Evidence map›Paper›PMID 23619698›Full record

ArticleAmerican journal of hematology2013

A phase I trial of immunostimulatory CpG 7909 oligodeoxynucleotide and 90 yttrium ibritumomab tiuxetan radioimmunotherapy for relapsed B-cell non-Hodgkin lymphoma.

Thomas E Witzig, Gregory A Wiseman, Matthew J Maurer, Thomas M Habermann, Ivana N M Micallef, Grzegorz S Nowakowski, Stephen M Ansell, Joseph P Colgan, David J Inwards, Luis F Porrata and 10 more

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

Article in American journal of hematology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 11% 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

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

  1. Pooled it
  2. Trial
  3. Engineering bioactive mineralized tumor cells for tumor immunotherapy.Frontiers in bioengineering and biotechnology · 2025
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  10. Synergistic Toll-like Receptor 3/9 Signaling Affects Properties and Impairs Glioma-Promoting Activity of Microglia.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2020
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  13. Evaluation of Radiolabeled Girentuximab In Vitro and In Vivo.Pharmaceuticals (Basel, Switzerland) · 2018
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  14. Article
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  17. MRI Contrast Agents for Pharmacological Research.Frontiers in pharmacology · 2015
    Article
  18. Article
  19. Review
  20. Review
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 2 institutions in 1 country.

Thomas E WitzigDepartment of Internal Medicine, Division of Hematology, Mayo Clinic College of Medicine and Mayo Foundation, Rochester, Minnesota.
Gregory A Wiseman
Matthew J Maurer
Thomas M Habermann
Ivana N M Micallef
Grzegorz S Nowakowski
Stephen M Ansell
Joseph P Colgan
David J Inwards
Luis F Porrata
Brian K Link
Clive S Zent
Patrick B Johnston
Tait D Shanafelt
Cristine Allmer
Yan W Asmann
Mamta Gupta
Zuhair K Ballas
Brian J Smith
George J Weiner
Mayo Clinic · USUniversity of Iowa · US

Funding

The Role of Monocytes in non-Hodgkin LymphomaP50CA097274 · NCI · UNIVERSITY OF IOWA · PI WEINER, GEORGE J. · 2002 to 2021
$45.7M
Signal transduction inhibitor therapy for LymphomaR01CA127433 · NCI · MAYO CLINIC ROCHESTER · PI WITZIG, THOMAS E. · 2007 to 2011
$1.7M
NCI NIH HHS CA97274NCI NIH HHS P50 CA097274NCI NIH HHS R01 CA127433NCI NIH HHS R01CA127433
6 · The paper itself

Abstract

Radioimmunotherapy (RIT) for relapsed indolent non-Hodgkin lymphoma produces overall response rates (ORR) of 80% with mostly partial remissions. Synthetic CpG oligonucleotides change the phenotype of malignant B-cells, are immunostimulatory, and can produce responses when injected intratumorally and combined with conventional radiation. In this phase I trial, we tested systemic administration of both CpG and RIT. Eligible patients had biopsy-proven previously treated CD20+ B-cell NHL and met criteria for RIT. Patients received rituximab 250 mg/m(2) days 1,8, and 15; (111) In-ibritumomab tiuxetan days 1, 8; CpG 7909 days 6, 13, 20, 27; and 0.4 mCi/kg of (90) Y-ibritumomab tiuxetan day 15. The doses of CpG 7909 tested were 0.08, 0.16, 0.32 (six patients each) and 0.48 mg/kg (12 patients) IV over 2 hr without dose limiting toxicity. The ORR was 93% (28/30) with 63% (19/30) complete remission (CR); median progression free survival of 42.7 months (95% CI 18-NR); and median duration of response (DR) of 35 months (4.6-76+). Correlative studies demonstrated a decrease in IL10 and TNFα, and an increase in IL1β, in response to therapy. CpG 7909 at a dose of 0.48 mg/kg is safe with standard RIT and produces a high CR rate and long DR; these results warrant confirmation.

Indexed as

AdultAgedAged, 80 and overAntibodies, MonoclonalB-LymphocytesDrug Administration ScheduleHumansImmunologic FactorsInterleukin-10Interleukin-1betaLymphoma, Non-HodgkinMaleMiddle AgedOligodeoxyribonucleotidesRadioimmunotherapyRadiopharmaceuticalsAntibodies, Monoclonalibritumomab tiuxetanIL10 protein, humanImmunologic FactorsInterleukin-10Interleukin-1betaOligodeoxyribonucleotidesProMuneRadiopharmaceuticalsTumor Necrosis Factor-alphaYttrium Radioisotopes

Identifiers

PMID23619698
PMCPMC3951424
OpenAlexW1964038950

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.