Evidence map›Paper›PMID 30001986›Full record

Trial reportClinical lymphoma, myeloma & leukemia2018

A Pilot Trial of Lirilumab With or Without Azacitidine for Patients With Myelodysplastic Syndrome.

Fevzi Firat Yalniz, Naval Daver, Katayoun Rezvani, Steven Kornblau, Maro Ohanian, Gautam Borthakur, Courtney D DiNardo, Marina Konopleva, Jan Burger, Yvonne Gasior and 3 more

Open access · greenAbstract readClinical Trial, Phase IIComparative Study
In one paragraph

Trial report 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 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

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  13. Natural killer cells: a promising immunotherapy for cancer.Journal of translational medicine · 2022
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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 1 institution in 1 country.

Fevzi Firat YalnizDepartment of Leukemia, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Naval DaverDepartment of Leukemia, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Katayoun RezvaniDepartment of Stem Cell Transplantation, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Steven KornblauDepartment of Leukemia, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Maro OhanianDepartment of Leukemia, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Gautam BorthakurDepartment of Leukemia, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Courtney D DiNardoDepartment of Leukemia, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Marina KonoplevaDepartment of Leukemia, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Jan BurgerDepartment of Leukemia, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Yvonne GasiorDepartment of Leukemia, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Sherry PierceDepartment of Leukemia, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Hagop KantarjianDepartment of Leukemia, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Guillermo Garcia-ManeroDepartment of Leukemia, The University of Texas M.D. Anderson Cancer Center, Houston, TX. Electronic address: ggarciam@mdanderson.org.
The University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

backgroundEnhancement of natural killer cell activity by blocking interactions between killer immunoglobulin (Ig)-like receptors (KIRs) and human leukocyte antigen-C (HLA-C) molecules can improve outcomes in myeloid malignancies. Lirilumab is a human IgG4 monoclonal antibody that blocks KIR/HLA-C interaction. We designed a study to evaluate the safety and efficacy of lirilumab as a single agent and in combination with azacitidine in patients with myelodysplastic syndrome (MDS). PATIENTS AND

methodsAdult patients with MDS who had not received previous hypomethylating agents were included. Lower-risk MDS patients received single-agent lirilumab (3 mg/kg); higher-risk patients received azacitidine (75 mg/m

resultsA total of 10 patients including 8 with higher and 2 with lower-risk enrolled. The median age was 70 (range, 50-84) years and 4 (40%) had complex cytogenetics. Baseline molecular mutations included TP53 (n = 5), TET2 (n = 3), and NRAS (n = 2). Patients received a median of 4 (range, 2-13) and 9 (range, 5-14) cycles of treatment with azacitidine with lirilumab and single-agent lirilumab, respectively. Two patients achieved complete remission (CR), 5 marrow CR, and 3 had stable disease. The median event-free survival for the entire cohort was 8 months (95% confidence interval, 4 months to not reached), and the median overall survival has not yet been reached. Five patients experienced 8 episodes of Grade ≥3 adverse events attributable to study drug, with the most frequent being infection or neutropenic fever (75%).

conclusionLirilumab either as a single agent as well as used in combination with azacitidine has clinical activity in patients with MDS. Further studies are needed to confirm our findings.

Indexed as

AgedAged, 80 and overAntibodies, MonoclonalAntimetabolites, AntineoplasticAzacitidineDrug Therapy, CombinationFemaleFollow-Up StudiesHumansMaleMiddle AgedMyelodysplastic SyndromesPilot ProjectsPrognosisReceptors, KIRSurvival RateAntibodies, MonoclonalAntimetabolites, AntineoplasticAzacitidineReceptors, KIRAnti-KIR therapyAzacitidineLirilumabMyelodysplastic syndromeNatural killer cells

Identifiers

PMID30001986
PMCPMC6750214
OpenAlexW2808265051

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.