Evidence map›Paper›PMID 31336367›Full record

Trial reportActa haematologica2019

Pentostatin, Cyclophosphamide, and Rituximab Followed by Alemtuzumab for Relapsed or Refractory Chronic Lymphocytic Leukemia: A Phase 2 Trial of the ECOG-Acrin Cancer Research Group (E2903).

Sanford Kempin, Zhuoxin Sun, Neil E Kay, Elisabeth M Paietta, Joseph J Mazza, Rhett P Ketterling, Olga Frankfurt, David F Claxton, Joel N Saltzman, Gordan Srkalovic and 3 more

Open access · greenAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Acta haematologica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Maintenance therapy for chronic lymphocytic leukaemia.The Cochrane database of systematic reviews · 2024
    Review
  3. Review
  4. Dipyridamole and adenosinergic pathway in Covid-19: a juice or holy grail.The Egyptian journal of medical human genetics · 2022
    Review
  5. 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

13 authors at 12 institutions in 1 country.

Sanford KempinBeth Israel Comprehensive Cancer Center, New York, New York, USA, skmd3@aol.com.
Zhuoxin SunDana Farber Cancer Institute-ECOG-ACRIN Biostatistics Center, Boston, Massachusetts, USA.
Neil E KayMayo Clinic, Rochester, Minnesota, USA.
Elisabeth M PaiettaMontefiore Medical Center, Bronx, New York, USA.
Joseph J MazzaMarshfield Clinic, Marshfield, Wisconsin, USA.
Rhett P KetterlingMayo Clinic, Rochester, Minnesota, USA.
Olga FrankfurtNorthwestern University, Chicago, Illinois, USA.
David F ClaxtonPenn State Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.
Joel N SaltzmanUniversity Hospitals of Cleveland, Cleveland, Ohio, USA.
Gordan SrkalovicSparrow Herbert-Herman Cancer Center, Lansing, Michigan, USA.
Natalie S CallanderUniversity of Wisconsin Hospital and Clinics, Madison, Wisconsin, USA.
Gerald GrossSanford Medical Center, Fargo, North Dakota, USA.
Martin S TallmanMemorial Sloan Kettering Cancer Center, New York, New York, USA.
Mayo Clinic · USDana-Farber Cancer Institute · USMarshfield Clinic · USMemorial Sloan Kettering Cancer Center · USMontefiore Medical Center · USMount Sinai Beth Israel · USNorthwestern University · USPenn State Milton S. Hershey Medical Center · USSanford Medical Center · USSparrow Hospital · USUniversity Hospitals of Cleveland · USUW Health University Hospital · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Project-006U10CA180820 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer, MITCHELL D. SCHNALL · 2014 to 2026
$167.6M
Statistics CoreU10CA180794 · NCI · DANA-FARBER CANCER INST · PI PAUL J CATALANO · 2014 to 2026
$111.2M
ECOG-ACRIN Biospecimen Bank to Support NCTNU24CA196172 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI STANLEY R. HAMILTON, Scott D Jewell · 2015 to 2026
$41.1M
Michigan Cancer Research Consortium NCORPUG1CA189971 · NCI · SAINT JOSEPH MERCY HEALTH SYSTEM · PI Tareq Al baghdadi · 2014 to 2026
$36.6M
Wisconsin NCI Community Oncology Research Program (WiNCORP)UG1CA189956 · NCI · MARSHFIELD CLINIC RESEARCH FOUNDATION · PI ADEDAYO A ONITILO, Kurt Oettel · 2014 to 2026
$32.3M
Sanford Community Cancer Program of the North Central Plains (NCORP)UG1CA189825 · NCI · SANFORD RESEARCH/USD · PI Daniel Almquist, SAMUEL J. MILANOVICH · 2014 to 2026
$13.6M
Case Comprehensive Cancer Center NCTN Lead Academic Participating SiteUG1CA233234 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI Aaron Thomas Gerds, Daniel Eidelberg Spratt · 2019 to 2026
$11.1M
Montefiore Academic Community NCORP ProgramUG1CA189859 · NCI · MONTEFIORE MEDICAL CENTER (BRONX, NY) · PI Balazs Halmos, Della Makower · 2014 to 2026
$10.8M
Network Lead Academic Participating Site: Memorial Sloan Kettering Cancer CenterUG1CA233290 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI CAROL AGHAJANIAN, Darren Feldman · 2019 to 2026
$10.2M
NCI, National Clinical Trials Network Lead Academic Participating Site (LAPS) UG1 (funded extension)UG1CA232760 · NCI · MAYO CLINIC ROCHESTER · PI Judy Caroline Boughey, Aaron Scott Mansfield · 2019 to 2026
$8.5M
Naional Cancer Institute, Naitonal Clinical Trials Network U10 Lead Academic SiteU10CA180790 · NCI · MAYO CLINIC ROCHESTER · PI ALBERTS, STEVEN R, BOUGHEY, JUDY CAROLINE · 2014 to 2018
$6.6M
NCI NIH HHS P30 CA008748NCI NIH HHS U10 CA180790NCI NIH HHS U10 CA180791NCI NIH HHS U10 CA180794NCI NIH HHS U10 CA180799NCI NIH HHS U10 CA180820NCI NIH HHS U10 CA180853NCI NIH HHS U24 CA196172NCI NIH HHS UG1 CA189825NCI NIH HHS UG1 CA189859NCI NIH HHS UG1 CA189956NCI NIH HHS UG1 CA189971NCI NIH HHS UG1 CA232760NCI NIH HHS UG1 CA233234NCI NIH HHS UG1 CA233277NCI NIH HHS UG1 CA233290NCI NIH HHS UG1 CA233320
6 · The paper itself

Abstract

Patients with relapsed/refractory (R/R) chronic lymphocytic leukemia (CLL) may benefit from salvage chemoimmunotherapy (CIT). To explore further the use of CIT in the pre-novel agent era, ECOG-ACRIN undertook a phase 2 trial (E2903) for R/R CLL utilizing pentostatin, cyclophosphamide, and rituximab (PCR) followed by a consolidation course of alemtuzumab. This trial enrolled 102 patients with a median age of 64 years. Treatment consisted of 6 cycles of PCR followed by alemtuzumab for either 4 or 18 weeks depending on the initial response to PCR. The overall response after PCR (complete remission, CR, nodular partial remission, nPR, and partial remission, PR) was 55%. Major responses (CR or nPR) were achieved in 6%. The median overall survival (OS) and the median progression-free survival were 28 and 12 months, respectively. The most serious nonlethal adverse events were myelosuppression, febrile neutropenia, fatigue, nausea, and hyponatremia. PCR is an effective and well-tolerated nucleoside-based regimen for heavily pretreated CLL patients with R/R disease. The addition of alemtuzumab to CLL patients with a minor response (PR) or stable disease did not result in a significant number of higher responses (CR or nPR) nor an improvement in OS.

Indexed as

AgedAlemtuzumabAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideDisease-Free SurvivalFemaleHumansLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedPentostatinRituximabSurvival RateAlemtuzumabCyclophosphamidePentostatinRituximabAlemtuzumabChemoimmunotherapyChronic lymphocytic leukemiaCyclophosphamidePentostatinRefractory diseaseRelapseRituximab

Identifiers

PMID31336367
PMCPMC6834875
OpenAlexW2963729174

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.