Evidence map›Paper›PMID 22315486›Full record

Trial reportHaematologica2012

A multicenter phase II trial (SAKK 36/06) of single-agent everolimus (RAD001) in patients with relapsed or refractory mantle cell lymphoma.

Christoph Renner, Pier Luigi Zinzani, Rémy Gressin, Dirk Klingbiel, Pierre-Yves Dietrich, Felicitas Hitz, Mario Bargetzi, Walter Mingrone, Giovanni Martinelli, Andreas Trojan and 10 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Haematologica, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00516412 (Master Protocol for Mantle Cell Lymphoma A Multicenter Phase II Trial Testing Everolimus), which is not on this map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
12.9field-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.

NCT00516412 phase2completednot on this map

Master Protocol for Mantle Cell Lymphoma A Multicenter Phase II Trial Testing Everolimus (RAD001) for the Treatment of Patients With Relapsed or Therapy Resistant Mantle Cell Lymphoma

TypeinterventionalSponsorSwiss Cancer InstituteRan2007 to 2012Enrolled35ConditionsLymphomaArmseverolimus, molecular response by PCR
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 97 citations in OpenAlex.

  1. Pooled it
  2. 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
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  20. [Everolimus combined with all-trans retinoid acid reverses drug resistance in acute promyelocytic leukemia NB4-R1 cells].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2015
    Article
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

20 authors at 14 institutions in 5 countries.

Christoph RennerDivision of Oncology, University Hospital Zürich, Rämistrasse 100 8091 Zürich, Switzerland. christoph.renner@usz.ch
Pier Luigi Zinzani
Rémy Gressin
Dirk Klingbiel
Pierre-Yves Dietrich
Felicitas Hitz
Mario Bargetzi
Walter Mingrone
Giovanni Martinelli
Andreas Trojan
Krimo Bouabdallah
Andreas Lohri
Emmanuel Gyan
Christine Biaggi
Sergio Cogliatti
Francesco Bertoni
Michele Ghielmini
Peter Brauchli
Nicolas Ketterer
Swiss SAKK and French GOELAMS group from European Mantle Cell Lymphoma Network
Swiss Group For Clinical Cancer Research · CHInstitute of Oncology Research · CHKantonsspital St. Gallen · CHEuropean Institute of Oncology · ITKantonsschule Olten · CHKantonsspital Aarau · CHKantonsspital Baselland · CHOnkozentrum Dresden · DEUniversité de Tours · FRUniversité Joseph Fourier · FRUniversity Hospital of Zurich · CHUniversity of Bologna · ITUniversity of Geneva · CHUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMantle cell lymphoma accounts for 6% of all B-cell lymphomas and is generally incurable. It is characterized by the translocation t(11;14) leading to cyclin D1 over-expression. Cyclin D1 is downstream of the mammalian target of rapamycin threonine kinase and can be effectively blocked by mammalian target of rapamycin inhibitors. We set out to examine the single agent activity of the orally available mammalian target of rapamycin inhibitor everolimus in a prospective, multicenter trial in patients with relapsed or refractory mantle cell lymphoma (NCT00516412). DESIGN AND

methodsEligible patients who had received a maximum of three prior lines of chemotherapy were given everolimus 10 mg for 28 days (one cycle) for a total of six cycles or until disease progression. The primary endpoint was the best objective response. Adverse reactions, progression-free survival and molecular response were secondary endpoints.

resultsThirty-six patients (35 evaluable) were enrolled and treatment was generally well tolerated with Common Terminology Criteria grade ≥ 3 adverse events (>5%) including anemia (11%), thrombocytopenia (11%) and neutropenia (8%). The overall response rate was 20% (95% CI: 8-37%) with two complete remissions and five partial responses; 49% of the patients had stable disease. At a median follow-up of 6 months, the median progression-free survival was 5.5 months (95% CI: 2.8-8.2) overall and 17.0 (6.4-23.3) months for 18 patients who received six or more cycles of treatment. Three patients achieved a lasting complete molecular response, as assessed by polymerase chain reaction analysis of peripheral blood.

conclusionsEverolimus as a single agent is well tolerated and has anti-lymphoma activity in relapsed or refractory mantle cell lymphoma. Further studies of everolimus in combination with chemotherapy or as a single agent for maintenance treatment are warranted.

Indexed as

AdultAgedAged, 80 and overDisease-Free SurvivalDrug Administration ScheduleEverolimusFemaleHumansLymphoma, Mantle-CellMaleMiddle AgedNeoplasm ProteinsNeoplasm StagingProspective StudiesProtein Kinase InhibitorsRecurrenceEverolimusMTOR protein, humanNeoplasm ProteinsProtein Kinase InhibitorsSirolimusTOR Serine-Threonine Kinases

Identifiers

PMID22315486
PMCPMC3396682
OpenAlexW2047257824

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.