Evidence map›Paper›PMID 25331113›Full record

Trial reportBlood2014

Rituximab plus liposomal doxorubicin in HIV-infected patients with KSHV-associated multicentric Castleman disease.

Thomas S Uldrick, Mark N Polizzotto, Karen Aleman, Kathleen M Wyvill, Vickie Marshall, Denise Whitby, Victoria Wang, Stefania Pittaluga, Deirdre O'Mahony, Seth M Steinberg and 2 more

2 registry-linked trialsOpen access · bronzeAbstract 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 2 registered trials, which are not on this map. Cited by 65 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 3 pooled it
4.5field-weighted citation impact, top 4% 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.

NCT00092222 phase2active not recruitingnot on this map

Targeted Oncolytic Virotherapy and Natural History Study of KSHV-Associated Multicentric Castleman's Disease With Laboratory and Clinical Correlates of Disease Activity

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2004 to 2026Enrolled75ConditionsLymphoproliferative Disorder, HHV-8, Malignancy, HIVArmsEtoposide, Interferon-alpha, Rituximab, Zidovudine, Liposomal Doxorubicin
NCT01441063 phase2completednot on this map

Pilot Study of Tocilizumab in Patients With Symptomatic Kaposi Sarcoma Herpesvirus (KSHV) - Associated Multicentric Castleman Disease

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2011 to 2020Enrolled8ConditionsCastleman Disease, Multicentric Castleman Disease, Giant Lymph Node HyperplasiaArmsZidovudine, Tocilizumab, Valganciclovir (VGC)
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 3 syntheses or guidelines pooled it, 118 citations in OpenAlex.

  1. Pooled it
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  3. CD20-negative diffuse large B cell lymphoma: a comprehensive analysis of 695 cases.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2016
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5 more citing papers are in PubMed but not listed here.

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

12 authors at 3 institutions in 1 country.

Thomas S UldrickHIV & AIDS Malignancy Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD;
Mark N PolizzottoHIV & AIDS Malignancy Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD;
Karen AlemanHIV & AIDS Malignancy Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD;
Kathleen M WyvillHIV & AIDS Malignancy Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD;
Vickie MarshallAIDS and Cancer Virus Program, Viral Oncology Section, Leidos-Frederick, National Cancer Institute, Frederick, MD; and.
Denise WhitbyAIDS and Cancer Virus Program, Viral Oncology Section, Leidos-Frederick, National Cancer Institute, Frederick, MD; and.
Victoria WangHIV & AIDS Malignancy Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD;
Stefania PittalugaLaboratory of Pathology and.
Deirdre O'MahonyHIV & AIDS Malignancy Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD;
Seth M SteinbergBiostatistics and Data Management Section, Center for Cancer Research, National Cancer Institute, Bethesda, MD.
Richard F LittleHIV & AIDS Malignancy Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD;
Robert YarchoanHIV & AIDS Malignancy Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD;
National Cancer Institute · USCenter for Cancer Research · USLeidos (United States) · US

Funding

Development of Preventive Strategies and Therapy for HIV InfectionZIASC006737 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI YARCHOAN, ROBERT · 2009 to 2025
$3.0M
Pathogenesis and therapy of KSHV-associated MalignanciesZIABC011500 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI POLIZZOTTO, MARK · 2013 to 2015
$669k
CCR NIH HHS HHSN261200800001CIntramural NIH HHSNCI NIH HHS HHSN261200800001E
6 · The paper itself

Abstract

Kaposi sarcoma (KS) herpesvirus-associated multicentric Castleman disease (KSHV-MCD) is a lymphoproliferative disorder, most commonly seen in HIV-infected patients, that has a high mortality if untreated. Concurrent KS is common. Although rituximab has reported activity in KSHV-MCD, its use is often associated with KS progression. Within a natural history study of KSHV-MCD, we prospectively evaluated rituximab 375 mg/m(2) combined with liposomal doxorubicin 20 mg/m(2) (R-Dox) every 3 weeks in 17 patients. Patients received a median of 4 cycles (range 3-9). All received antiretroviral therapy, 11 received consolidation interferon-α, and 6 received consolidation high-dose zidovudine with valganciclovir. Using NCI KSHV-MCD response criteria, major clinical and biochemical responses were attained in 94% and 88% of patients, respectively. With a median 58 months' potential follow-up, 3-year event-free survival was 69% and 3-year overall survival was 81%. During R-Dox therapy, cutaneous KS developed in 1 patient, whereas 5 of 6 patients with it had clinical improvement. R-Dox was associated with significant improvement in anemia and hypoalbuminemia. KSHV viral load, KSHV viral interleukin-6, C-reactive protein, human interleukin-6, and serum immunoglobulin free light chains decreased with therapy. R-Dox is effective in symptomatic KSHV-MCD and may be useful in patients with concurrent KS. This trial was registered at www.clinicaltrials.gov as #NCT00092222.

Indexed as

Herpesvirus 8, HumanAdultAntibiotics, AntineoplasticAntibodies, Monoclonal, Murine-DerivedAnti-Retroviral AgentsCastleman DiseaseC-Reactive ProteinDisease-Free SurvivalDoxorubicinFemaleFollow-Up StudiesHerpesviridae InfectionsHIV InfectionsHumansInterleukin-6MaleAntibiotics, AntineoplasticAntibodies, Monoclonal, Murine-DerivedAnti-Retroviral AgentsC-Reactive ProteinDoxorubicinIL6 protein, humanInterleukin-6liposomal doxorubicinPolyethylene GlycolsRituximab

Identifiers

PMID25331113
PMCPMC4256906
OpenAlexW2048218910

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.