Evidence map›Paper›PMID 21937701›Full record

Trial reportBlood2011

A phase 2 multicenter study of lenalidomide in relapsed or refractory classical Hodgkin lymphoma.

Todd A Fehniger, Sarah Larson, Kathryn Trinkaus, Marilyn J Siegel, Amanda F Cashen, Kristie A Blum, Timothy S Fenske, David D Hurd, Andre Goy, Stephanie E Schneider and 4 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Blood, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00540007 (A Phase II Multicenter Study of Lenalidomide in Relapsed or Refractory Classical Hodgkin Lymphoma), which is not on this map. Cited by 79 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT00540007 phase2completednot on this map

A Phase II Multicenter Study of Lenalidomide in Relapsed or Refractory Classical Hodgkin Lymphoma

TypeinterventionalSponsorWashington University School of MedicineRan2007 to 2016Enrolled80ConditionsHodgkin DiseaseArmsLenalidomide
3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Hodgkin lymphoma, version 2.2015.Journal of the National Comprehensive Cancer Network : JNCCN · 2015
    Guideline
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Phase II study of bendamustine in relapsed and refractory Hodgkin lymphoma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2013
    Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Advances in the treatment of Hodgkin's lymphoma (Review).International journal of oncology · 2023
    Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. A Pilot Study of Lenalidomide Maintenance Therapy after Autologous Transplantation in Relapsed or Refractory Classical Hodgkin Lymphoma.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2020
    Article

19 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

14 authors.

Todd A FehnigerDivision of Oncology, Washington University School of Medicine, St Louis, MO 63110, USA. tfehnige@wustl.edu
Sarah Larson
Kathryn Trinkaus
Marilyn J Siegel
Amanda F Cashen
Kristie A Blum
Timothy S Fenske
David D Hurd
Andre Goy
Stephanie E Schneider
Catherine R Keppel
Nina D Wagner-Johnston
Kenneth R Carson
Nancy L Bartlett

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
Molecular Mechanisms of Natural Killer Cell Cytokine-ActivationK08HL093299 · NHLBI · WASHINGTON UNIVERSITY · PI FEHNIGER, TODD A · 2009 to 2013
$583k
NCI NIH HHS P30 CA091842NHLBI NIH HHS K08 HL093299NHLBI NIH HHS K08HL093299
6 · The paper itself

Abstract

Relapsed or refractory (rel/ref) classical Hodgkin lymphoma (cHL) remains a clinical challenge, with limited effective treatment options available after stem cell transplantation. In a multicenter phase 2 study, the efficacy of lenalidomide in rel/ref cHL patients was evaluated at a dose of 25 mg/d on days 1-21 of a 28-day cycle. Patients remained on lenalidomide until disease progression or an unacceptable adverse event (AE) occurred. Thirty-eight cHL patients were enrolled with a median of 4 (range, 2-9) prior therapies; 87% had undergone prior stem cell transplantation and 55% of patients did not respond to their last prior therapy. Of 36 evaluable patients, responses were 1 complete remission (CR), 6 partial remissions (PRs), and 5 patients with stable disease (SD) for ≥ 6 months resulting in an International Working Committee (IWC) objective overall response rate (ORR) of 19% and a cytostatic ORR of 33%. Decreased chemokine (CCL17 and CCL22) plasma levels at 2 weeks were associated with a subsequent response. The treatment was well tolerated, and the most common grade 3/4 AEs were neutropenia (47%), anemia (29%), and thrombocytopenia (18%). Four patients discontinued lenalidomide because of rash, elevated transaminases/bilirubin, and cytopenias. We provide preliminary evidence of lenalidomide's activity in patients with rel/ref cHL, and therefore exploration of lenalidomide in combination with other active agents is warranted. This trial is registered at www.ClinicalTrials.gov as NCT00540007.

Indexed as

AdultAntineoplastic AgentsCell Line, TumorChemokine CCL17Chemokine CCL22Disease-Free SurvivalFemaleHodgkin DiseaseHumansKaplan-Meier EstimateLenalidomideMaleMiddle AgedProspective StudiesRecurrenceRemission InductionAntineoplastic AgentsCCL17 protein, humanCCL22 protein, humanChemokine CCL17Chemokine CCL22LenalidomideThalidomide

Identifiers

PMID21937701
PMCPMC3217400

What OpenQuestion holds

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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.