Evidence map›Paper›PMID 29426719›Full record

ArticleClinical lymphoma, myeloma & leukemia2018

Safety and Preliminary Efficacy of Vorinostat With R-EPOCH in High-risk HIV-associated Non-Hodgkin's Lymphoma (AMC-075).

Juan C Ramos, Joseph A Sparano, Michelle A Rudek, Page C Moore, Ethel Cesarman, Erin G Reid, David Henry, Lee Ratner, David Aboulafia, Jeanette Y Lee and 3 more

Open access · hybridAbstract readClinical Trial, Phase I
In one paragraph

Article in Clinical lymphoma, myeloma & leukemia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 16 citations in OpenAlex.

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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

13 authors at 11 institutions in 1 country.

Juan C RamosSylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL. Electronic address: jramos2@med.miami.edu.
Joseph A SparanoMontefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.
Michelle A RudekSidney Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, MD.
Page C MooreUniversity of Arkansas for Medical Sciences, Little Rock, AR.
Ethel CesarmanWeill Cornell Medicine, New York, NY.
Erin G ReidUniversity of California San Diego Moores Cancer Center, San Diego, CA.
David HenryPenn Hematology/Oncology Abramson Cancer Center, Pennsylvania Hospital, Philadelphia, PA.
Lee RatnerWashington University School of Medicine, St. Louis, MO.
David AboulafiaVirginia Mason Medical Center and University of Washington, Seattle, WA.
Jeanette Y LeeUniversity of Arkansas for Medical Sciences, Little Rock, AR.
Richard F AmbinderJohns Hopkins School of Medicine, Baltimore, MD.
Ronald MitsuyasuDavid Geffen School of Medicine, Los Angeles (UCLA), Los Angeles, CA.
Ariela NoyMemorial Sloan-Kettering Cancer Center and Weill Cornell Medical College, New York, NY.
Johns Hopkins University · USUniversity of Arkansas for Medical Sciences · USAlbert Einstein College of Medicine · USCornell University · USMemorial Sloan Kettering Cancer Center · USPennsylvania Hospital · USUniversity of California, Los Angeles · USUniversity of California San Diego · USUniversity of Miami · USVirginia Mason Medical Center · USWashington University in St. Louis · 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
Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
University of Southern CaliforniaU01CA121947 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI STIER, ELIZABETH A. · 2006 to 2014
$54.7M
Virology CoreP30AI028697 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ANTON, PETER A · 1991 to 2018
$39.9M
University of Miami Developmental Center for AIDS Research (D-CFAR)P30AI073961 · NIAID · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ALLAN E RODRIGUEZ · 2007 to 2026
$33.8M
UPLC with Tandem MS for Sensitive Quantitative Analysis of Small MoleculesS10RR026824 · NCRR · JOHNS HOPKINS UNIVERSITY · PI RUDEK, MICHELLE A · 2010 to 2010
$429k
NCATS NIH HHS UL1 TR001079NCI NIH HHS P30 CA006973NCI NIH HHS P30 CA008748NCI NIH HHS U01 CA121947NCI NIH HHS UM1 CA121947NCRR NIH HHS S10 RR026824NIAID NIH HHS P30 AI028697NIAID NIH HHS P30 AI073961
6 · The paper itself

Abstract

introductionVorinostat (VOR), a histone deacetylase inhibitor, enhances the anti-tumor effects of rituximab (R) and cytotoxic chemotherapy, induces viral lytic expression and cell killing in Epstein-Barr virus-positive (EBV PATIENTS AND

methodsWe performed a phase I trial of VOR given with R-based infusional EPOCH (etoposide, prednisone, vincristine, cyclophosphamide, and doxorubicin hydrochloride) (n = 12) and cART in aggressive HIV-associated B-cell non-Hodgkin lymphoma (NHL) in order to identify safe dosing and schedule. VOR (300 or 400 mg) was given orally on days 1 to 5 with each cycle of R-EPOCH for 10 high-risk patients with diffuse large B-cell lymphoma (1 EBV

resultsThe recommended phase II dose of VOR was 300 mg, with dose-limiting toxicity in 2 of 6 patients at 400 mg (grade 4 thrombocytopenia, grade 4 neutropenia), and 1 of 6 treated at 300 mg (grade 4 sepsis from tooth abscess). Neither VOR, nor cART regimen, significantly altered chemotherapy steady-state concentrations. VOR chemotherapy did not negatively impact CD4+ cell counts or HIV viral loads, which decreased or remained undetectable in most patients during treatment. The response rate in high-risk patients with NHL treated with VOR(R)-EPOCH was 100% (complete 83% and partial 17%) with a 1-year event-free survival of 83% (95% confidence interval, 51.6%-97.9%).

conclusionVOR combined with R-EPOCH was tolerable and seemingly efficacious in patients with aggressive HIV-NHL.

Indexed as

Antineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideDoxorubicinEtoposideFemaleHIV InfectionsHumansLymphoma, Non-HodgkinMalePrednisoneVincristineVorinostatAntineoplastic AgentsCyclophosphamideDoxorubicinEtoposidePrednisoneVincristineVorinostatAIDS-related malignanciesChemotherapyEpstein-Barr virusHistone deacetylase inhibitorsLytic-inducing therapies

Identifiers

PMID29426719
PMCPMC6697160
OpenAlexW2787389189

What OpenQuestion holds

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Registered trials

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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.