Evidence map›Paper›PMID 24652994›Full record

Trial reportBlood2014

Nordic MCL3 study: 90Y-ibritumomab-tiuxetan added to BEAM/C in non-CR patients before transplant in mantle cell lymphoma.

Arne Kolstad, Anna Laurell, Mats Jerkeman, Kirsten Grønbæk, Erkki Elonen, Riikka Räty, Lone Bredo Pedersen, Annika Loft, Trond Velde Bogsrud, Eva Kimby and 17 more

Registry-linked trialOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00514475 (High-dose Therapy With Autologous Stem Cell Support in First Line Treatment of Mantle Cell Lymphoma- 90Y-Ibritumomab Tiuxetan in Combination With BEAM or BEAC to Improve Outcome for Patients Not in CR After Induction Treatment), which is not on this map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
10.1field-weighted citation impact, top 1% 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.

NCT00514475 phase2completednot on this map

High-dose Therapy With Autologous Stem Cell Support in First Line Treatment of Mantle Cell Lymphoma- 90Y-Ibritumomab Tiuxetan in Combination With BEAM or BEAC to Improve Outcome for Patients Not in CR After Induction Treatment

TypeinterventionalSponsorOslo University HospitalRan2005 to 2009Enrolled160ConditionsMantle Cell LymphomaArms90Y-ibritumomab tiuxetan (Zevalin)
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 103 citations in OpenAlex.

  1. Trial
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  6. Phase II Study of Yttrium-90 Ibritumomab Tiuxetan Plus High-Dose BCNU, Etoposide, Cytarabine, and Melphalan for Non-Hodgkin Lymphoma: The Role of Histology.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2017
    Trial
  7. Trial
  8. Article
  9. Article
  10. Your chemo is no good here: management of high-risk MCL.Hematology. American Society of Hematology. Education Program · 2024
    Review
  11. Review
  12. Article
  13. Measurable Residual Disease Monitoring in Lymphoma.Current hematologic malignancy reports · 2023
    Review
  14. Review
  15. Article
  16. Review
  17. Hematopoietic cell transplantation for mantle cell lymphoma.International journal of hematology · 2022
    Review
  18. Article
  19. Review
  20. Stance of MRD in Non-Hodgkin's Lymphoma and its upsurge in the novel era of cell-free DNA.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    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

27 authors at 12 institutions in 4 countries.

Arne KolstadOncology, Oslo University Hospital, Oslo, Norway;
Anna Laurell
Mats Jerkeman
Kirsten Grønbæk
Erkki Elonen
Riikka Räty
Lone Bredo Pedersen
Annika Loft
Trond Velde Bogsrud
Eva Kimby
Per Boye Hansen
Unn-Merete Fagerli
Herman Nilsson-Ehle
Grete Fossum Lauritzsen
Anne Kristine Lehmann
Christer Sundstrom
Marja-Liisa Karjalainen-Lindsberg
Elisabeth Ralfkiaer
Mats Ehinger
Jan Delabie
Hans Bentzen
Jukka Schildt
Kamelia Kostova-Aherdan
Henrik Frederiksen
Peter de Nully Brown
Christian H Geisler
Nordic Lymphoma Group
Copenhagen University Hospital · DKHelsinki University Hospital · FIOslo University Hospital · NOUppsala University Hospital · SESkåne University Hospital · SEAarhus University Hospital · DKHaukeland University Hospital · NOHerlev Hospital · DKKarolinska University Hospital · SEOdense University Hospital · DKSahlgrenska University Hospital · SESt Olav's University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The main objective of the MCL3 study was to improve outcome for patients not in complete remission (CR) before transplant by adding (90)Y-ibritumomab-tiuxetan (Zevalin) to the high-dose regimen. One hundred sixty untreated, stage II-IV mantle cell lymphoma patients <66 years received rituximab (R)-maxi-CHOP (cyclophosphamide, hydroxydaunorubicin, vincristine, and prednisone) alternating with R-high-dose cytarabine (6 cycles total), followed by high-dose BEAM/C (bis-chloroethylnitrosourea, etoposide, cytarabine, and melphalan or cyclophosphamide) and autologous stem cell transplantation from 2005 to 2009. Zevalin (0.4 mCi/kg) was given to responders not in CR before transplant. Overall response rate pretransplant was 97%. The outcome did not differ from that of the historic control: the MCL2 trial with similar treatment except for Zevalin. Overall survival (OS), event-free survival (EFS), and progression-free survival (PFS) at 4 years were 78%, 62%, and 71%, respectively. For responding non-CR patients who received Zevalin, duration of response was shorter than for the CR group. Inferior PFS, EFS, and OS were predicted by positron emission tomography (PET) positivity pretransplant and detectable minimal residual disease (MRD) after transplant. In conclusion, positive PET and MRD were strong predictors of outcome. Intensification with Zevalin may be too late to improve the outcome of patients not in CR before transplant. This trial was registered at www.clinicaltrials.gov as #NCT00514475.

Indexed as

AdultAgedAntibodies, MonoclonalAntineoplastic Combined Chemotherapy ProtocolsCarmustineCombined Modality TherapyCyclophosphamideCytarabineDisease-Free SurvivalEtoposideFemaleHumansKaplan-Meier EstimateLymphoma, Mantle-CellMaleMelphalanAntibodies, MonoclonalCarmustineCyclophosphamideCytarabineEtoposideibritumomab tiuxetanMelphalan

Identifiers

PMID24652994
PMCPMC4014838
OpenAlexW1983180174

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.