Evidence map›Paper›PMID 30080252›Full record

Trial reportBritish journal of haematology2018

The MCL35 gene expression proliferation assay predicts high-risk MCL patients in a Norwegian cohort of younger patients given intensive first line therapy.

Harald Holte, Klaus Beiske, Merrill Boyle, Gunhild Trøen, Yngvild N Blaker, June Myklebust, Sunniva Kvaløy, Andreas Rosenwald, Ole C Lingjaerde, Lisa M Rimsza and 3 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in British journal of haematology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Towards precision medicine in lymphoid malignancies.Journal of internal medicine · 2022
    Review
  11. Article
  12. The pathologic diagnosis of mantle cell lymphoma.Histology and histopathology · 2021
    Review
  13. Non-chemotherapy Options for Newly Diagnosed Mantle Cell Lymphoma.Current treatment options in oncology · 2021
    Review
  14. Review
  15. Review
  16. 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

13 authors.

Harald HolteDepartment of Oncology, Oslo University Hospital, Oslo, Norway.ORCID 0000-0001-9799-9428
Klaus BeiskeDepartment of Pathology, Oslo University Hospital, Oslo, Norway.
Merrill BoyleCentre for Lymphoid Cancer, British Columbia Cancer Agency, Vancouver, BC, Canada.
Gunhild TrøenDepartment of Pathology, Oslo University Hospital, Oslo, Norway.
Yngvild N BlakerDepartment of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital, Oslo, Norway.
June MyklebustKG Jebsen Centre for B cell malignancies, Institute for Clinical Medicine, University of Oslo, Oslo, Norway.
Sunniva KvaløyDepartment of Surgery, Vestfold Hospital Trust, Oslo, Norway.
Andreas RosenwaldInstitute of Pathology, University of Würzburg and Comprehensive Cancer Centre (CCC) Mainfranken, Würzburg, Germany.
Ole C LingjaerdeDepartment of Informatics, University of Oslo, Oslo, Norway.
Lisa M RimszaLaboratory Medicine and Pathology, Mayo Clinic, Scottsdale, AZ, USA.ORCID 0000-0003-1268-2750
Erlend B SmelandKG Jebsen Centre for B cell malignancies, Institute for Clinical Medicine, University of Oslo, Oslo, Norway.
David W ScottCentre for Lymphoid Cancer, British Columbia Cancer Agency, Vancouver, BC, Canada.
Arne KolstadDepartment of Oncology, Oslo University Hospital, Oslo, Norway.

Funding

Development of Mantle Cell Lymphoma Proliferation Signature AssayUH2CA217847 · NCI · MAYO CLINIC ARIZONA · PI RIMSZA, LISA · 2017 to 2018
$397k
NCI NIH HHS UH2 CA217847
6 · The paper itself

Abstract

Patients with mantle cell lymphoma (MCL) generally have a dismal prognosis. Intensified induction treatment with rituximab and high dose cytarabine (R_HDAC), and consolidation with high-dose therapy with autologous stem cell support has resulted in 10-year overall survival (OS) higher than 60%. However, the clinical course varies. Diagnostic tools capable of stratifying patients include the MCL International Prognostic Index (MIPI), gene expression-based proliferation signature, Ki-67 proliferation index or tumour cell morphology. Here, we tested the performance of a newly developed Nanostring-based RNA expression-based proliferation assay (MCL35) on formalin-fixed paraffin-embedded tumour tissue from younger patients recruited in or treated according to Nordic MCL protocols compared to the prognosticators listed above. Seventy-four patients were included and the assay performed well in all cases except four, which had inadequate RNA quality. The patients were evenly distributed in the MCL35 low-, intermediate- and high-risk categories. MCL35 low- and intermediate- risk groups had overlapping progression-free survival (PFS), while patients in the high-risk category had significantly inferior PFS. Combining MCL35 with MIPI or the MIPI-C (MIPI with the addition of binary Ki67 score +/-30%) showed a better discrimination than either assessment alone. In conclusion, the MCL35 assay alone or combined with MIPI or MIPI-C scores can identify patients who still have a dismal outcome despite intensified treatment.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsBiopsyCell ProliferationFemaleGene Expression ProfilingHematopoietic Stem Cell TransplantationHumansKaplan-Meier EstimateLymphoma, Mantle-CellMaleMiddle AgedPrognosisRisk FactorsRNA, NeoplasmRNA, Neoplasmformalin-fixed, paraffin-embedded tissuegene expressionmantle cell lymphomapredictiontherapy

Identifiers

PMID30080252
PMCPMC6530911

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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.