Evidence map›Paper›PMID 30413184›Full record

Trial reportTrials2018

RIVA - a phase IIa study of rituximab and varlilumab in relapsed or refractory B-cell malignancies: study protocol for a randomized controlled trial.

Sean H Lim, Kim M Linton, Graham P Collins, Joke Dhondt, Joshua Caddy, Liz Rossiter, Karan Vadher, Keira Fines, Laura E Rogers, Diana Fernando and 4 more

Open access · goldAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. CD27 Agonist Antibodies Mediate Clinical Responses through Intratumoral Stimulation in B-cell Malignancies: Multicenter RiVa Trial.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  2. Review
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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

14 authors at 3 institutions in 1 country.

Sean H LimAntibody and Vaccine Group, Centre for Cancer Immunology, University of Southampton, Southampton, UK.
Kim M LintonDivision of Cancer Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Cancer Research Centre, Southampton, UK.
Graham P CollinsDepartment of Haematology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Joke DhondtSouthampton Clinical Trials Unit, Centre for Cancer Immunology, University of Southampton, Southampton, UK. J.Dhondt@soton.ac.uk.ORCID http://orcid.org/0000-0003-2900-3806
Joshua CaddySouthampton Clinical Trials Unit, Centre for Cancer Immunology, University of Southampton, Southampton, UK.
Liz RossiterSouthampton Clinical Trials Unit, Centre for Cancer Immunology, University of Southampton, Southampton, UK.
Karan VadherSouthampton Clinical Trials Unit, Centre for Cancer Immunology, University of Southampton, Southampton, UK.
Keira FinesSouthampton Clinical Trials Unit, Centre for Cancer Immunology, University of Southampton, Southampton, UK.
Laura E RogersSouthampton Clinical Trials Unit, Centre for Cancer Immunology, University of Southampton, Southampton, UK.
Diana FernandoSouthampton Clinical Trials Unit, Centre for Cancer Immunology, University of Southampton, Southampton, UK.
Louise StantonSouthampton Clinical Trials Unit, Centre for Cancer Immunology, University of Southampton, Southampton, UK.
Andrew J DaviesECMC Southampton, University of Southampton, Southampton, UK.
Peter W M JohnsonCRUK Centre Southampton, University of Southampton, Southampton, UK.
Gareth GriffithsSouthampton Clinical Trials Unit, Centre for Cancer Immunology, University of Southampton, Southampton, UK.
University of Southampton · GBOxford University Hospitals NHS Trust · GBUniversity of Manchester · GB

Funding

Cancer Research UK 15269Cancer Research UK 15956Cancer Research UK 25352Cancer Research UK 27179Cancer Research UK CRUKD/17/008
6 · The paper itself

Abstract

backgroundOver 12,000 new cases of B-cell malignancies are diagnosed in the UK each year, with diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma (FL) being the most common subtypes. Standard frontline therapy consists of immunochemotherapy with a CD20 monoclonal antibody (mAb), such as rituximab, delivered in combination with multi-agent chemotherapy. Despite being considered a treatable and potentially curable cancer, approximately 30% of DLBCL cases will relapse after frontline therapy. Advanced stage FL is incurable and typically has a relapsing and remitting course with a frequent need for re-treatment. Based on supportive preclinical data, we hypothesised that the addition of varlilumab (an anti-CD27 mAb) to rituximab (an anti-CD20 mAb) can improve the rate, depth and duration of the response of rituximab monotherapy in patients with relapsed or refractory B-cell malignancies. METHODS/

designCombination treatment of varlilumab plus rituximab, in two different dosing regimens, is being tested in the RIVA trial. RIVA is a two-stage open-label randomised phase IIa design in up to 40 patients with low- or high-grade relapsed or refractory CD20 DISCUSSION: RIVA will determine whether the combination of rituximab and varlilumab in relapsed or refractory B-cell malignancies is active and safe prior to future phase II/III trials.

trial registrationEudraCT, 2017-000302-37. Registered on 16 January 2017. ISRCTN, ISRCTN15025004 . Registered on 16 August 2017.

Indexed as

Antibodies, MonoclonalAntineoplastic Combined Chemotherapy ProtocolsLymphoma, Large B-Cell, DiffuseRituximabAntibodies, Monoclonal, HumanizedHumansResearch DesignSample SizeAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedRituximabvarlilumabB-cell malignancyCD20CD27immunotherapylymphomamonoclonal antibodyphase IIarandomised trialrituximabvarlilumab

Identifiers

PMID30413184
PMCPMC6230275
OpenAlexW2899934207

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.