Evidence map›Paper›PMID 22893631›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2012

A phase I dose-finding trial of recombinant interleukin-21 and rituximab in relapsed and refractory low grade B-cell lymphoproliferative disorders.

John M Timmerman, John C Byrd, David J Andorsky, Reiko E Yamada, Janet Kramer, Natarajan Muthusamy, Naomi Hunder, John M Pagel

Open access · bronzeAbstract readClinical Trial, Phase I
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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  5. Review
  6. Article
  7. Article
  8. Implications of IL-21 in solid tumor therapy.Medical oncology (Northwood, London, England) · 2023
    Review
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  14. Review
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  16. Article
  17. Review
  18. Cytokines in clinical cancer immunotherapy.British journal of cancer · 2019
    Review
  19. Cytokines in Cancer Immunotherapy.Cold Spring Harbor perspectives in biology · 2018
    Review
  20. IL-21 Selectively Protects CD62LJournal of immunology (Baltimore, Md. : 1950) · 2018
    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

8 authors at 4 institutions in 1 country.

John M TimmermanDivision of Hematology & Oncology, University of California Los Angeles Medical Center, Los Angeles, California 90095-1678, USA. jtimmerman@mednet.ucla.edu
John C Byrd
David J Andorsky
Reiko E Yamada
Janet Kramer
Natarajan Muthusamy
Naomi Hunder
John M Pagel
Fred Hutch Cancer Center · USThe Ohio State University · USUniversity of California, Los Angeles · USUniversity of Washington · US

Funding

TWO SIGNAL REQUIREMENT FOR NATURAL KILLER IMMUNITYP01CA095426 · NCI · OHIO STATE UNIVERSITY · PI CALIGIURI, MICHAEL A · 2002 to 2016
$29.6M
SPORE Leukemia Tissue BankP50CA140158 · NCI · OHIO STATE UNIVERSITY · PI BLOOMFIELD, CLARA D · 2009 to 2013
$11.2M
NCI NIH HHS P01 CA095426NCI NIH HHS P01 CA95426NCI NIH HHS P50 CA140158
6 · The paper itself

Abstract

purposeWe conducted a phase I study to determine the safety, maximum-tolerated dose (MTD), and efficacy of weekly bolus recombinant human interleukin-21 (rIL-21) plus rituximab in patients with indolent B-cell malignancies. EXPERIMENTAL

designOne week after a lead-in rituximab dose, cohorts of three patients were treated with 30, 100, or 150 μg/kg rIL-21 weekly for four weeks, concurrent with four weekly doses of rituximab. Patients with stable disease or better were eligible for a second course of therapy.

resultsTwenty-one patients with relapsed small lymphocytic lymphoma/chronic lymphocytic leukemia (SLL/CLL, n = 11), follicular lymphoma (n = 9), or marginal zone lymphoma (n = 1) were enrolled, with 19 completing at least one course of therapy. The MTD for rIL-21 was 100 μg/kg, based on observed toxicities including nausea, vomiting, diarrhea, hypotension, edema, and hypophosphatemia. Clinical responses were seen in 8 of 19 evaluable patients (42%; 3 CR/CRu, 5 PR), with 4 of longer duration than the patient's previous response to rituximab-based treatment (median 9 months vs. 3 months).

conclusionsOutpatient therapy of indolent B-cell malignancies with rituximab and weekly rIL-21 was well tolerated and clinically active, with durable complete remissions in a small subset of patients. Additional studies of rIL-21 and anti-CD20 antibodies in lymphoma and SLL/CLL are warranted.

Indexed as

Antibodies, Monoclonal, Murine-DerivedInterleukinsRecombinant ProteinsAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsDose-Response Relationship, DrugDrug-Related Side Effects and Adverse ReactionsFemaleHumansInterleukin-21Lymphoma, B-CellMaleMaximum Tolerated DoseMiddle AgedAntibodies, Monoclonal, Murine-DerivedInterleukin-21InterleukinsRecombinant ProteinsRituximab

Identifiers

PMID22893631
PMCPMC5027960
OpenAlexW2136072062

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.