Evidence map›Paper›PMID 30940746›Full record

Observational studyThe oncologist2019

Lenalidomide in Pretreated Patients with Diffuse Large B-Cell Lymphoma: An Italian Observational Multicenter Retrospective Study in Daily Clinical Practice.

Alessandro Broccoli, Beatrice Casadei, Annalisa Chiappella, Carlo Visco, Monica Tani, Nicola Cascavilla, Annarita Conconi, Monica Balzarotti, Maria Christina Cox, Dario Marino and 16 more

Open access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in The oncologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
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

26 authors at 20 institutions in 1 country.

Alessandro BroccoliInstitute of Hematology, University of Bologna, Bologna, Italy.
Beatrice CasadeiInstitute of Hematology, University of Bologna, Bologna, Italy.
Annalisa ChiappellaHematology, Città della Salute e della Scienza Hospital and University, Torino, Italy.
Carlo ViscoDepartment of Cell Therapy and Hematology, San Bortolo Hospital, Vicenza, Italy.
Monica TaniHematology Unit, S. Maria delle Croci Hospital, Ravenna, Italy.
Nicola CascavillaHematology Department, "Casa Sollievo della Sofferenza" Hospital, IRCCS - Italy.
Annarita ConconiHematology Division, Ospedale degli Infermi di Biella, Ponderano, Italy.
Monica BalzarottiDepartmento of Medical Oncology and Hematology Humanitas Cancer Center, Rozzano-Milan, Italy.
Maria Christina CoxHematology unit, Azienda ospedaliera universitaria Sant'Andrea, Rome, Italy.
Dario MarinoDipartimento di Oncologia Clinica e Sperimentale, Oncologia Medica 1, Istituto Oncologico Veneto IOV IRCCS, Padova, Italy.
Maria Cecilia GoldanigaHematology Department IRCCS "Ospedale Maggiore Policlinico" Milan, Italy.
Roberto MarascaDepartment of Medical Sciences, Section of Hematology, University of Modena and Reggio Emilia, Modena, Italy.
Cristina TecchioHematology and Bone Marrow Transplant Unit, Verona University, Verona, Italy.
Caterina PattiDepartment of Hematology Azienda Ospedali Riuniti Villa Sofia- Cervello, Palermo, Italy.
Gerardo MusuracaIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola, Italy.
Liliana DevizziDivision of Hematology, IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Federico MonacoHematology Unit, SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Alessandra RomanoDivision of Hematology, AOU Policlinico-OVE, Department of Surgery and Medical Specialties, University of Catania, Catania, Italy.
Angelo FamaHematology AUSL-IRCCS, Reggio Emilia, Italy.
Michelle ZancanellaDivision of Hematology, ASST Niguarda Hospital, Milan, Italy.
Rossella PaoliniRovigo's Hematology Department, Rovigo, Italy.
Luigi RigacciHematology, AOU Careggi, Firenze, Italy.
Claudia CastellinoAzienda Ospedaliera S. Croce e Carle - Hematology Department and BMT Unit, Cuneo, Italy.
Francesco GaudioUnit of Hematology with Transplantation Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy.
Lisa ArgnaniInstitute of Hematology, University of Bologna, Bologna, Italy.
Pier Luigi ZinzaniInstitute of Hematology, University of Bologna, Bologna, Italy pierluigi.zinzani@unibo.it.
University of Bologna · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITAzienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo · ITAzienda Ospedaliera San Camillo-Forlanini · ITAzienda Ospedaliera Sant'Andrea · ITAzienda Sanitaria Ospedaliera S.Croce e Carle Cuneo · ITAzienda Sanitaria Unità Locale di Reggio Emilia · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITIstituto Oncologico Veneto · ITMedica (Italy) · ITOspedale degli Infermi · ITOspedale Maggiore · ITOspedale San Bortolo · ITOspedale "Santa Maria delle Croci" di Ravenna · ITOspedale Vincenzo Cervello · ITUniversity of Bari Aldo Moro · ITUniversity of Catania · ITUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiffuse large B-cell lymphoma (DLBCL) is the most common non-Hodgkin lymphoma subtype, and approximately 50% of the patients are >60 years of age. Patients with relapsed/refractory (rr) disease have a poor prognosis with currently available treatments. Lenalidomide is available in Italy for patients with rrDLBCL based on a local disposition of the Italian Drug Agency. SUBJECTS, MATERIALS, AND

methodsAn observational retrospective study was conducted in 24 Italian hematology centers with the aim to improve information on effectiveness and safety of lenalidomide use for rrDLBCL in real practice.

resultsOne hundred fifty-three patients received lenalidomide for 21/28 days with a median of four cycles. At the end of therapy, there were 36 complete responses (23.5%) and 9 partial responses with an overall response rate (ORR) of 29.4%. In the elderly (>65 years) subset, the ORR was 33.6%. With a median follow-up of 36 months, median overall survival was reached at 12 months and median disease-free survival was not reached at 62 months. At the latest available follow-up, 29 patients are still in response out of therapy. Median progression-free survivals differ significantly according to age (2.5 months vs. 9.5 in the younger vs. elderly group, respectively) and to disease status at the latest previous therapy (15 months for relapsed patients vs. 3.5 for refractory subjects). Toxicities were manageable, even if 30 of them led to an early drug discontinuation.

conclusionLenalidomide therapy for patients with rrDLBCL is effective and tolerable even in a real-life context, especially for elderly patients. IMPLICATIONS FOR PRACTICE: Diffuse large B-cell lymphoma (DLBCL) is the most common subtype of non-Hodgkin lymphoma, and approximately 50% of the patients are >60 years of age. Patients with relapsed/refractory (rr) disease have a poor prognosis, reflected by the remarkably short life expectancy of 12 months with currently available treatments. The rrDLBCL therapeutic algorithm is not so well established because data in the everyday clinical practice are still poor. Lenalidomide for patients with rrDLBCL is effective and tolerable even in a real-life context, especially for elderly patients.

Indexed as

AdultAgedAged, 80 and overDisease-Free SurvivalFemaleHumansItalyLenalidomideLymphoma, Large B-Cell, DiffuseMaleMiddle AgedNeoplasm Recurrence, LocalPrognosisRemission InductionRituximabTreatment OutcomeLenalidomideRituximabDiffuse large B‐cell lymphomaLenalidomideReal lifeRefractoryRelapsed

Identifiers

PMID30940746
PMCPMC6738312
OpenAlexW2931257958

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.