Evidence map›Paper›PMID 23955074›Full record

Trial reportAnnals of hematology2014

Bendamustine combined with rituximab for patients with relapsed or refractory diffuse large B cell lymphoma.

Jeffrey L Vacirca, Peter I Acs, Imad A Tabbara, Peter J Rosen, Peter Lee, Eric Lynam

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Annals of hematology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 38 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 5 pooled it
4.9field-weighted citation impact, top 5% 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.

NCT00831597 phase2completednot on this map

Bendamustine Combined With Rituximab for Patients With Relapsed or Refractory Diffuse Large B-Cell Lymphoma

TypeinterventionalSponsorPharmatechRan2008 to 2013Enrolled61ConditionsDiffuse Large B-Cell LymphomaArmsbendamustine, rituximab
NCT02758925 phase2unknown statusnot on this mapstarted 2016, after this paper: background citation

Phase 2 Study of Cytarabine in Association With Bendamustine and Rituximab in the Treatment of Relapsed/Refractory Diffuse Large B Cell Lymphoma

TypeinterventionalSponsorUniversity Hospital, CaenRan2016 to 2018Enrolled78ConditionsDiffuse Large B Cell LymphomaArmsRituximab, Bendamustine, Cytarabine
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 5 syntheses or guidelines pooled it, 101 citations in OpenAlex.

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  12. Polatuzumab Vedotin in Relapsed or Refractory Diffuse Large B-Cell Lymphoma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
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  14. The PARP Inhibitor Veliparib Can Be Safely Added to Bendamustine and Rituximab and Has Preliminary Evidence of Activity in B-Cell Lymphoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2017
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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

6 authors at 6 institutions in 1 country.

Jeffrey L VacircaNorth Shore Hematology and Oncology Associates, 235 N Belle Mead Road, East Setauket, NY, 11733-3456, USA, Jvacirca@yahoo.com.
Peter I Acs
Imad A Tabbara
Peter J Rosen
Peter Lee
Eric Lynam
Florida Cancer Specialists & Research Institute · USNorthshore Oncology Associates · USPharmatech (United States) · USProvidence Saint Joseph Medical Center · USTower Cancer Research Foundation · USWashington University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with relapsed or refractory diffuse large B cell lymphoma (DLBCL) are treated with salvage regimens and may be considered for high-dose chemotherapy and autologous stem cell transplantation if disease is chemosensitive. Bendamustine is active in indolent B cell lymphomas and chronic lymphocytic leukemia but has not been extensively studied in aggressive lymphomas. This trial examines the combination of bendamustine and rituximab in patients with relapsed and refractory DLBCL. Patients received bendamustine at 90 mg/m² (n = 2) or 120 mg/m² (n = 57) on days 1 and 2 and rituximab at 375 mg/m² on day 1 every 28 days for up to 6 cycles. The study evaluated objective response rate (ORR), duration of response (DOR), progression-free survival (PFS), and treatment safety. Fifty-nine patients were treated, and 48 were evaluable for response. Median age was 74; 89 % had stage III or IV disease, and 63 % had high revised International Prognostic Index scores; the median number of prior therapies was 1. Based on analysis using the intent-to-treat population, the ORR was 45.8 % (complete response, 15.3 %; partial response, 30.5 %). The median DOR was 17.3 months, and the median PFS was 3.6 months. Grade 3 or 4 hematological toxicities included neutropenia (36 %), leukopenia (29 %), thrombocytopenia (22 %), and anemia (12 %). The combination of bendamustine and rituximab showed modest activity in patients with relapsed and refractory DLBCL and has an acceptable toxicity profile.

Indexed as

Drug Resistance, NeoplasmAdultAgedAged, 80 and overAntibodies, Monoclonal, Murine-DerivedAntineoplastic AgentsAntineoplastic Agents, AlkylatingAntineoplastic Combined Chemotherapy ProtocolsBendamustine HydrochlorideChemotherapy-Induced Febrile NeutropeniaDose-Response Relationship, DrugFemaleFollow-Up StudiesHumansIncidenceIntention to Treat AnalysisAntibodies, Monoclonal, Murine-DerivedAntineoplastic AgentsAntineoplastic Agents, AlkylatingBendamustine HydrochlorideNitrogen Mustard CompoundsRituximab

Identifiers

PMID23955074
PMCPMC3918114
OpenAlexW2077320602

What OpenQuestion holds

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LicenceCC BY-NC
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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.