Evidence map›Paper›PMID 27448091›Full record

Trial reportBritish journal of haematology2016

A phase II trial of bendamustine in combination with rituximab in older patients with previously untreated diffuse large B-cell lymphoma.

Steven I Park, Natalie S Grover, Oludamilola Olajide, Adam S Asch, James G Wall, Kristy L Richards, Anna L Sobol, Allison M Deal, Anastasia Ivanova, Matthew C Foster and 2 more

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in British journal of haematology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Observational
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Approaches to aggressive B-cell lymphomas in less fit patients.Hematology. American Society of Hematology. Education Program · 2020
    Review
  18. Review
  19. Front-Line Treatment of High Grade B Cell Non-Hodgkin Lymphoma.Current hematologic malignancy reports · 2019
    Review
  20. 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

12 authors at 6 institutions in 1 country.

Steven I ParkDivision of Hematology/Oncology, University of North Carolina, Chapel Hill, NC, USA. sipark@med.unc.edu.
Natalie S GroverDivision of Hematology/Oncology, University of North Carolina, Chapel Hill, NC, USA.
Oludamilola OlajideRex Hematology Oncology Associates, Raleigh, NC, USA.
Adam S AschDivision of Hematology/Oncology, University of Oklahoma College of Medicine, Oklahoma City, OK, USA.
James G WallLevine Cancer Institute, Concord, NC, USA.
Kristy L RichardsDivision of Hematology/Oncology, Weill Cornell Medical College, New York, NY, USA.
Anna L SobolSeby B. Jones Regional Cancer Center, Boone, NC, USA.
Allison M DealDivision of Biostatistics and Data Management, University of North Carolina, Chapel Hill, NC, USA.
Anastasia IvanovaDivision of Biostatistics and Data Management, University of North Carolina, Chapel Hill, NC, USA.
Matthew C FosterDivision of Hematology/Oncology, University of North Carolina, Chapel Hill, NC, USA.
Hyman B MussDivision of Hematology/Oncology, University of North Carolina, Chapel Hill, NC, USA.
Thomas C SheaDivision of Hematology/Oncology, University of North Carolina, Chapel Hill, NC, USA.
University of North Carolina at Chapel Hill · USCornell University · USLevine Cancer Institute · USOklahoma City University · USRegional Cancer Center · USRex Hospital · US

Funding

UNC Clinical Translation Science Award-K12 Scholars Program (KL2)KL2RR025746 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2008 to 2011
$9.0M
UNC Clinical Translation Science Award-K12 Scholars Program (KL2)KL2TR000084 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2012 to 2013
$2.3M
NCATS NIH HHS KL2 TR000084NCRR NIH HHS KL2 RR025746
6 · The paper itself

Abstract

Bendamustine in combination with rituximab (BR) has been associated with high response rates and acceptable toxicity in older patients with relapsed/refractory diffuse large B-cell lymphoma (DLBCL). Evaluation of BR is warranted in the front-line setting for DLBCL patients not eligible for anthracyclines or for the elderly. In this phase II study, we enrolled DLBCL patients aged ≥65 years who were poor candidates for R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, prednisone) to determine the efficacy and safety of BR in previously untreated stage II-IV DLBCL. Twenty-three patients were enrolled with a median age of 80 years. 52% of patients presented with poor functional status (Eastern Cooperative Oncology Group performance score of ≥2). The overall response rate was 78% with 12 complete responses (52%). At a median follow up of 29 months, the median overall survival was 10·2 months and the median progression-free survival was 5·4 months. The most common grade 3/4 adverse events were haematological. Combination therapy with BR demonstrates high response rates as front-line therapy in frail older patients with DLBCL, but survival rates were low. BR should be used with caution in future clinical trials involving older DLBCL patients with poor functional status.

Indexed as

AgedAged, 80 and overAge FactorsAntineoplastic Combined Chemotherapy ProtocolsBendamustine HydrochlorideBiomarkersCause of DeathFemaleHumansKaplan-Meier EstimateLymphoma, Large B-Cell, DiffuseMaleNeoplasm StagingPrognosisRituximabTreatment OutcomeBendamustine HydrochlorideBiomarkersRituximabbendamustineDLBCLelderly patientslymphomarituximab

Identifiers

PMID27448091
PMCPMC5063684
OpenAlexW2487308472

What OpenQuestion holds

Textmetadata
LicenceTDM
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.