Evidence map›Paper›PMID 30626252›Full record

Trial reportLeukemia & lymphoma2019

Phase 1/2 study of alemtuzumab with dose-adjusted EPOCH in untreated aggressive T and NK cell lymphomas.

Joseph Roswarski, Mark Roschewski, Christopher Melani, Stefania Pittaluga, Andrea Lucas, Seth M Steinberg, Elaine S Jaffe, Thomas A Waldmann, Wyndham H Wilson

Abstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Leukemia & lymphoma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Review
  3. Novel targeted therapies of T cell lymphomas.Journal of hematology & oncology · 2020
    Review
  4. Review
  5. Review
  6. Review
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

9 authors.

Joseph Roswarskia Center for Cancer Research, National Cancer Institute , Bethesda , MD , USA.ORCID 0000-0002-1470-8814
Mark Roschewskia Center for Cancer Research, National Cancer Institute , Bethesda , MD , USA.
Christopher Melania Center for Cancer Research, National Cancer Institute , Bethesda , MD , USA.
Stefania Pittalugac Laboratory of Pathology , National Cancer Institute , Bethesda , MD , USA.
Andrea Lucasa Center for Cancer Research, National Cancer Institute , Bethesda , MD , USA.
Seth M Steinberga Center for Cancer Research, National Cancer Institute , Bethesda , MD , USA.
Elaine S Jaffec Laboratory of Pathology , National Cancer Institute , Bethesda , MD , USA.
Thomas A Waldmanna Center for Cancer Research, National Cancer Institute , Bethesda , MD , USA.ORCID 0000-0003-4500-6660
Wyndham H Wilsona Center for Cancer Research, National Cancer Institute , Bethesda , MD , USA.

Funding

Hematopathology DiagnosisZIABC011070 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI JAFFE, ELAINE · 2009 to 2025
$14.5M
Therapeutic Strategies and Molecular Correlates in Aggressive B-cell LymphomasZIASC006741 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI WILSON, WYNDHAM H · 2009 to 2025
$10.4M
Intramural NIH HHS ZIA SC006741
6 · The paper itself

Abstract

To evaluate the feasibility and clinical efficacy of the combination of alemtuzumab with dose-adjusted etoposide/cyclophosphamide/doxorubicin/vincristine/prednisone (DA-EPOCH) as upfront therapy for untreated aggressive T and NK cell lymphomas, a phase 1/2 trial was conducted. Thirty patients were treated with the study regimen, consisting of alemtuzumab on day 1 of a 21 day cycle with standard dosing of DA-EPOCH for 6-8 cycles. Alemtuzumab 30 mg IV was used for the phase 2 component. Of 30 treated patients, 17 had a complete response (CR) and eight had a partial response (83.3% overall response rate). The median overall survival and progression-free survival were 20.2 and 6.6 months, respectively. There were five treatment-related deaths on study mainly due to infectious complications, including one case each of disseminated toxoplasmosis and pneumonia and two cases of sepsis. Alemtuzumab with DA-EPOCH is of limited clinical utility due to unacceptable toxicity, despite the high rate of CR.

Indexed as

AdolescentAdultAgedAlemtuzumabAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideDoxorubicinEtoposideFemaleHumansKaplan-Meier EstimateLymphoma, Extranodal NK-T-CellMaleMiddle AgedNeoplasm StagingPrednisoneAlemtuzumabCyclophosphamideDoxorubicinEtoposidePrednisoneVincristinealemtuzumabEPOCHlymphomaPTCL

Identifiers

PMID30626252
PMCPMC6620167

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.