Evidence map›Paper›PMID 26798624›Full record

ArticleTumor microenvironment and therapy2015

A Positive Prospective Trial of Antibiotic Therapy in Advanced Stage, Non-Bulky Indolent Lymphoma.

Carol S Portlock, Paul A Hamlin, John F Gerecitano, Ariela Noy, Maria Lia Palomba, Janelle Walkley, Stacie Corcoran, Jocelyn Migliacci, Heiko Schoder, Genovefa Papanicolaou and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Tumor microenvironment and therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00461084 (Biaxin), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT00461084 completednot on this map

Biaxin(Clarithromycin)Based Antibiotic Therapy In Previously Untreated, Advanced Stage Indolent Lymphoma

TypeobservationalSponsorMemorial Sloan Kettering Cancer CenterRan2007 to 2014Enrolled36ConditionsLymphomaArmsBIAXIN (CLARITHROMYCIN), Biaxin (clarithromycin)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Role of the gut microbiota in hematologic cancer.Frontiers in microbiology · 2023
    Review
  2. Review
  3. Infections and Follicular Lymphoma: is there a Link?Mediterranean journal of hematology and infectious diseases · 2017
    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

11 authors.

Carol S PortlockDepartment of Medicine, Lymphoma Service, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
Paul A HamlinMemorial Sloan Kettering Cancer Center, Department of Medicine, 1275 York Avenue New York, NY, 10065 USA.
John F GerecitanoMemorial Sloan Kettering Cancer Center, Department of Medicine, 1275 York Avenue New York, NY, 10065 USA.
Ariela NoyMemorial Sloan Kettering Cancer Center, Department of Medicine, 1275 York Avenue New York, NY, 10065 USA.
Maria Lia PalombaMemorial Sloan Kettering Cancer Center, Department of Medicine, 1275 York Avenue New York, NY, 10065 USA.
Janelle WalkleyMemorial Sloan Kettering Cancer Center, Department of Medicine, 1275 York Avenue New York, NY, 10065 USA.
Stacie CorcoranMemorial Sloan Kettering Cancer Center, Office of Physician-in-Chief, 1275 York Avenue New York, NY, 10065 USA.
Jocelyn MigliacciMemorial Sloan Kettering Cancer Center, Department of Medicine, 1275 York Avenue New York, NY, 10065 USA.
Heiko SchoderMemorial Sloan Kettering Cancer Center, Department of Radiology, 1275 York Avenue New York, NY, 10065 USA.
Genovefa PapanicolaouMemorial Sloan Kettering Cancer Center, Department of Medicine, 1275 York Avenue New York, NY, 10065 USA.
Arnold J MarkowitzMemorial Sloan Kettering Cancer Center, Department of Medicine, 1275 York Avenue New York, NY, 10065 USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundWe have prospectively studied a three month course of clarithromycin (substituted by Prevpac

methodsAll previously untreated patients with a new diagnosis of indolent lymphoma (FL and non-FL) meeting GELF criteria were treated with 12 weeks of clarithromycin. There were 32 evaluable patients, 4 of whom had stool H pylori.

resultsAt one month post-antibiotic therapy, we have observed lymphoma responses in 7 of 32 patients (21.9%). Two additional patients had objective response during followup (28.1% overall response). The median treatment free survival for antibiotic responders is 69.9 months and for non-responders, 30.6 months (p = 0.019).

conclusionThree response patterns have been noted, perhaps suggestive of an immune-mediated response -- prompt PET negative; flair with delayed PET negative response; and gradual continuous improvement. This prospective study appears promising, may be a step toward developing a lymphoma prevention strategy by reducing "antigen drive," and deserves further clinical/biological study. http://clinicaltrials.gov/show/NCT00461084.

Indexed as

antibioticClarithromycinfree survivalimprovementindolent lymphomatreatment

Identifiers

PMID26798624
PMCPMC4718606

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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.