Evidence map›Paper›PMID 30341058›Full record

Trial reportBlood2019

Risk of HBV reactivation in patients with B-cell lymphomas receiving obinutuzumab or rituximab immunochemotherapy.

Shigeru Kusumoto, Luca Arcaini, Xiaonan Hong, Jie Jin, Won Seog Kim, Yok Lam Kwong, Marion G Peters, Yasuhito Tanaka, Andrew D Zelenetz, Hiroshi Kuriki and 6 more

Open access · bronzeAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Blood, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 2 pooled it
9.7field-weighted citation impact, top 1% 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

76 citing papers in PubMed, 2 syntheses or guidelines pooled it, 132 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. High Frequency of Circulating IL-4RJournal of clinical and translational hepatology · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Podocytopathies.Nature reviews. Disease primers · 2025
    Review
  18. Observational
  19. Article
  20. Article

16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 10 institutions in 6 countries.

Shigeru KusumotoDepartment of Hematology and Oncology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.ORCID 0000-0001-6546-1279
Luca ArcainiDivision of Hematology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Xiaonan HongDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.
Jie JinDepartment of Hematology, The First Affiliated Hospital, Zhejiang University College of Medicine, Hangzhou, China.
Won Seog KimDepartment of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Yok Lam KwongDepartment of Medicine, Queen Mary Hospital, Hong Kong, China.
Marion G PetersDepartment of Medicine, University of California, San Francisco, San Francisco, CA.
Yasuhito TanakaDepartment of Virology and Liver Unit, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Andrew D ZelenetzDepartment of Medicine, Lymphoma Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Hiroshi KurikiClinical Science & Strategy Department, Oncology Clinical Science & Strategy, Chugai Pharmaceutical Co. Ltd., Tokyo, Japan.
Günter Fingerle-RowsonProduct Development Oncology, F. Hoffmann-La Roche Ltd., Basel, Switzerland; and.
Tina NielsenProduct Development Oncology, F. Hoffmann-La Roche Ltd., Basel, Switzerland; and.
Eisuke UedaClinical Science & Strategy Department, Oncology Clinical Science & Strategy, Chugai Pharmaceutical Co. Ltd., Tokyo, Japan.
Hanna Piper-LepoutreProduct Development Oncology, F. Hoffmann-La Roche Ltd., Basel, Switzerland; and.
Gila SellamProduct Development Oncology, F. Hoffmann-La Roche Ltd., Basel, Switzerland; and.
Kensei TobinaiDepartment of Hematology, National Cancer Center Hospital, Tokyo, Japan.
Roche (Switzerland) · CHNagoya City University · JPFirst Affiliated Hospital Zhejiang University · CNFudan University Shanghai Cancer Center · CNMemorial Sloan Kettering Cancer Center · USQueen Mary Hospital · CNSamsung Medical Center · KRTokyo National Hospital · JPUniversity of California, San Francisco · USUniversity of Pavia · IT

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Risk of hepatitis B virus (HBV) reactivation was assessed in B-cell non-Hodgkin lymphoma (NHL) patients with resolved HBV infection (hepatitis B surface antigen negative, hepatitis B core antibody positive) who received obinutuzumab- or rituximab-containing immunochemotherapy in the phase 3 GOYA and GALLIUM studies. HBV DNA monitoring was undertaken monthly to 1 year after the last dose of study drug. In case of HBV reactivation (confirmed, HBV DNA ≥29 IU/mL), immunochemotherapy was withheld and nucleos(t)ide analog treatment (preemptive NAT) started. Immunochemotherapy was restarted if HBV DNA became undetectable or reactivation was not confirmed, and discontinued if HBV DNA exceeded 100 IU/mL on NAT. Prophylactic NAT was allowed by investigator discretion. Among 326 patients with resolved HBV infection, 27 (8.2%) had HBV reactivation, occurring a median of 125 days (interquartile range, 85-331 days) after the first dose. In 232 patients without prophylactic NAT, 25 (10.8%) had HBV reactivation; all received preemptive NAT. Ninety-four patients received prophylactic NAT; 2 (2.1%) had HBV reactivation. No patients developed HBV-related hepatitis. On multivariate Cox analysis, detectable HBV DNA at baseline was strongly associated with an increased risk of reactivation (adjusted hazard ratio [HR], 18.22; 95% confidence interval [CI], 6.04-54.93;

Indexed as

AdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalAntiviral AgentsDNA, ViralFemaleFollow-Up StudiesHepatitis BHepatitis B virusHumansImmunotherapyLymphoma, B-CellMaleMiddle AgedAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalAntiviral AgentsDNA, ViralobinutuzumabRituximab

Identifiers

PMID30341058
PMCPMC6337873
OpenAlexW2896929686

What OpenQuestion holds

Textmetadata
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.