Evidence map›Paper›PMID 29957865›Full record

Trial reportCancer science2018

R-High-CHOP/CHASER/LEED with autologous stem cell transplantation in newly diagnosed mantle cell lymphoma: JCOG0406 STUDY.

Michinori Ogura, Kazuhito Yamamoto, Yasuo Morishima, Masashi Wakabayashi, Kensei Tobinai, Kiyoshi Ando, Naokuni Uike, Mitsutoshi Kurosawa, Hiroshi Gomyo, Masafumi Taniwaki and 24 more

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

Trial report in Cancer science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.0field-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

17 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. RB and CHASER as induction therapy for transplant-eligible mantle cell lymphoma.Journal of clinical and experimental hematopathology : JCEH · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Treatment outcomes of mantle cell lymphoma in real-world practice: analysis of forty-one patients.Journal of clinical and experimental hematopathology : JCEH · 2023
    Article
  12. Article
  13. Hematopoietic cell transplantation for mantle cell lymphoma.International journal of hematology · 2022
    Review
  14. Article
  15. Review
  16. Review
  17. 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

34 authors at 20 institutions in 1 country.

Michinori OguraDepartment of Hematology and Oncology, Kasugai Municipal Hospital, Kasugai, Japan.
Kazuhito YamamotoDepartment of Hematology and Cell Therapy, Aichi Cancer Center Hospital, Nagoya, Japan.
Yasuo MorishimaDepartment of Hematology and Cell Therapy, Aichi Cancer Center Hospital, Nagoya, Japan.
Masashi WakabayashiJCOG Data Center, National Cancer Center, Tokyo, Japan.
Kensei TobinaiDepartment of Hematology, National Cancer Center Hospital, Tokyo, Japan.
Kiyoshi AndoDepartment of Hematology and Oncology, Tokai University School of Medicine, Isehara, Japan.
Naokuni UikeDepartment of Hematology, National Kyushu Cancer Center, Fukuoka, Japan.
Mitsutoshi KurosawaDepartment of Hematology, National Hospital Organization Hokkaido Cancer Center, Sapporo, Japan.
Hiroshi GomyoDepartment of Hematology, Hyogo Cancer Center, Akashi, Japan.
Masafumi TaniwakiCenter for Molecular Diagnostics and Therapeutics, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Kisato NosakaDepartment of Hematology, Kumamoto University Hospital, Kumamoto, Japan.
Norifumi TsukamotoDepartment of Hematology, Gunma University Hospital, Maebashi, Japan.
Tatsu ShimoyamaDepartment of Medical Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.
Noriko FukuharaDepartment of Hematology, Tohoku University Hospital, Sendai, Japan.
Yoshihiro YakushijinFirst Department of Internal Medicine, Ehime University Graduate School of Medicine, Toon, Japan.
Kazunori OhnishiDepartment of Hematology, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Kana MiyazakiDepartment of Hematology and Oncology, Mie University Graduate School of Medicine, Tsu, Japan.
Kenichi SawadaDepartment of Hematology, Akita University Graduate School of Medicine and Faculty of Medicine, Akita, Japan.
Nobuyuki TakayamaSecond Department of Internal Medicine, Kyorin University School of Medicine, Tokyo, Japan.
Ichiro HanamuraDivision of Hematology, Department of Internal Medicine, Aichi Medical University, Nagakute, Japan.
Hirokazu NagaiDepartment of Hematology, National Hospital Organization Nagoya Medical Center, Nagoya, Japan.
Hirofumi KobayashiDepartment of Hematology, Saitama Cancer Center, Saitama, Japan.
Kensuke UsukiDepartment of Hematology, NTT Medical Center Tokyo, Shinagawa-ku, Tokyo, Japan.
Naoki KobayashiDepartment of Hematology, Sapporo Hokuyu Hospital, Sapporo, Japan.
Kazuma OhyashikiDepartment of Hematology, Tokyo Medical University, Tokyo, Japan.
Takahiko UtsumiDepartment of Hematology, Shiga General Hospital, Moriyama City, Japan.
Kyoya KumagaiDepartment of Hematology, Chiba Cancer Center, Chiba, Japan.
Dai MaruyamaDepartment of Hematology, National Cancer Center Hospital, Tokyo, Japan.
Ken OhmachiDepartment of Hematology and Oncology, Tokai University School of Medicine, Isehara, Japan.
Yoshihiro MatsunoDepartment of Surgical Pathology, Hokkaido University Hospital, Sapporo, Japan.
Shigeo NakamuraDepartment of Pathology, Nagoya University School of Medicine, Nagoya, Japan.
Tomomitsu HottaFoundation for Promotion of Cancer Research, Tokyo, Japan.
Kunihiro TsukasakiDepartment of Hematology, National Cancer Center Hospital East, Kashiwa, Japan.
Japan Clinical Oncology Group- Lymphoma Study Group (JCOG-LSG)
Aichi Cancer Center · JPTokai University · JPTokyo National Hospital · JPAichi Medical University · JPAkita University · JPChiba Cancer Center · JPEhime University · JPFoundation for Promotion of Cancer Research · JPGunma University Hospital · JPHamamatsu University School of Medicine · JPHokkaido University Hospital · JPHyogo Prefectural Cancer Center · JPJapan Clinical Cancer Research Organization · JPJapanese Red Cross Nagoya Daini Hospital · JPKumamoto University Hospital · JPKyorin University · JPKyoto Prefectural University of Medicine · JPMie University · JPNagoya University · JPNational Cancer Center Hospital East · JP

Funding

Health and Labour Sciences Research Grants for Clinical Cancer Research 19-27Health and Labour Sciences Research Grants for Clinical Cancer Research 22-29Ministry of Health, Labour and Welfare Grants-in-Aid for Cancer Research 16-6Ministry of Health, Labour and Welfare Grants-in-Aid for Cancer Research 20S-1Ministry of Health, Labour and Welfare Grants-in-Aid for Cancer Research 20S-6National Cancer Center Research and Development Fund 23-A-16National Cancer Center Research and Development Fund 23-A-17National Cancer Center Research and Development Fund 26-A-4National Cancer Center Research and Development Fund 29-A-3
6 · The paper itself

Abstract

Although induction immunochemotherapy including high-dose cytarabine and rituximab followed by high-dose chemotherapy (HDC) with autologous stem cell transplantation (ASCT) is recommended for younger patients (≤65 years old) with untreated mantle cell lymphoma (MCL), no standard induction and HDC regimen has been established. We conducted a phase II study of induction immunochemotherapy of R-High-CHOP/CHASER followed by HDC of LEED with ASCT in younger patients with untreated advanced MCL. Eligibility criteria included untreated MCL, stage II bulky to IV, and age 20-65 years. Patients received 1 cycle of R-High-CHOP followed by 3 cycles of CHASER every 3 weeks. Peripheral blood stem cells (PBSC) were harvested during CHASER. LEED with ASCT was delivered to patients who responded to R-High-CHOP/CHASER. Primary endpoint was 2-year progression-free survival (PFS). From June 2008 to June 2012, 45 patients (median age 59 years; range 38-65 years) were enrolled. PBSC were successfully harvested from 36 of 43 patients. Thirty-five patients completed ASCT. Two-year PFS was 77% (80% CI 68-84), which met the primary endpoint. Five-year PFS and overall survival were 52% (95% CI 34-68%) and 71% (95% CI 51-84%), respectively. Overall response and complete response rates after induction immunochemotherapy were 96% and 82%, respectively. The most common grade 4 toxicities were hematological. In younger patients with untreated MCL, R-High-CHOP/CHASER/LEED with ASCT showed high efficacy and acceptable toxicity, and it can now be considered a standard treatment option.

Indexed as

Hematopoietic Stem Cell TransplantationAdultAgedAntigens, NeoplasmAntineoplastic Combined Chemotherapy ProtocolsCombined Modality TherapyCyclophosphamideCytarabineDexamethasoneDisease-Free SurvivalDoxorubicinEtoposideFemaleHumansImmunotherapyLymphoma, Mantle-CellAntigens, NeoplasmCyclophosphamideCytarabineDexamethasoneDoxorubicinEtoposideMelphalanPrednisoneRituximabVincristineautologous stem cell transplantationcytarabinehigh-dose chemotherapymantle cell lymphomarituximab

Identifiers

PMID29957865
PMCPMC6125440
OpenAlexW2811153307

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.