Evidence map›Paper›PMID 27282998›Full record

SynthesisHematological oncology2017

FCGR3A/2A polymorphisms and diffuse large B-cell lymphoma outcome treated with immunochemotherapy: a meta-analysis on 1134 patients from two prospective cohorts.

Hervé Ghesquières, Beth R Larrabee, Corinne Haioun, Brian K Link, Aurélie Verney, Susan L Slager, Nicolas Ketterer, Stephen M Ansell, Richard Delarue, Matthew J Maurer and 9 more

6 registry-linked trialsAbstract readMeta-Analysis
In one paragraph

Synthesis in Hematological oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.7field-weighted citation impact, top 28% 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.

NCT00135499 phase3terminatednot on this map

Randomized Study of ACVBP Plus Rituximab Versus CHOP Plus Rituximab in Non Previously Treated Patients Aged From 60 to 65 Years With Diffuse Large B-Cell Lymphoma

TypeinterventionalSponsorLymphoma Study AssociationRan2001 to 2010Enrolled138ConditionsLymphoma, Large-Cell, DiffuseArmsRituximab, Doxorubicin, Cyclophosphamide, Vindesine, Bleomycin
NCT00140595 phase3completednot on this map

Randomized Study of ACVBP Plus Rituximab Versus CHOP Plus Rituximab in Patients Aged From 18 to 59 Years With Diffuse Large B-cell Lymphoma and a Age-adjusted IPI of 1.

TypeinterventionalSponsorLymphoma Study AssociationRan2003 to 2009Enrolled380ConditionsDiffuse Large-Cell LymphomaArmsrituximab, doxorubicin, cyclophosphamide
NCT00144755 phase3completednot on this map

Intensified CHOP Plus Rituximab (R-CHOP 14) Versus CHOP Plus Rituximab (R-CHOP 21) and Frontline/Prophylactic Darbepoetin Alfa Treatment Versus Usual Symptomatic Treatment of Anemia in Patients Aged 60 to 80 Years With Diffuse Large B-cell Lymphoma.

TypeinterventionalSponsorLymphoma Study AssociationRan2003 to 2012Enrolled600ConditionsDiffuse Large Cell LymphomaArmsDarbepoetin alfa
NCT00144807 phase2completednot on this map

Study of ACVBP Plus Rituximab in Previously Untreated Patients Aged From 18 to 59 Years With High Risk Diffuse Large B-cell Lymphoma (Age-adjusted IPI = 2-3)

TypeinterventionalSponsorLymphoma Study AssociationRan2003 to 2012Enrolled128ConditionsDiffuse Large Cell LymphomaArmsrituximab, doxorubicin, cyclophosphamide, autologous stem cell transplantation
NCT00301821 phase2completednot on this map

A Phase II Study of Epratuzumab, Rituximab (ER)-CHOP for Patients With Previously Untreated Diffuse Large B-Cell Lymphoma

TypeinterventionalSponsorAlliance for Clinical Trials in OncologyRan2006 to 2015Enrolled107ConditionsLymphomaArmsepratuzumab, rituximab, cyclophosphamide, doxorubicin hydrochloride, prednisone
NCT01087424 phase2completednot on this map

Phase II Study of Mini-CHOP Plus Rituximab in Non Previously Treated Patients Aged Over 80 Years With CD 20+ Diffuse Large B-Cell Lymphoma

TypeinterventionalSponsorLymphoma Study AssociationRan2006 to 2010Enrolled150ConditionsDiffuse Large B-Cell LymphomaArmsR mini CHOP
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Role of Fcγ receptors in HER2-targeted breast cancer therapy.Journal for immunotherapy of cancer · 2022
    Review
  8. Review
  9. Article
  10. Impact of Rituximab and Host/Donor Fc Receptor Polymorphisms after Allogeneic Hematopoietic Cell Transplantation for CD20Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2020
    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

19 authors at 13 institutions in 3 countries.

Hervé GhesquièresDepartment of Hematology, Centre Hospitalier Lyon Sud, Pierre-Bénite, France.
Beth R LarrabeeDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Corinne HaiounLymphoid Malignancies Unit, Hôpital Henri Mondor, Assistance Publique-Hôpitaux de Paris (AP-HP) and University Paris Est, Créteil, France.
Brian K LinkHolden Comprehensive Cancer Center, University of Iowa, Iowa City, IA, USA.
Aurélie VerneyCentre de Recherche en Cancérologie de Lyon - INSERM U 1052/CNRS UMR 5286/Centre Léon Bérard, Lyon, France.
Susan L SlagerDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Nicolas KettererDepartment of Oncology, University Hospital, Lausanne, Switzerland.
Stephen M AnsellDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Richard DelarueDepartment of Hematology, Necker Hospital, Paris, France.
Matthew J MaurerDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Olivier FitoussiOnco-Hematology, Polyclinique Bordeaux-Nord, Bordeaux, France.
Thomas M HabermannDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Fréderic PeyradeMedical Oncology, Centre Antoine Lacassagne, Nice, France.
Ahmet DoganDepartments of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Thierry J MolinaDepartment of Pathology, Necker Hospital, Paris, France.
Anne J NovakDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Hervé TillyDepartment of Hematology, Centre Henri Becquerel, Rouen, France.
James R CerhanDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Gilles SallesDepartment of Hematology, Centre Hospitalier Lyon Sud, Pierre-Bénite, France.
Mayo Clinic in Florida · USHôpital Necker-Enfants Malades · FRMayo Clinic · USAssistance Publique – Hôpitaux de Paris · FRCentre Antoine Lacassagne · FRCentre de Recherche en Cancérologie de Lyon · FRCentre National de la Recherche Scientifique · FRCentre Virchow-Villermé · FRHôpital Lyon Sud · FRMemorial Sloan Kettering Cancer Center · USPolyclinique de Bordeaux-Tondu · FRUniversity of Iowa · USUniversity of Lausanne · CH

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
The Role of Monocytes in non-Hodgkin LymphomaP50CA097274 · NCI · UNIVERSITY OF IOWA · PI WEINER, GEORGE J. · 2002 to 2021
$45.7M
Molecular Epidemiology of non-Hodgkin Lymphoma SurvivalR01CA129539 · NCI · MAYO CLINIC ROCHESTER · PI CERHAN, JAMES R · 2009 to 2010
$1.2M
NCI NIH HHS P30 CA086862NCI NIH HHS P50 CA097274NCI NIH HHS R01 CA129539
6 · The paper itself

Abstract

Single nucleotide polymorphisms (SNPs) in FCγ-receptor genes FCGR3A (rs396991) and FCGR2A (rs1801274) influence the affinity of the Fc portion of anti-CD20 immunoglobulin G1 monoclonal antibody. Their roles in diffuse large B-cell lymphoma (DLBCL) treated with rituximab in combination with anthracycline-based chemotherapy remain controversial. To address this question, we genotyped FCGR2A and FCGR3A SNPs in two prospective DLBCL cohorts from Lymphoma Study Association trials (N = 554) and Iowa/Mayo Specialized Program Of Research Excellence (N = 580). Correlations with treatment response and hematological toxicity were assessed in Lymphoma Study Association. Correlation with event-free survival (EFS) and overall survival (OS) was performed in both cohorts, followed by a meta-analysis to increase power. Our study shows the absence of correlation between these SNPs and treatment response. Grades 3 and 4 febrile neutropenia during treatment was more frequently observed in FCGR3A VV (39%) than VF (29%) and FF (32%) carriers (p = 0.04). Our analysis for EFS and OS shows that FCGR3A was not associated with outcome. In a meta-analysis using an ordinal model, FCGR2A (per R allele) was associated with a better EFS (hazard ratio = 0.87; 95%CI, 0.76-0.99; p = 0.04) and OS (hazard ratio = 0.86; 95%CI, 0.73-1.00; p = 0.05) which was not altered after adjustment for the International Prognostic Index. Overall, our data demonstrate that patients with DLBCL with the low-affinity FCγRIIA RR had an unexpectedly better outcome than FCγRIIA H carriers. Whether rituximab efficacy is improved in FCγRIIA RR patients due a clearance reduction or other functions of FCγRIIA in DLBCL should be investigated (clinicaltrials.gov identifiers: NCT00135499, NTC00135499 NCT00140595, NCT00144807, NCT00144755, NCT01087424, and NCT00301821). Copyright © 2016 John Wiley & Sons, Ltd.

Indexed as

Cohort StudiesFemaleGenotypeHumansImmunotherapyLymphoma, Large B-Cell, DiffuseMalePolymorphism, GeneticPolymorphism, Single NucleotidePrognosisProspective StudiesReceptors, IgGFCGR3A protein, humanReceptors, IgGDLBCLFCGR2AFCGR3Aimmunochemotherapypolymorphismsprognostic

Identifiers

PMID27282998
PMCPMC5716925
OpenAlexW2411200550

What OpenQuestion holds

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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.