Evidence map›Paper›PMID 27486175›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2017

Phase II Study of Alemtuzumab (CAMPATH-1) in Patients with HTLV-1-Associated Adult T-cell Leukemia/lymphoma.

Kamal Sharma, John E Janik, Deirdre O'Mahony, Donn Stewart, Stefania Pittaluga, Maryalice Stetler-Stevenson, Elaine S Jaffe, Mark Raffeld, Thomas A Fleisher, Cathryn C Lee and 3 more

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

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

25 citing papers in PubMed, 43 citations in OpenAlex.

  1. MogamulizumabHaematologica · 2019
    Trial
  2. Trial
  3. Article
  4. Review
  5. Review
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  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. A Bright Horizon: Immunotherapy for Pediatric T-Cell Malignancies.International journal of molecular sciences · 2022
    Review
  13. Review
  14. Review
  15. Harnessing immunotherapy for pediatric T-cell malignancies.Expert review of clinical immunology · 2020
    Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Novel Immunotherapies for T Cell Lymphoma and Leukemia.Current hematologic malignancy reports · 2018
    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

13 authors at 2 institutions in 1 country.

Kamal SharmaLymphoid Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
John E JanikLymphoid Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Deirdre O'MahonyLymphoid Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Donn StewartLymphoid Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Stefania PittalugaLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Maryalice Stetler-StevensonLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Elaine S JaffeLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Mark RaffeldLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Thomas A FleisherClinical Pathology Department, Mark O. Hatfield Clinical Research Center, NIH, Bethesda, Maryland.
Cathryn C LeeLymphoid Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Seth M SteinbergBiostatistics and Data Management Section, Office of the Clinical Director, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Thomas A WaldmannLymphoid Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland. tawald@helix.nih.gov.
John C MorrisLymphoid Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Center for Cancer Research · USNational Cancer Institute · US

Funding

Molecular Diagnostics Core LaboratoryZICBC011079 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI XI, LIQIANG · 2009 to 2025
$33.8M
IL-2:IL-15 : implications for cancer therapy (Investigator -Initiated Project)ZIASC004002 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI WALDMANN, THOMAS · 2009 to 2022
$22.9M
Hematopathology DiagnosisZIABC011070 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI JAFFE, ELAINE · 2009 to 2025
$14.5M
Immunoregulatory Cell Receptor Defects--Leukemia/LymphomZ01SC004002 · SC · DIVISION OF CLINICAL SCIENCES - NCI · PI WALDMANN, THOMAS A · 1996 to 2008
$6.1M
Intramural NIH HHS Z01 SC004002
6 · The paper itself

Abstract

purposeTherapeutic regimens for adult T-cell leukemia/lymphoma (ATL) are limited with unsatisfactory results, thereby warranting development of novel therapies. This study investigated antitumor activity and toxicity of alemtuzumab with regard to response, duration of response, progression-free survival, and overall survival in patients with human T-cell lymphotropic virus-1 (HTLV-1)-associated ATL. EXPERIMENTAL

designTwenty-nine patients with chronic, acute, and lymphomatous types of ATL were enrolled in a single-institution, nonrandomized, open-label phase II trial wherein patients received intravenous alemtuzumab 30 mg three times weekly for a maximum of 12 weeks.

resultsTwenty-nine patients were evaluable for response and toxicity. The overall objective response was 15 of 29 patients [95% confidence interval (CI), 32.5%-70.6%]. The 15 patients who responded manifested a median time to response of 1.1 months. Median response duration was 1.4 months for the whole group and 14.5 months among responders. Median progression-free survival was 2.0 months. Median overall survival was 5.9 months. The most common adverse events were 2 with vasovagal episodes (7%) and 3 with hypotensive episodes (10%), leukopenia (41%) grade 3 and (17%) grade 4, lymphocytopenia (59%) grade 3, neutropenia (31%) grade 3, anemia (24%), and thrombocytopenia (10%). All patients developed cytomegalovirus antigenemia (CMV). Three were symptomatic and all responded to antiviral therapy. Grade 3 or 4 infections were reported in 4 (14%) of patients.

conclusionsAlemtuzumab induced responses in patients with acute HTLV-1-associated ATL with acceptable toxicity, but with short duration of responses. These studies support inclusion of alemtuzumab in novel multidrug therapies for ATL. Clin Cancer Res; 23(1); 35-42. ©2016 AACR.

Indexed as

Human T-lymphotropic virus 1AdultAgedAlemtuzumabAntineoplastic Agents, ImmunologicalFemaleHTLV-I InfectionsHumansImmunophenotypingKaplan-Meier EstimateLeukemia-Lymphoma, Adult T-CellMaleMiddle AgedNeoplasm StagingRetreatmentTreatment OutcomeAlemtuzumabAntineoplastic Agents, Immunological

Identifiers

PMID27486175
PMCPMC5215752
OpenAlexW2494933951

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.