Evidence map›Paper›PMID 25721902›Full record

Trial reportLeukemia & lymphoma2015

Cytogenetic prioritization with inclusion of molecular markers predicts outcome in previously untreated patients with chronic lymphocytic leukemia treated with fludarabine or fludarabine plus cyclophosphamide: a long-term follow-up study of the US intergroup phase III trial E2997.

David M Lucas, Amy S Ruppert, Gerard Lozanski, Gordon W Dewald, Arletta Lozanski, Rainer Claus, Christoph Plass, Ian W Flinn, Donna S Neuberg, Elisabeth M Paietta and 10 more

Open access · greenAbstract readClinical Trial, Phase III
In one paragraph

Trial report in Leukemia & lymphoma, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
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

20 authors at 12 institutions in 3 countries.

David M Lucasa Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
Amy S Rupperta Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
Gerard Lozanskia Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
Gordon W Dewaldb Mayo Clinic , Rochester , MN , USA.
Arletta Lozanskia Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
Rainer Clausc University of Freiburg Medical Center , Freiburg , Germany.
Christoph Plassd German Cancer Research Center , Heidelberg , Germany.
Ian W Flinne Sarah Cannon Research Institute and Tennessee Oncology , Nashville , TN , USA.
Donna S Neubergf Dana Farber Cancer Institute , Boston , MA , USA.
Elisabeth M Paiettag Montefiore Medical Center , Bronx , NY , USA.
John M Bennetth University of Rochester , Rochester , NY , USA.
Diane F Jelinekb Mayo Clinic , Rochester , MN , USA.
John G Gribbeni Barts Cancer Institute, Queen Mary University of London , London , UK.
Mohamad A Husseinj Celgene Corporation , Summit , NJ , USA.
Frederick R Appelbaumk Fred Hutchinson Cancer Research Center , Seattle , WA , USA.
Richard A Larsonl University of Chicago , Chicago , IL , USA.
Dennis F Moorem Cancer Center of Kansas , Wichita , KS , USA.
Martin S Tallmann Memorial Sloan Kettering Cancer Center , New York , NY , USA.
John C Byrda Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
Michael R Grevera Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
The Ohio State University · USGerman Cancer Research Center · DEMayo Clinic in Arizona · USCancer Center of Kansas · USDana-Farber Cancer Institute · USFred Hutch Cancer Center · USMemorial Sloan Kettering Cancer Center · USMontefiore Medical Center · USQueen Mary University of London · GBTennessee Oncology · USUniversity of Illinois Chicago · USUniversity of Rochester · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Project-006U10CA180820 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer · 2014 to 2026
$167.6M
CANCER AND LEUKEMIA GROUP B MINORITY SATELLITE SUPPLEMENU10CA031946 · NCI · UNIVERSITY OF CHICAGO · PI BERTAGNOLLI, MONICA M · 1985 to 2013
$158.4M
SWOG Network Group Operations Center of the NCTNU10CA180888 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI PRIMO N. LARA · 2014 to 2026
$152.1M
SWOG - Foreign Accrual under UMiU10CA032102 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BLANKE, CHARLES D. · 1985 to 2013
$141.3M
ECOG OPERATIONS OFFICE (IBCSG)U10CA021115 · NCI · UNIVERSITY OF WISCONSIN MADISON · PI COMIS, ROBERT L · 1985 to 2013
$132.6M
Statistics CoreU10CA180794 · NCI · DANA-FARBER CANCER INST · PI PAUL J CATALANO · 2014 to 2026
$111.2M
Tissue CoreP01CA081534 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KIPPS, THOMAS J · 2000 to 2016
$59.5M
ECOG-ACRIN Biospecimen Bank to Support NCTNU24CA196172 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI STANLEY R. HAMILTON, Scott D Jewell · 2015 to 2026
$41.1M
ECOG Statistical Office Data Management GrantU10CA066636 · NCI · FRONTIER SCI &TECHNOLOGY RSCH FDN, INC · PI GRAY, ROBERT J · 1994 to 2013
$39.5M
PROVIDE STATISTICAL SERVICESU10CA023318 · NCI · DANA-FARBER CANCER INSTITUTE · PI GRAY, ROBERT J · 1985 to 2013
$33.4M
The Pacific Cancer Research Consortium (PCRC), an NCORP Community SiteUG1CA189953 · NCI · SWEDISH MEDICAL CENTER, FIRST HILL · PI Alison Katherine Conlin, Charles Drescher · 2014 to 2026
$27.4M
NCI NIH HHS CA11083NCI NIH HHS CA13650NCI NIH HHS CA14958NCI NIH HHS CA16116NCI NIH HHS CA17145NCI NIH HHS CA180790NCI NIH HHS CA180791NCI NIH HHS CA180794NCI NIH HHS CA180802NCI NIH HHS CA180820NCI NIH HHS CA20319NCI NIH HHS CA21115NCI NIH HHS CA23318NCI NIH HHS CA31946NCI NIH HHS CA66636NCI NIH HHS N01 CA032102NCI NIH HHS N01 CA035431NCI NIH HHS P01 CA081534NCI NIH HHS P01 CA101956NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA140158NCI NIH HHS R01 CA088647NCI NIH HHS R01 CA88647NCI NIH HHS U10 CA011083NCI NIH HHS U10 CA013650NCI NIH HHS U10 CA014958NCI NIH HHS U10 CA016116NCI NIH HHS U10 CA017145NCI NIH HHS U10 CA020319NCI NIH HHS U10 CA021115NCI NIH HHS U10 CA023318NCI NIH HHS U10 CA031946NCI NIH HHS U10 CA032102NCI NIH HHS U10 CA035431NCI NIH HHS U10 CA066636NCI NIH HHS U10 CA180790NCI NIH HHS U10 CA180791NCI NIH HHS U10 CA180794NCI NIH HHS U10 CA180802NCI NIH HHS U10 CA180820NCI NIH HHS U10 CA180850NCI NIH HHS U10 CA180888NCI NIH HHS U24 CA196172NCI NIH HHS UG1 CA189953NCI NIH HHS UG1 CA232760
6 · The paper itself

Abstract

Fludarabine (F) and cyclophosphamide (C) remain backbones of up-front chemotherapy regimens for chronic lymphocytic leukemia (CLL). We report long-term follow-up of a randomized F vs. FC trial in untreated CLL (#) . With median follow-up of 88 months, estimated median progression-free survival (PFS) was 19.3 vs. 48.1 months for F (n = 109) and FC (n = 118), respectively (p < 0.0001), and median overall survival (OS) was 88.0 vs. 79.1 months (p = 0.96). In multivariable analyses, variables associated with inferior PFS and OS respectively were age (p = 0.002, p < 0.001), Rai stage (p = 0.006, p = 0.02) and sex (p = 0.03, PFS only). Del(17)(p13.1) predicted shorter PFS and OS (p < 0.0001 for each), as did del(11q)(22.3) (p < 0.0001, p = 0.005, respectively), trisomy 12 with mutated Notch1 (p = 0.003, p = 0.03, respectively) and unmutated IGHV (p = 0.009, p = 0.002, respectively), all relative to patients without these features. These data confirm results from shorter follow-up and further justify targeted therapies for CLL.

Indexed as

Chromosome AberrationsAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBiomarkersCpG IslandsCyclophosphamideDNA MethylationDNA Mutational AnalysisFemaleFollow-Up StudiesHumansImmunoglobulin Heavy ChainsIn Situ Hybridization, FluorescenceKaplan-Meier EstimateBiomarkersCyclophosphamidefludarabineImmunoglobulin Heavy ChainsVidarabineZAP-70 Protein-Tyrosine Kinasechemotherapychronic lymphocytic leukemiacyclophosphamideFludarabine

Identifiers

PMID25721902
PMCPMC4688910
OpenAlexW2171004514

What OpenQuestion holds

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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.