Evidence map›Paper›PMID 21135857›Full record

Trial reportLeukemia2011

A phase II trial of the oral mTOR inhibitor everolimus in relapsed aggressive lymphoma.

T E Witzig, C B Reeder, B R LaPlant, M Gupta, P B Johnston, I N Micallef, L F Porrata, S M Ansell, J P Colgan, E D Jacobsen and 2 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Leukemia, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00436618 (Phase II Trial of Everolimus), which is not on this map. Cited by 129 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
129citing papers in PubMed, 3 pooled it
18.7field-weighted citation impact, top 1% 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.

NCT00436618 phase2completednot on this map

Phase II Trial of Everolimus (RAD001) in Relapsed/Refractory Lymphoma

TypeinterventionalSponsorMayo ClinicRan2005 to 2019Enrolled277ConditionsLeukemia, Lymphoma, Lymphoproliferative DisorderArmsEverolimus
3 · Its place in the literature

Who cites it

129 citing papers in PubMed, 3 syntheses or guidelines pooled it, 298 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Treatment-related fatigue with everolimus and temsirolimus in patients with cancer-a meta-analysis of clinical trials.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2015
    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. Review
  18. Review
  19. Article
  20. Article

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

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

12 authors at 3 institutions in 1 country.

T E WitzigDivision of Hematology, Department of Medicine, Mayo Clinic College of Medicine and Mayo Foundation, Rochester, MN 55905, USA. Witzig@mayo.edu
C B Reeder
B R LaPlant
M Gupta
P B Johnston
I N Micallef
L F Porrata
S M Ansell
J P Colgan
E D Jacobsen
I M Ghobrial
T M Habermann
Mayo Clinic · USDana-Farber Cancer Institute · USWinnMed · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
The Role of Monocytes in non-Hodgkin LymphomaP50CA097274 · NCI · UNIVERSITY OF IOWA · PI WEINER, GEORGE J. · 2002 to 2021
$45.7M
Signal transduction inhibitor therapy for LymphomaR01CA127433 · NCI · MAYO CLINIC ROCHESTER · PI WITZIG, THOMAS E. · 2007 to 2011
$1.7M
PI3K Pathway Inhibitors for Mantle Cell LymphomaR21CA112904 · NCI · MAYO CLINIC ROCHESTER · PI WITZIG, THOMAS E. · 2005 to 2006
$496k
NCI NIH HHS CA112904NCI NIH HHS CA127433NCI NIH HHS CA97274NCI NIH HHS P30 CA086862NCI NIH HHS P50 CA097274NCI NIH HHS R01 CA127433NCI NIH HHS R21 CA112904
6 · The paper itself

Abstract

The phosphatidylinositol 3-kinase signal transduction pathway members are often activated in tumor samples from patients with non-Hodgkin's lymphoma (NHL). Everolimus is an oral agent that targets the raptor mammalian target of rapamycin (mTORC1). The goal of this trial was to learn the antitumor activity and toxicity of single-agent everolimus in patients with relapsed/refractory aggressive NHL. Patients received everolimus 10 mg PO daily. Response was assessed after two and six cycles, and then every three cycles until progression. A total of 77 patients with a median age of 70 years were enrolled. Patients had received a median of three previous therapies and 32% had undergone previous transplant. The overall response rate (ORR) was 30% (95% confidence interval: 20-41%), with 20 patients achieving a partial remission and 3 a complete remission unconfirmed. The ORR in diffuse large B cell was 30% (14/47), 32% (6/19) in mantle cell and 38% (3/8) in follicular grade 3. The median duration of response was 5.7 months. Grade 3 or 4 anemia, neutropenia and thrombocytopenia occurred in 14, 18 and 38% of patients, respectively. Everolimus has single-agent activity in relapsed/refractory aggressive NHL and provides proof-of-concept that targeting the mTOR pathway is clinically relevant.

Indexed as

Administration, OralAdultAgedAged, 80 and overEverolimusFemaleHumansLymphoma, Non-HodgkinMaleMiddle AgedProtein Kinase InhibitorsRemission InductionSalvage TherapySirolimusTOR Serine-Threonine KinasesTreatment OutcomeEverolimusMTOR protein, humanProtein Kinase InhibitorsSirolimusTOR Serine-Threonine Kinases

Identifiers

PMID21135857
PMCPMC3049870
OpenAlexW2019874087

What OpenQuestion holds

Textmetadata
LicenceTDM
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.