Evidence map›Paper›PMID 28971899›Full record

Trial reportHaematologica2017

Dose-adjusted EPOCH chemotherapy for untreated peripheral T-cell lymphomas: a multicenter phase II trial of West-JHOG PTCL0707.

Yoshinobu Maeda, Hisakazu Nishimori, Isao Yoshida, Yasushi Hiramatsu, Masatoshi Uno, Yasufumi Masaki, Kazutaka Sunami, Taro Masunari, Yuichiro Nawa, Hiromichi Yamane and 8 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Haematologica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.0field-weighted citation impact, top 9% 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.

NCT03586999 phase1 / phase2completednot on this mapstarted 2018, after this paper: background citation

Nivolumab With Standard of Care Chemotherapy for the First Line Treatment of Peripheral T Cell Lymphoma

TypeinterventionalSponsorUniversity of Colorado, DenverRan2018 to 2022Enrolled18ConditionsPeripheral T Cell LymphomaArmsNivolumab, Etoposide, Prednisolone, Oncovin, Cyclophosphamide
NCT05996185 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

Phase II Study of Mogamulizumab With DA-EPOCH or CHOEP in Patients With Aggressive T-cell Lymphoma

TypeinterventionalSponsorYale UniversityRan2024 to 2027Enrolled22ConditionsT Cell Lymphoma, T-cell LymphomaArmsMogamulizumab, DA-EPOCH Protocol, CHOEP protocol
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 41 citations in OpenAlex.

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  11. Chemotherapy Plus RadiotherapyFrontiers in oncology · 2021
    Article
  12. Updates in the Treatment of Peripheral T-Cell Lymphomas.Journal of experimental pharmacology · 2021
    Review
  13. Strategies for aggressive T-cell lymphoma: divide and conquer.Hematology. American Society of Hematology. Education Program · 2020
    Review
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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

18 authors at 15 institutions in 1 country.

Yoshinobu MaedaDepartment of Hematology and Oncology, Okayama University Hospital, Japan yosmaeda@md.okayama-u.ac.jp.
Hisakazu NishimoriDepartment of Hematology and Oncology, Okayama University Hospital, Japan.
Isao YoshidaDepartment of Hematologic Oncology, Shikoku Cancer Center, Ehime, Japan.
Yasushi HiramatsuDepartment of Hematology and Oncology, Japanese Red Cross Society Himeji Hospital, Hyogo, Japan.
Masatoshi UnoDepartment of Internal Medicine, Kaneda Hospital, Okayama, Japan.
Yasufumi MasakiDepartment of Hematology and Immunology, Kanazawa Medical University Hospital, Ishikawa, Japan.
Kazutaka SunamiDepartment of Hematology, National Hospital Organization Okayama Medical Center, Japan.
Taro MasunariDepartment of Hematology, Chugoku Central Hospital, Hiroshima, Japan.
Yuichiro NawaDepartment of Hematology, Ehime Prefectural Central Hospital, Ehime, Japan.
Hiromichi YamaneDepartment of Internal Medicine, Sumitomo Besshi Hospital, Ehime, Japan.
Hiroshi GomyoDepartment of Hematology, Hyogo Cancer Center, Hyogo, Japan.
Tsutomu TakahashiDepartment of Hematology and Oncology, Shimane University Hospital, Japan.
Tomofumi YanoDepartment of Hematology, Okayama Rosai Hospital, Nagoya, Japan.
Keitaro MatsuoDivision of Molecular and Clinical Epidemiology, Aichi Cancer Center Research Institute, Nagoya, Japan.
Koichi OhshimaDepartment of Pathology, School of Medicine, Kurume University, Fukuoka, Japan.
Shigeo NakamuraDepartment of Pathology and Clinical Laboratories, Nagoya University Hospital, Japan.
Tadashi YoshinoDepartment of Pathology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan.
Mitsune TanimotoDepartment of Hematology and Oncology, Okayama University Hospital, Japan.
Okayama University Hospital · JPAichi Cancer Center · JPChugoku Central Hospital · JPEhime Prefectural Central Hospital · JPHimeji Red Cross Hospital · JPHyogo Prefectural Cancer Center · JPKanazawa Medical University Hospital · JPKurume University · JPNagoya University Hospital · JPNational Hospital Organization · JPOkayama Rosai Hospital · JPOkayama University · JPShikoku Cancer Center · JPShimane University Hospital · JPSumitomo Besshi Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The standard CHOP therapy for peripheral T-cell lymphoma has resulted in unsatisfactory outcomes and it is still not clear what is the optimal front-line therapy. We conducted a multicenter phase II study of dose-adjusted etoposide, doxorubicin, and cyclophosphamide with vincristine and prednisone (EPOCH) for untreated peripheral T-cell lymphoma patients. In this prospective study, 41 patients were treated with dose-adjusted-EPOCH as initial therapy: peripheral T-cell lymphoma-not otherwise specified, n=21; angioimmunoblastic T-cell lymphoma, n=17; anaplastic lymphoma kinase-positive anaplastic large cell lymphoma, n=2; and anaplastic lymphoma kinase-negative anaplastic large cell lymphoma, n=1. Median patient age was 64 years (range: 32-79 years). According to the International Prognostic Index criteria, 51.2% were at high-intermediate or high risk. The overall response and complete response rates were 78.0% [95% confidence interval (CI): 62.4-89.4%] and 61.0% (95%CI: 44.5-75.8%), respectively. At the median follow up of 24.0 months, the 2-year progression-free survival and overall survival were 53.3% (95%CI: 36.4-67.5%) and 73.2% (95%CI: 56.8-84.1%), respectively. The younger patients (≤ 60 years old) had a high response rate (overall response 94.1% and complete response 70.6%) and survival rate (progression-free survival 62.5% and overall survival 82.4%). The most common grade ≥ 3 adverse events were neutropenia (74.5%), anemia (40.8%), thrombocytopenia (22.0%), and febrile neutropenia (9.0%). Dose-adjusted-EPOCH had a high response rate with a tolerable toxicity profile. Our results indicate that dose-adjusted-EPOCH is a reasonable first-line approach for peripheral T-cell lymphoma patients and may improve outcomes.

Indexed as

AdultAgedAge FactorsAnemiaAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideDoxorubicinEtoposideFebrile NeutropeniaHumansLymphoma, T-Cell, PeripheralMiddle AgedNeutropeniaPrednisoneThrombocytopeniaTreatment OutcomeCyclophosphamideDoxorubicinEtoposidePrednisoneVincristine

Identifiers

PMID28971899
PMCPMC5709109
OpenAlexW2763088988

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.