Evidence map›Paper›PMID 22835045›Full record

Trial reportLeukemia & lymphoma2013

Brief intensive therapy for older adults with newly diagnosed Burkitt or atypical Burkitt lymphoma/leukemia.

Yvette L Kasamon, Robert A Brodsky, Michael J Borowitz, Richard F Ambinder, Pamela A Crilley, Steve Y Cho, Hua-ling Tsai, B Douglas Smith, Douglas E Gladstone, Hetty E Carraway and 5 more

Registry-linked trialAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Leukemia & lymphoma, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00133991 (Phase II Study of Intensified CVP, Rituximab, and High Dose Cyclophosphamide for Adult Burkitt or Burkitt-Like Lymphoma), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

NCT00133991 phase2completednot on this map

Phase II Study of Intensified CVP, Rituximab, and High Dose Cyclophosphamide for Adult Burkitt or Burkitt-Like Lymphoma

TypeinterventionalSponsorSidney Kimmel Comprehensive Cancer Center at Johns HopkinsRan2005 to 2013Enrolled23ConditionsLeukemia, LymphomaArmsFilgrastim, Rituximab, Cyclophosphamide, Cytarabine, Methotrexate
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Low-intensity therapy in adults with Burkitt's lymphoma.The New England journal of medicine · 2013
    Trial
  4. Trial
  5. Review
  6. Article
  7. Disseminated Burkitt lymphoma presenting as massive gastrointestinal bleed.Proceedings (Baylor University. Medical Center) · 2020
    Article
  8. Article
  9. Burkitt lymphoma in adolescents and young adults: management challenges.Adolescent health, medicine and therapeutics · 2017
    Review
  10. Article
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Yvette L KasamonJohns Hopkins University, Baltimore, MD, USA. ykasamon@jhmi.edu
Robert A Brodsky
Michael J Borowitz
Richard F Ambinder
Pamela A Crilley
Steve Y Cho
Hua-ling Tsai
B Douglas Smith
Douglas E Gladstone
Hetty E Carraway
Carol Ann Huff
William H Matsui
Javier Bolaños-Meade
Richard J Jones
Lode J Swinnen

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
TUMOR VACCINESP01CA015396 · NCI · JOHNS HOPKINS UNIVERSITY · PI JONES, RICHARD J · 1985 to 2016
$38.1M
Surgical Oncology Research Training ProgramT32CA009688 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BALDWIN, ALBERT SIDNEY · 1992 to 2012
$1.4M
Novel Biologic Therapies for Hodgkin's LymphomaK23CA124465 · NCI · JOHNS HOPKINS UNIVERSITY · PI KASAMON, YVETTE L. · 2008 to 2012
$705k
NCI NIH HHS K23 CA124465NCI NIH HHS P01 CA015396NCI NIH HHS P30 CA006973NCI NIH HHS P50 CA09688NCI NIH HHS T32 CA009688
6 · The paper itself

Abstract

Older patients with Burkitt lymphoma/leukemia (BL) have inferior outcomes. Because cyclophosphamide is highly active in BL and can be dose-escalated without stem-cell rescue, we designed a short, cyclophosphamide-intensive regimen without anthracyclines for patients aged ≥ 30 with untreated, non-HIV-associated BL/atypical BL. Two cycles involving cyclophosphamide 1500 mg/m(2), vincristine, rituximab, prednisone, methotrexate 3 g/m(2), and intrathecal cytarabine were delivered 2 weeks apart, followed by intensification with high-dose cyclophosphamide (50 mg/kg/day for 4 days) and rituximab. Of 21 patients, median age 53 (range, 34-75), 71% had stage IV, 95% were high-risk and 29% had performance status 3-4. Response occurred in all evaluable patients post-cycle 2 and in 76% post-intensification. Five non-relapse deaths occurred (four before intensification). The estimated 1-year and 3-year event-free survival was 52%; 1-year and 3-year overall survival was 57%. Seventeen (81%) received intensification (median 30 days to intensification). Brief, anthracycline-sparing, intensive cyclophosphamide (BASIC) therapy yields durable remissions in poorer-risk BL/atypical BL.

Indexed as

AdultAgedAntibodies, Monoclonal, Murine-DerivedAntineoplastic Combined Chemotherapy ProtocolsBurkitt LymphomaCyclophosphamideCytarabineDrug Administration ScheduleFemaleHumansInjections, SpinalKaplan-Meier EstimateLeukemiaMaleMethotrexateMiddle AgedAntibodies, Monoclonal, Murine-DerivedCyclophosphamideCytarabineMethotrexatePrednisoneRituximabVincristine

Identifiers

PMID22835045
PMCPMC4234101

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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.