Evidence map›Paper›PMID 31273513›Full record

Trial reportJournal of cancer research and clinical oncology2019

Low number of intrafollicular T cells may predict favourable response to rituximab-based immuno-chemotherapy in advanced follicular lymphoma: a secondary analysis of a randomized clinical trial.

Laura Budau, Christian Wilhelm, Roland Moll, Jörg Jäkel, Carsten Hirt, Gottfried Dölken, Georg Maschmeyer, Ellen Neubauer, Konstantin Strauch, Andreas Burchert and 2 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cancer research and clinical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 35% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
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

12 authors at 6 institutions in 2 countries.

Laura BudauKlinik für Hämatologie Onkologie, Immunologie, Philipps Universität Marburg, und Universitätsklinikum Gießen und Marburg, Standort Marburg, Baldingerstraße 1, 35033, Marburg, Germany.
Christian WilhelmKlinik für Hämatologie Onkologie, Immunologie, Philipps Universität Marburg, und Universitätsklinikum Gießen und Marburg, Standort Marburg, Baldingerstraße 1, 35033, Marburg, Germany.
Roland MollInstitut für Pathologie, Philipps Universität Marburg, und Universitätsklinikum Gießen und Marburg, Standort Marburg, Baldingerstraße 1, 35033, Marburg, Germany.
Jörg JäkelInstitut für Pathologie, Universitätsklinik der RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Carsten HirtKlinik und Poliklinik für Innere Medizin Hämatologie und Onkologie, Universitätsmedizin Greifswald, Sauerbruchstraße, 17475, Greifswald, Germany.
Gottfried DölkenKlinik und Poliklinik für Innere Medizin Hämatologie und Onkologie, Universitätsmedizin Greifswald, Sauerbruchstraße, 17475, Greifswald, Germany.
Georg MaschmeyerKlinik für Hämatologie, Onkologie und Palliativmedizin, Klinikum Ernst von Bergmann gemeinnützige GmbH, Charlottenstraße 72, 14467, Potsdam, Germany.
Ellen NeubauerKlinik für Gynäkologie, Philipps Universität Marburg, und Universitätsklinikum Gießen und Marburg, Standort Marburg, Baldingerstraße 1, 35033, Marburg, Germany.
Konstantin StrauchInstitut für Genetische Epidemiologie, Helmholtz Zentrum München, Ingolstädter Landstraße 1, 85764, Neuherberg, Germany.
Andreas BurchertKlinik für Hämatologie Onkologie, Immunologie, Philipps Universität Marburg, und Universitätsklinikum Gießen und Marburg, Standort Marburg, Baldingerstraße 1, 35033, Marburg, Germany.
Michael HeroldOnkologisches Zentrum, Helios-Klinikum Erfurt, Nordhäuserstr. 74, 99089, Erfurt, Germany.
Andreas NeubauerKlinik für Hämatologie Onkologie, Immunologie, Philipps Universität Marburg, und Universitätsklinikum Gießen und Marburg, Standort Marburg, Baldingerstraße 1, 35033, Marburg, Germany. neubauer@staff.uni-marburg.de.ORCID http://orcid.org/0000-0002-7606-8760
Philipps University of Marburg · DEUniversitätsmedizin Greifswald · DEHelios Klinikum Erfurt · DEKlinikum Ernst von Bergmann · DERWTH Aachen University · DEZimmer Biomet (Netherlands) · NL

Funding

Deutsche Forschungsgemeinschaft KFO210José Carreras Leukämie-Stiftung AH06-01
6 · The paper itself

Abstract

backgroundFirst-line rituximab therapy together with chemotherapy is the standard care for patients with advanced follicular B-cell lymphoma, as rituximab together with chemotherapy prolongs progression-free and overall survival (Herold et al. 2007; Marcus et al. 2005). However, as not all patient subgroups benefit from combined immuno-chemotherapy, we asked whether the microenvironment may predict benefit from rituximab-based therapy.

designTo address this question, we performed a retrospective immunohistochemical analysis on pathological specimens of 18 patients recruited into a randomized clinical trial, where patients with advanced follicular lymphoma were randomized into either chemotherapy or immuno-chemotherapy with rituximab (Herold et al. 2007).

resultsWe show here that rituximab exerts beneficial effects, especially in the subgroup of follicular lymphoma patients with low intrafollicular CD3, CD5, CD8, and ZAP70 and high CD56 and CD68 expression.

conclusionRituximab may overcome immune-dormancy in follicular lymphoma in cases with lower intrafollicular T-cell numbers and higher CD56 and CD68 cell counts. As this was a retrospective analysis on a small subgroup of patients, these data need to be corroborated in larger clinical trials.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsChlorambucilFemaleHumansImmunotherapyKiller Cells, NaturalLymphocyte CountLymphocytes, Tumor-InfiltratingLymphoma, FollicularMaleMiddle AgedMitoxantronePrednisonePrognosisRetrospective StudiesRituximabChlorambucilMitoxantronePrednisoneRituximabFollicular lymphomaMacrophagesMicroenvironmentNK cellsRituximabT cells

Identifiers

PMID31273513
PMCPMC6658576
OpenAlexW2955061922

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.