Evidence map›Paper›PMID 30821418›Full record

ArticleCancer medicine2019

High-dose Methotrexate plus temozolomide with or without rituximab in patients with untreated primary central nervous system lymphoma: A retrospective study from China.

Cui Chen, Peng Sun, Juan Cui, Shumei Yan, Hao Chen, Yi Xia, Xiwen Bi, Panpan Liu, Yu Wang, Hang Yang and 4 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

13 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
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  8. A cerebral lymphoma mimicking a meningioma: case report.Annals of medicine and surgery (2012) · 2023
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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 2 institutions in 1 country.

Cui ChenDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Peng SunDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Juan CuiWard One, Department of Chemotherapy, Wuzhou Red Cross Hospital, Wuzhou, China.
Shumei YanState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China.
Hao ChenState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China.
Yi XiaDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Xiwen BiDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Panpan LiuDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China.ORCID 0000-0002-7447-7026
Yu WangDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Hang YangDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Man NieDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Xue-Wen ZhangDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Wenqi JiangDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China.ORCID 0000-0002-4689-9969
Zhi-Ming LiDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Sun Yat-sen University · CNWuzhou Red Cross Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this retrospective study was to compare the efficacy and toxicity of high-dose methotrexate plus temozolomide (MT regimen) and rituximab plus MT (RMT regimen) in patients with untreated primary central nervous system lymphoma (PCNSL). A total of 62 patients with untreated PCNSL were enrolled between January 2005 and December 2015, with the median age of 53.5 years (range 29-77).In this study, 32 patients received RMT as induction therapy, and 30 received MT. Objective responses were noted in 93.7% of the patients in the RMT group and in 69.0% of the patients in the MT group (P = 0.018), while complete responses were noted in 53.2% of the patients in the RMT group and 27.6% of the patients in the MT group (P < 0.001). The 2- and 5-year PFS rates were 81.3% and 53.3%, respectively, for the RMT group and 46.5% and 29.1%, respectively, for the MT group (P = 0.019). The 2- and 5-year overall survival (OS) rates were 82.3% and 82.3%, respectively, for the RMT group and 65.7% and 50.0%, respectively, for the MT group (P = 0.015). Multivariate analyses showed that therapeutic regimen (RMT vs MT) was an independent prognostic factor for PFS and OS. Our encouraging results suggest that the RMT regimen may be a feasible and safe therapeutic approach for first-line treatment of PCNSL.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsCentral Nervous System NeoplasmsFemaleHumansInduction ChemotherapyLymphoma, Non-HodgkinMaleMethotrexateMiddle AgedMultivariate AnalysisRetrospective StudiesRituximabSurvival AnalysisTemozolomideMethotrexateRituximabTemozolomidechemotherapyhigh-dose methotrexate (HD-MTX)primary central nervous system lymphoma (PCNSL)rituximabtemozolomide (TMZ)

Identifiers

PMID30821418
PMCPMC6488123
OpenAlexW2919852783

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.