Evidence map›Paper›PMID 28060738›Full record

Trial reportOncotarget2017

The prognostic value of clonal heterogeneity and quantitative assessment of plasma circulating clonal IG-VDJ sequences at diagnosis in patients with follicular lymphoma.

Clémentine Sarkozy, Sarah Huet, Victoria E H Carlton, Bettina Fabiani, Alain Delmer, Fabrice Jardin, Marie-Helene Delfau-Larue, Maya Hacini, Vincent Ribrag, Stéphanie Guidez and 2 more

Registry-linked trialOpen access · diamondAbstract readClinical Trial, Phase III
In one paragraph

Trial report in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00140582 (Advanced Follicular Lymphoma Evaluating the Benefit of Maintenance Therapy With Rituximab), which is not on this map. Cited by 55 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 4 pooled it
4.3field-weighted citation impact, top 5% 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.

NCT00140582 phase3completednot on this map

Advanced Follicular Lymphoma Evaluating the Benefit of Maintenance Therapy With Rituximab (MabThera®) After Induction of Response With Chemotherapy Plus Rituximab in Comparison With no Maintenance Therapy

TypeinterventionalSponsorLymphoma Study AssociationRan2004 to 2016Enrolled1,217ConditionsFollicular LymphomaArmsRituximab
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 4 syntheses or guidelines pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
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  8. Review
  9. Review
  10. Update on Liquid Biopsy.Radiology · 2025
    Review
  11. Liquid Biopsy in B and T Cell Lymphomas: From Bench to Bedside.International journal of molecular sciences · 2025
    Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Measurable Residual Disease Monitoring in Lymphoma.Current hematologic malignancy reports · 2023
    Review
  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

12 authors at 11 institutions in 2 countries.

Clémentine SarkozyHospices Civils de Lyon, Centre Hospitalier Lyon-Sud, Service d'Hématologie, 69495 Pierre Bénite Cedex, France.
Sarah HuetNSERM1052, CNRS 5286, Université Claude Bernard, Faculté de Médecine Lyon-Sud Charles Mérieux Lyon-1, 69495 Pierre Bénite Cedex, France.
Victoria E H CarltonAdaptive Biotechnologies Corp., South San Francisco, CA, USA.
Bettina FabianiAssistance Publique - Hôpitaux de Paris, Hôpital Saint-Antoine, Paris, France.
Alain DelmerService d'Hématologie, CHU de Reims, Reims, France.
Fabrice JardinCentre Henri Becquerel, Service d'Hématologie, Rouen, France.
Marie-Helene Delfau-LarueDepartment of Biological Hematology and Immunology, Assistance Publique - Hôpitaux de Paris, Groupe Hospitalier Mondor, Créteil, France.
Maya HaciniCentre Hospitalier de Chambery, Service d'Hématologie, Chambery, France.
Vincent RibragInstitut Gustave Roussy, Service d'Hématologie, Université Paris-Sacley, Villejuif, France.
Stéphanie GuidezService d'Hématologie, CHU de Poitiers, France.
Malek FahamAdaptive Biotechnologies Corp., South San Francisco, CA, USA.
Gilles SallesHospices Civils de Lyon, Centre Hospitalier Lyon-Sud, Service d'Hématologie, 69495 Pierre Bénite Cedex, France.
Adaptive Biotechnologies (United States) · USAssistance Publique – Hôpitaux de Paris · FRCentre Henri BecquerelCentre Hospitalier Métropole Savoie · FRCentre Hospitalier Universitaire de Poitiers · FRCentre National de la Recherche Scientifique · FRHôpital Lyon Sud · FRHôpital Saint-Antoine · FRInstitut Gustave Roussy · FRUniversité Claude Bernard Lyon 1 · FRUniversité de Reims Champagne-Ardenne · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent advances in next-generation sequencing (NGS) have enabled the quantitation of circulating tumour DNA (ctDNA) encoding the clonal rearranged V(D)J immunoglobulin locus. We aimed to evaluate the clonal heterogeneity of follicular lymphoma (FL) in the tumour and the plasma at diagnosis and to assess the prognostic value of the ctDNA level. Plasma samples at diagnosis were available for 34 patients registered in the PRIMA trial (NCT00140582). One tumour clonotype or more could be detected for 29 (85%) and 25 (74%) patients, respectively, in the tumour or plasma samples. In 18 patients, several subclones were detected in the tumour (2 to 71 subclones/cases) and/or in the plasma (2 to 20 subclones/cases). In more than half of the cases, the distribution of subclones differed between the tumour and plasma samples, reflecting high clonal heterogeneity and diversity in lymphoma subclone dissemination. In multivariate analysis, a high level of ctDNA was the only independent factor associated with patients' progression-free survival (HR 4, IC 95 (1.1-37), p=.039). In conclusion, an NGS-based immunosequencing method reveals the marked clonal heterogeneity of follicular lymphoma in patients with FL, and quantification of ctDNA at diagnosis represents a potential powerful prognostic biomarker that needs to be investigated in larger cohorts.

Indexed as

V(D)J RecombinationAdultAgedAged, 80 and overBiomarkers, TumorChi-Square DistributionCirculating Tumor DNADisease-Free SurvivalFemaleGenes, Immunoglobulin Heavy ChainGenetic Predisposition to DiseaseHigh-Throughput Nucleotide SequencingHumansLymphoma, FollicularMaleMiddle AgedBiomarkers, TumorCirculating Tumor DNAcirculating tumor DNAfollicular lymphomamaintenanceprognostic factorrituximab

Identifiers

PMID28060738
PMCPMC5352439
OpenAlexW2565568487

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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.