Evidence map›Paper›PMID 29160731›Full record

ArticleLeukemia & lymphoma2018

Combination antiretroviral therapy accelerates immune recovery in patients with HIV-related lymphoma treated with EPOCH: a comparison within one prospective trial AMC034.

Carlyn Rose C Tan, Stefan K Barta, Jeannette Lee, Michelle A Rudek, Joseph A Sparano, Ariela Noy

Open access · greenAbstract readComparative Study
In one paragraph

Article in Leukemia & lymphoma, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.4field-weighted citation impact, top 21% 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

14 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Review
  3. Viral oncogenesis in cancer: from mechanisms to therapeutics.Signal transduction and targeted therapy · 2025
    Review
  4. Observational
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. [Primary effusion lymphoma in a HIV-negative patient: case report and literatures review].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2020
    Review
  11. Review
  12. Article
  13. Hiv and Lymphoma: from Epidemiology to Clinical Management.Mediterranean journal of hematology and infectious diseases · 2019
    Review
  14. HIV Lymphoma and Burkitts Lymphoma.Cancer journal (Sudbury, Mass.)
    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

6 authors at 5 institutions in 1 country.

Carlyn Rose C Tana Department of Hematology/Oncology , Fox Chase Cancer Center , Philadelphia , PA , USA.
Stefan K Bartaa Department of Hematology/Oncology , Fox Chase Cancer Center , Philadelphia , PA , USA.
Jeannette Leeb Department of Biostatistics , University of Arkansas for Medical Sciences , Little Rock , AR , USA.
Michelle A Rudekc Department of Oncology, School of Medicine , Johns Hopkins University , Baltimore , MD , USA.
Joseph A Sparanod Department of Oncology , Montefiore-Einstein Cancer Center, Montefiore Medical Center , Bronx , NY , USA.
Ariela Noye Department of Medicine , Memorial Sloan-Kettering Cancer Center/Weill-Cornell Medical College , New York , NY , USA.
Fox Chase Cancer Center · USCornell University · USJohns Hopkins Medicine · USMontefiore Medical Center · USUniversity of Arkansas for Medical Sciences · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Consortium for Advancing Management and Prevention of Cancer in People with HIVUM1CA121947 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Joseph A. Sparano · 2015 to 2026
$253.7M
University of Southern CaliforniaU01CA121947 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KROWN, SUSAN E · 2006 to 2014
$54.7M
NCI NIH HHS P30 CA008748NCI NIH HHS U01 CA121947NCI NIH HHS UM1 CA121947
6 · The paper itself

Abstract

Drug-drug interactions between cART and chemotherapy may impact HIV and lymphoma control or lead to increased toxicities. No prospective comparative data informs potential harms and benefits. In AMC034, HIV-associated high-grade B-cell NHL patients received DA-EPOCH with rituximab. cART was given with EPOCH or delayed until chemotherapy completion per investigator choice. Pharmacokinetic, immunological, and treatment effects of concurrent cART were evaluated. CD4 counts dropped during EPOCH in both groups but recovered to higher than baseline 6 months post-EPOCH only in the cART group. HIV viral load decreased during chemotherapy in the cART group but increased in the non-cART group. Incidence of grade ≥3 infectious, hematologic, or neurological toxicities was similar. Concurrent cART was not associated with 1-year EFS or OS. cART with EPOCH was well-tolerated and allowed for faster immune recovery. While we did not observe differences in outcome, the preponderance of evidence is in favor of combining cART with chemotherapy.

Indexed as

AdultAgedAnti-HIV AgentsAntineoplastic Combined Chemotherapy ProtocolsCD4 Lymphocyte CountDrug Therapy, CombinationFemaleHematologic DiseasesHIV InfectionsHumansInfectionsLymphoma, AIDS-RelatedMaleMiddle AgedProspective StudiesRituximabAnti-HIV AgentsRituximabAIDSchemotherapycombination antiretroviral therapydose-adjusted EPOCHHIVHIV-associated lymphoma

Identifiers

PMID29160731
PMCPMC5962410
OpenAlexW2769727865

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.