Evidence map›Paper›PMID 21659360›Full record

Trial reportHaematologica2011

Association between single nucleotide polymorphism-genotype and outcome of patients with chronic lymphocytic leukemia in a randomized chemotherapy trial.

Rachel Wade, Maria Chiara Di Bernardo, Sue Richards, Davide Rossi, Dalemari Crowther-Swanepoel, Gianluca Gaidano, David G Oscier, Daniel Catovsky, Richard S Houlston

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Haematologica, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00004218 (Chronic Lymphocytic Leukemia Trial 4), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 22% 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.

NCT00004218 phase3completednot on this map

Chronic Lymphocytic Leukemia Trial 4: A Randomized Comparison of Chlorambucil, Fludarabine and Fludarabine Plus Cyclophosphamide

TypeinterventionalSponsorLeukemia Research FundRan1999 to 2007ConditionsLeukemiaArmschlorambucil, cyclophosphamide, doxorubicin hydrochloride, fludarabine phosphate, prednisolone
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Rachel WadeClinical Trial Service Unit, University of Oxford, Oxford, UK.
Maria Chiara Di Bernardo
Sue Richards
Davide Rossi
Dalemari Crowther-Swanepoel
Gianluca Gaidano
David G Oscier
Daniel Catovsky
Richard S Houlston
Institute of Cancer Research · GBUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITUniversity of Oxford · GBRoyal Bournemouth Hospital · GB

Funding

Cancer Research UKMedical Research Council G8223452Medical Research Council MC_U137686856
6 · The paper itself

Abstract

backgroundThere is variability in the outcome of patients with chronic lymphocytic leukemia with apparently the same stage of disease. Identifying genetic variants that influence patients' outcome and response to treatment may provide important insights into the biology of the disease. DESIGN AND

methodsWe investigated the possibility that genetic variation influences outcome by conducting a genome-wide analysis of 346,831 single nucleotide polymorphisms in 356 patients entered into a phase III trial comparing the efficacy of fludarabine, chlorambucil, and fludarabine with cyclophosphamide as first-line treatment. Genotypes were linked to individual patients' outcome data and response to chemotherapy. The association between genotype and progression-free survival was assessed by Cox regression analysis adjusting for treatment and clinicopathology.

resultsThe strongest associations were shown for rs1949733 (ACOX3; P=8.22x10-7), rs1342899 (P=7.72×10(-7)) and rs11158493 (PPP2R5E; P=8.50×10(-7)). In addition, the 52 single nucleotide polymorphisms associated at P<10(-4) included rs438034 (CENPF; P=4.86×10(-6)), previously correlated with cancer progression, and rs2255235 (B2M; P=3.10×10(-5)) and rs2064501 (IL22RA2; P=4.81×10(-5)) which map to B-cell genes.

conclusionsOur findings provide evidence that genetic variation is a determinant of progression-free survival of patients with chronic lymphocytic leukemia. Specific associations warrant further analyses.

Indexed as

GenotypePolymorphism, Single NucleotideAdultAgedAged, 80 and overFemaleGene Expression Regulation, LeukemicGenotyping TechniquesHumansKaplan-Meier EstimateLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedNeoplasm StagingProtein Phosphatase 2Quality ControlPPP2R5E protein, humanProtein Phosphatase 2RNA, Messenger

Identifiers

PMID21659360
PMCPMC3186311
OpenAlexW2116545197

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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.