Evidence map›Paper›PMID 31112622›Full record

ArticleBritish journal of clinical pharmacology2019

Nonlinear pharmacokinetics of rituximab in non-Hodgkin lymphomas: A pilot study.

David Ternant, Hélène Monjanel, Yann Venel, Caroline Prunier-Aesch, Flavie Arbion, Philippe Colombat, Gilles Paintaud, Emmanuel Gyan

Open access · bronzeAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

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

  1. Pooled it
  2. Trial
  3. FDG PET/CT and Dosimetric Studies ofMolecular imaging and biology · 2022
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  8. Antibody Drug Clearance: An Underexplored Marker of Outcomes with Checkpoint Inhibitors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    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

8 authors at 2 institutions in 1 country.

David TernantEA 7501 GICC, Université de Tours, Tours, France.ORCID 0000-0003-4020-4545
Hélène MonjanelHématologie et Thérapie Cellulaire, CHRU de Tours, Tours, France.
Yann VenelMédecine Nucléaire, CHRU de Tours, France.
Caroline Prunier-AeschChambray Les Tours, Médecine Nucléaire Tourangelle, France.
Flavie ArbionService d'Anatomie et Cytologie Pathologiques, CHRU de Tours, Tours, France.
Philippe ColombatHématologie et Thérapie Cellulaire, CHRU de Tours, Tours, France.
Gilles PaintaudEA 7501 GICC, Université de Tours, Tours, France.
Emmanuel GyanHématologie et Thérapie Cellulaire, CHRU de Tours, Tours, France.
Centre Hospitalier Universitaire de Tours · FRUniversité de Tours · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsRituximab is an anti-CD20 monoclonal antibody approved in non-Hodgkin lymphoma (NHL). This study aimed to assess the relationship between antigen mass and nonlinear pharmacokinetics of rituximab in NHL patients.

methodsIn a retrospective cohort of 25 NHL patients treated with rituximab, antigen mass was assessed at baseline by measuring metabolic tumour volume (MTV) by positron emission tomography. Rituximab pharmacokinetics was described using a semimechanistic 2-compartment model including a latent target antigen. Rituximab target-mediated elimination was described as irreversible binding between rituximab and it target. Histology (follicular or diffuse large B-cell lymphomas), initial MTV and body weight were tested as covariates on pharmacokinetic parameters.

resultsThe model allowed a satisfactory description of rituximab serum concentrations. Target-mediated elimination was maximum at the beginning of treatment and became negligible towards the end of follow-up. The second-order elimination of rituximab due to target binding and complex elimination increased with baseline MTV. Central volume of distribution increased with body weight (P = .022) and baseline MTV (P = .005).

conclusionsThis study quantified for the first time the target-mediated elimination of rituximab in NHL patients and confirmed rituximab retention by antigen mass.

Indexed as

AdultAgedAntigens, CD20Antineoplastic AgentsDrug MonitoringFemaleFollow-Up StudiesHumansImage Processing, Computer-AssistedLymphoma, FollicularLymphoma, Large B-Cell, DiffuseMaleMiddle AgedModels, BiologicalPilot ProjectsPositron Emission Tomography Computed TomographyAntigens, CD20Antineoplastic AgentsRituximabmetabolic tumour volumenon-Hodgkin lymphomapharmacokineticsrituximabtarget-mediated drug disposition

Identifiers

PMID31112622
PMCPMC6710546
OpenAlexW2945366740

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.