Evidence map›Paper›PMID 25419147›Full record

ArticleOncoTargets and therapy2014

Gemcitabine and oxaliplatinum: an effective regimen in patients with refractory and relapsing Hodgkin lymphoma.

Antonio Gutierrez, Jose Rodriguez, Jordi Martinez-Serra, Jordi Gines, Pilar Paredes, Florencia Garcia, Javier Vercher, Josep Balanzat, Raquel Del Campo, Pilar Galan and 7 more

Abstract read
In one paragraph

Article in OncoTargets and therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

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  13. Management of Lymphomas: Consensus Document 2018 by an Indian Expert Group.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2018
    Review
  14. 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

17 authors.

Antonio GutierrezService of Hematology, Son Espases University Hospital, Palma de Mallorca, Spain.
Jose RodriguezService of Hematology, Son Espases University Hospital, Palma de Mallorca, Spain.
Jordi Martinez-SerraService of Hematology, Son Espases University Hospital, Palma de Mallorca, Spain.
Jordi GinesService of Pharmacy, Son Espases University Hospital, Palma de Mallorca, Spain.
Pilar ParedesService of Hematology, Son Espases University Hospital, Palma de Mallorca, Spain.
Florencia GarciaService of Oncology, Son Espases University Hospital, Palma de Mallorca, Spain.
Javier VercherService of Hematology, Can Misses Hospital, Ibiza, Spain.
Josep BalanzatService of Hematology, Can Misses Hospital, Ibiza, Spain.
Raquel Del CampoService of Hematology, Son Llatzer Hospital, Palma, Spain.
Pilar GalanService of Hematology, Mateu Orfila Hospital, Menorca, Spain.
Miguel MoreyService of Hematology, Son Espases University Hospital, Palma de Mallorca, Spain.
Antonia SampolService of Hematology, Son Espases University Hospital, Palma de Mallorca, Spain ; Service of Hematology, Policlínica Miramar, Instituto de Investigación Sanitaria de Palma (IdISPa), Palma, Spain.
Andres NovoService of Hematology, Son Espases University Hospital, Palma de Mallorca, Spain.
Leyre BentoService of Hematology, Son Espases University Hospital, Palma de Mallorca, Spain.
Lucia GarcíaService of Hematology, Son Espases University Hospital, Palma de Mallorca, Spain.
Joan BargayService of Hematology, Son Llatzer Hospital, Palma, Spain.
Joan BesalduchService of Hematology, Son Espases University Hospital, Palma de Mallorca, Spain ; Service of Hematology, Policlínica Miramar, Instituto de Investigación Sanitaria de Palma (IdISPa), Palma, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost Hodgkin lymphomas (HL) can be cured with current strategies. However, one-third of the cases do not respond or relapse and need salvage regimens. We report the results of a retrospective study using the gemcitabine and oxaliplatinum (GemOx) regimen.

methodsPatients who relapsed or failed to achieve complete response were eligible and received GemOx salvage therapy. To avoid selection bias and thus to overcome the retrospective nature of the study, all treated patients were included from the pharmacy database.

resultsBetween 2003-2013, 24 HL patients - relapsing (number [n]=12) or refractory (n=12) - were included, receiving a total of 26 induction treatments with GemOx. Mean previous regimens were 2.38 (42% relapsing after autologous transplantation). Median follow-up was 37 months, and 71% responded (38% of patients achieved complete response). The factors related to better progression-free survival were: B symptoms; response to GemOx; and consolidation with stem cell transplantation. Grades 1 and 2 neurological toxicity was present in 17% of patients. Hematological toxicity was common, with grades 3 and 4 neutropenia (25%) and thrombocytopenia (34%) observed. Progression-free survival was better in patients consolidated with stem cell transplantation. The peripheral blood stem cell collection after GemOx was successful for all candidates.

conclusion1) The GemOx regimen is effective in relapsed or refractory HL with manageable toxicity. 2) No mobilization failures were observed. 3) Consolidation after response is needed. 4) Its efficacy and favorable toxicity profile might make multiple administrations possible in several recurrences in HL.

Indexed as

gemcitabineGemOxHodgkin lymphomaoxaliplatinumtreatment

Identifiers

PMID25419147
PMCPMC4235490

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.