Evidence map›Paper›PMID 27071522›Full record

Trial reportJournal of hematology & oncology2016

A phase II study on the role of gemcitabine plus romidepsin (GEMRO regimen) in the treatment of relapsed/refractory peripheral T-cell lymphoma patients.

Cinzia Pellegrini, Anna Dodero, Annalisa Chiappella, Federico Monaco, Debora Degl'Innocenti, Flavia Salvi, Umberto Vitolo, Lisa Argnani, Paolo Corradini, Pier Luigi Zinzani and 1 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Journal of hematology & oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01822886 (Phase IIa Study on the Role of Gemcitabine Plus Romidepsin), which is not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 12% 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.

NCT01822886 phase2completednot on this map

Phase IIa Study on the Role of Gemcitabine Plus Romidepsin (GEMRO Regimen) in the Treatment of Relapsed/Refractory Peripheral T-cell Lymphoma Patients.

TypeinterventionalSponsorFondazione Italiana Linfomi - ETSRan2013 to 2018Enrolled20ConditionsPeripheral T-cell LymphomaArmsRomidepsin + Gemcitabine
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  15. Review
  16. Cancers · 2020
    Article
  17. Advances in targeted therapy for malignant lymphoma.Signal transduction and targeted therapy · 2020
    Review
  18. Histone Deacetylases (HDACs) Guided Novel Therapies for T-cell lymphomas.International journal of medical sciences · 2019
    Review
  19. Article
  20. 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

11 authors at 4 institutions in 1 country.

Cinzia PellegriniInstitute of Hematology "L. e A. Seràgnoli", University of Bologna, Via Massarenti, 9-40138, Bologna, Italy.
Anna DoderoFondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Annalisa ChiappellaAzienda Ospedaliera-Universitaria Città della Salute e della Scienza di Torino, Turin, Italy.
Federico MonacoA.O. SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Debora Degl'InnocentiFondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Flavia SalviA.O. SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Umberto VitoloAzienda Ospedaliera-Universitaria Città della Salute e della Scienza di Torino, Turin, Italy.
Lisa ArgnaniInstitute of Hematology "L. e A. Seràgnoli", University of Bologna, Via Massarenti, 9-40138, Bologna, Italy.
Paolo CorradiniFondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Pier Luigi ZinzaniInstitute of Hematology "L. e A. Seràgnoli", University of Bologna, Via Massarenti, 9-40138, Bologna, Italy. pierluigi.zinzani@unibo.it.
Italian Lymphoma Foundation (Fondazione Italiana Linfomi Onlus, FIL)
Fondazione IRCCS Istituto Nazionale dei Tumori · ITUniversity of Bologna · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITAzienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is no consensus regarding optimal treatment for peripheral T-cell lymphomas (PTCL), especially in relapsed or refractory cases, which have very poor prognosis and a dismal outcome, with 5-year overall survival of 30 %.

methodsA multicenter prospective phase II trial was conducted to investigate the role of the combination of gemcitabine plus romidepsin (GEMRO regimen) in relapsed/refractory PTCL, looking for a potential synergistic effect of the two drugs. GEMRO regimen contemplates an induction with romidepsin plus gemcitabine for six 28-day cycles followed by maintenance with romidepsin for patients in at least partial remission. The primary endpoint was the overall response rate (ORR); secondary endpoints were survival, duration of response, and safety of the regimen.

resultsThe ORR was 30 % (6/20) with 15 % (3) complete response (CR) rate. Two-year overall survival was 50 % and progression-free survival 11.2 %. Grade ≥3 adverse events were represented by thrombocytopenia (60 %), neutropenia (50 %), and anemia (20 %). Two patients are still in CR with median response duration of 18 months. The majority of non-hematological toxicities were mild and transient. No treatment-related death occurred and no toxicity led to treatment interruption.

conclusionsGEMRO combination regimen shows efficacy data similar to those of single-agent romidepsin with additional hematologic toxicities. Synergy observed in preclinical phase did not turn into ability to improve clinical outcomes.

trial registrationThe trial was registered under EudraCT 2012-001404-38; ClinicalTrials.gov number, NCT01822886 .

Indexed as

AdultAgedAnemiaAntineoplastic Combined Chemotherapy ProtocolsDeoxycytidineDepsipeptidesDrug Administration ScheduleDrug Resistance, NeoplasmFemaleGemcitabineHumansLymphoma, T-Cell, PeripheralMaleMiddle AgedNeoplasm Recurrence, LocalNeutropeniaDeoxycytidineDepsipeptidesGemcitabineromidepsinGemcitabinePeripheral T-cell lymphomaRefractoryRelapsedRomidepsin

Identifiers

PMID27071522
PMCPMC4830040
OpenAlexW2335828047

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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.