Evidence map›Paper›PMID 30896890›Full record

Observational studyAmerican journal of hematology2019

Single agents vs combination chemotherapy in relapsed and refractory peripheral T-cell lymphoma: Results from the comprehensive oncology measures for peripheral T-cell lymphoma treatment (COMPLETE) registry.

Robert N Stuver, Niloufer Khan, Marc Schwartz, Mark Acosta, Massimo Federico, Christian Gisselbrecht, Steven M Horwitz, Frederik Lansigan, Lauren C Pinter-Brown, Barbara Pro and 3 more

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in American journal of hematology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Case series of long-term responders to pralatrexate in peripheral T-cell lymphoma.Journal of clinical and experimental hematopathology : JCEH · 2025
    Article
  7. BV and beyond: how to incorporate novel agents into PTCL management.Hematology. American Society of Hematology. Education Program · 2024
    Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. How to Sequence Therapies in Peripheral T Cell Lymphoma.Current treatment options in oncology · 2021
    Review
  19. Article
  20. 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

13 authors at 11 institutions in 3 countries.

Robert N StuverDivision of Hematologic Malignancies and and Bone Marrow Transplantation, Beth Israel Deaconess Medical Center, Boston, Massachusetts.ORCID 0000-0003-0991-5170
Niloufer KhanMemorial Sloan Kettering Cancer Center, New York, New York.
Marc SchwartzInstitution name, Clermont, Florida.
Mark AcostaSpectrum Pharmaceuticals, Inc., Irvine, California.
Massimo FedericoUniversity of Modena and Reggio Emilia, Modena, Italy.
Christian GisselbrechtHôpital Saint-Louis, Paris, France.
Steven M HorwitzMemorial Sloan Kettering Cancer Center, New York, New York.
Frederik LansiganDartmouth-Hitchcock Medical Center, New Hampshire, Lebanon.
Lauren C Pinter-BrownUniversity of California Irvine, Irvine, California.
Barbara ProRobert H. Lurie Comprehensive Cancer Center, Chicago, Illinois.
Andrei R ShustovUniversity of Washington School of Medicine, Seattle, Washington.
Francine M FossYale University School of Medicine, New Haven, Connecticut.
Salvia JainDivision of Hematologic Malignancies and and Bone Marrow Transplantation, Beth Israel Deaconess Medical Center, Boston, Massachusetts.ORCID 0000-0003-1566-9308
Beth Israel Deaconess Medical Center · USMemorial Sloan Kettering Cancer Center · USDartmouth–Hitchcock Medical Center · USHôpital Saint-Louis · FRIndo-American Center · USSigma Clermont · FRSpectrum Pharmaceuticals (United States) · USUniversity of California, Irvine · USUniversity of Modena and Reggio Emilia · ITUniversity of Washington · USYale University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Dissecting mechanisms of resistance underlying CD47-SIRPα inhibition in T-cell lymphomasK08CA230498 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI JAIN, SALVIA · 2020 to 2024
$1.3M
NCI NIH HHS K08 CA230498NCI NIH HHS P30 CA008748Spectrum Pharmaceuticals, Inc.
6 · The paper itself

Abstract

Single agents have demonstrated activity in relapsed and refractory (R/R) peripheral T-cell lymphoma (PTCL). Their benefit relative to combination chemotherapy remains undefined. Patients with histologically confirmed PTCL were enrolled in the Comprehensive Oncology Measures for Peripheral T-cell Lymphoma Treatment (COMPLETE) registry. Eligibility criteria included those with R/R disease who had received one prior systemic therapy and were given either a single agent or combination chemotherapy as first retreatment. Treatment results for those with R/R disease who received single agents were compared to those who received combination chemotherapy. The primary endpoint was best response to retreatment. Fifty-seven patients met eligibility criteria. At first retreatment, 46% (26/57) received combination therapy and 54.5% (31/57) received single agents. At median follow up of 2 years, a trend was seen towards increased complete response rate for single agents versus combination therapy (41% vs 19%; P = .02). There was also increased median overall survival (38.9 vs 17.1 months; P = .02) and progression-free survival (11.2 vs 6.7 months; P = .02). More patients receiving single agents received hematopoietic stem-cell transplantation (25.8% vs 7.7%, P = .07). Adverse events of grade 3 or 4 occurred more frequently in those receiving combination therapy, although this was not statistically significant. The data confirm the unmet need for better treatment in R/R PTCL. Despite a small sample, the analysis shows greater response and survival in those treated with single agents as first retreatment in R/R setting, while maintaining the ability to achieve transplantation. Large, randomized trials are needed to identify the best strategy.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsLymphoma, T-Cell, PeripheralRegistriesAdultAgedDisease-Free SurvivalFemaleFollow-Up StudiesHumansMaleMiddle AgedSurvival Rate

Identifiers

PMID30896890
PMCPMC7928240
OpenAlexW2923272973

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.