, 3 syntheses or guidelines pooled it, 268 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Review
  20. Article

38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 16 institutions in 7 countries.

Christiane PottSecond Medical Department, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Eva Hoster
Marie-Helene Delfau-Larue
Kheira Beldjord
Sebastian Böttcher
Vahid Asnafi
Anne Plonquet
Reiner Siebert
Evelyne Callet-Bauchu
Niels Andersen
Jacques J M van Dongen
Wolfram Klapper
Françoise Berger
Vincent Ribrag
Achiel L van Hoof
Marek Trneny
Jan Walewski
Peter Dreger
Michael Unterhalt
Wolfgang Hiddemann
Michael Kneba
Hanneke C Kluin-Nelemans
Olivier Hermine
Elizabeth Macintyre
Martin Dreyling
Ludwig-Maximilians-Universität München · DEHôpital Necker-Enfants Malades · FRUniversity Hospital Schleswig-Holstein · DEHôpital Lyon Sud · FRUniversity of Lübeck · DEAssistance Publique – Hôpitaux de Paris · FRAZ Sint-Jan · BECharles University · CZErasmus University Rotterdam · NLHeidelberg University · DEInstitut Gustave Roussy · FRRigshospitalet · DKThe Maria Sklodowska-Curie National Research Institute of Oncology · PLUniversité Paris Cité · FRUniversité Paris-Est Créteil · FRUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prognostic impact of minimal residual disease (MRD) was analyzed in 259 patients with mantle cell lymphoma (MCL) treated within 2 randomized trials of the European MCL Network (MCL Younger and MCL Elderly trial). After rituximab-based induction treatment, 106 of 190 evaluable patients (56%) achieved a molecular remission (MR) based on blood and/or bone marrow (BM) analysis. MR resulted in a significantly improved response duration (RD; 87% vs 61% patients in remission at 2 years, P = .004) and emerged to be an independent prognostic factor for RD (hazard ratio = 0.4, 95% confidence interval, 0.1-0.9, P = .028). MR was highly predictive for prolonged RD independent of clinical response (complete response [CR], complete response unconfirmed [CRu], partial response [PR]; RD at 2 years: 94% in BM MRD-negative CR/CRu and 100% in BM MRD-negative PR, compared with 71% in BM MRD-positive CR/CRu and 51% in BM MRD-positive PR, P = .002). Sustained MR during the postinduction period was predictive for outcome in MCL Younger after autologous stem cell transplantation (ASCT; RD at 2 years 100% vs 65%, P = .001) and during maintenance in MCL Elderly (RD at 2 years: 76% vs 36%, P = .015). ASCT increased the proportion of patients in MR from 55% before high-dose therapy to 72% thereafter. Sequential MRD monitoring is a powerful predictor for treatment outcome in MCL. These trials are registered at www.clinicaltrials.gov as #NCT00209222 and #NCT00209209.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsImmunotherapyRadiotherapyAdultAgedAged, 80 and overCell SeparationCombined Modality TherapyFemaleFlow CytometryHumansImmunohistochemistryLymphoma, Mantle-CellMaleMiddle AgedNeoplasm, ResidualAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy Protocolsautologous stem cell transplantationCell SeparationCombined Modality TherapyFemaleFlow CytometryHumansimmunochemotherapyImmunohistochemistryImmunotherapyLymphoma, Mantle-CellMalemantle cell lymphomamethodsMiddle Agedminimal residual diseaseMRDNeoplasm, ResidualNeoplasm StagingpathologyPolymerase Chain ReactionPrognosisRadiotherapyRQ-PCRtherapeutic usetherapyTreatment Outcome

Identifiers

PMID20032498
PMCPMC2930903
OpenAlexW2065464657

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.