Evidence map›Paper›PMID 24362366›Full record

Trial reportBone marrow transplantation2014

Risk-adapted, treosulfan-based therapy with auto- and allo-SCT for relapsed/refractory aggressive NHL: a prospective phase-II trial.

M Koenigsmann, J Casper, C Kahl, N Basara, H G Sayer, G Behre, S Theurich, M Christopeit, M Mohren, A Reichle and 8 more

Abstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
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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

18 authors at 11 institutions in 1 country.

M KoenigsmannOnkologisches Ambulanzzentrum, Hannover, Germany.
J CasperKlinik für Onkologie und Hämatologie Klinikum, Oldenburg, Germany.
C KahlKlinik für Hämatologie und Internistische Onkologie Klinikum, Magdeburg, Germany.
N BasaraMedizinische Klinik I, Malteserkrankenhaus St Franziskus Hospital, Flensburg, Germany.
H G SayerAbteilung für Hämatologie und Onkologie, Klinik für Innere Medizin II, Universitätsklinik, Jena, Germany.
G BehreAbteilung für Hämatologie und Internistische Onkologie, Universitätsklinik, Leipzig, Germany.
S TheurichKlinik I für Innere Medizin, Universitätsklinik, Köln, Germany.
M ChristopeitKlinik und Poliklinik für Innere Medizin IV, Universitätsklinikum, Halle, Germany.
M MohrenKlinik für Innere Medizin, Johanniter-Krankenhaus, Stendal, Germany.
A ReichleKlinik für Hämatologie und Internistische Onkologie, Universitätsklinikum, Regensburg, Germany.
B MetznerKlinik für Onkologie und Hämatologie Klinikum, Oldenburg, Germany.
A GanserKlinik für Hämatologie, Hämostaseologie, Onkologie und Stammzelltransplantation, Medizinische Hochschule, Hannover, Germany.
M StadlerKlinik für Hämatologie, Hämostaseologie, Onkologie und Stammzelltransplantation, Medizinische Hochschule, Hannover, Germany.
L UharekMedizinische Klinik mit Schwerpunkt Hämatologie und Onkologie, Charité Universitätsmedizin Berlin, Berlin, Germany.
L BalleisenEvangelisches Krankenhaus, Hamm, Germany.
A HinkeWissenschaftlicher Service Pharma GmbH, Langenfeld, Germany.
R HinkeWissenschaftlicher Service Pharma GmbH, Langenfeld, Germany.
D NiederwieserKlinik I für Innere Medizin, Universitätsklinik, Köln, Germany.
Centrum für Integrierte Onkologie · DEKlinikum Oldenburg · DEMedizinische Hochschule Hannover · DECharité - Universitätsmedizin Berlin · DEEvangelisches Krankenhaus Hamm · DEJohanniter-Krankenhaus Bonn · DEKlinikum Magdeburg · DEMalteser-Krankenhaus · DEOnkozentrum Dresden · DEUniversity Hospital in Halle · DEUniversity Hospital Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since the outcome of relapsed/refractory aggressive non-Hodgkin's lymphoma (NHL) is highly variable, a risk-adapted treatment approach was evaluated. After two cycles of DHAP, patients received high-dose treosulfan/etoposide/carboplatinum (TEC) and autologous stem cell rescue. After TEC, low-risk patients with late relapse (>1 year after first CR who achieved CR after DHAP received no further treatment. Patients with late relapse who achieved CR or PR only after TEC underwent a second cycle of TEC. High-risk patients with early relapse/refractory disease received treosulfan/fludarabine followed by allogeneic transplantation. Rituximab was added in patients with B-cell lymphoma (86%). At entry, 36% of all 57 patients had refractory disease, 32% early and 32% late relapse. During DHAP treatment, progression occurred in 32% of patients. Of 33 patients who received TEC, 5 received second TEC and 15 allogeneic transplantation. Main toxicity after TEC was oral mucositis (CTC grades 3 and 4 in 50% and 13%, respectively). In total, 42% patients achieved CR. Median OS was 21.4 months for all patients and 32.6 for those who underwent allogeneic transplantation. International prognostic index (IPI) at study entry was highly discriminative at predicting OS (P<0.0001). Risk-adapted, treosulfan-based therapy with auto- and allo-SCT is feasible. Long-term survival is possible with allogeneic transplantation.

Indexed as

AdolescentAdultAgedAntibodies, Monoclonal, Murine-DerivedAntineoplastic Combined Chemotherapy ProtocolsBusulfanCarboplatinDisease ProgressionEtoposideFemaleHumansLymphoma, Non-HodgkinMaleMiddle AgedPrognosisProspective StudiesAntibodies, Monoclonal, Murine-DerivedBusulfanCarboplatinEtoposideRituximabtreosulfan

Identifiers

PMID24362366
OpenAlexW2046957885

What OpenQuestion holds

Textmetadata
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.