Evidence map›Paper›PMID 31848991›Full record

ArticleInternational journal of hematology2020

Safe administration of rituximab for follicular lymphoma after obinutuzumab infusion-related reaction.

Takeshi Hara, Ryohei Suzuki, Akihisa Ohno, Kengo Yamakawa, Yasumasa Yamagishi, Yoshihiro Sugiyama, Takuya Sobajima, Rie Yamada, Rie Matsumoto, Yoko Ikeda and 2 more

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PubMed Publisher
In one paragraph

Article in International journal of hematology, 2020. 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
0.3field-weighted citation impact, top 38% 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 1 institution in 1 country.

Takeshi HaraDepartment of Hematology, Matsunami General Hospital, 185-1 Dendai, Kasamatsu-cho, Hashima, 501-6062, Japan.
Ryohei SuzukiDepartment of General Internal Medicine, Matsunami General Hospital, Hashima, Japan.
Akihisa OhnoDepartment of General Internal Medicine, Matsunami General Hospital, Hashima, Japan.
Kengo YamakawaDepartment of General Internal Medicine, Matsunami General Hospital, Hashima, Japan.
Yasumasa YamagishiDepartment of General Internal Medicine, Matsunami General Hospital, Hashima, Japan.
Yoshihiro SugiyamaDepartment of General Internal Medicine, Matsunami General Hospital, Hashima, Japan.
Takuya SobajimaDepartment of General Internal Medicine, Matsunami General Hospital, Hashima, Japan.
Rie YamadaDepartment of General Internal Medicine, Matsunami General Hospital, Hashima, Japan.
Rie MatsumotoDepartment of Pharmacy, Matsunami General Hospital, Hashima, Japan.
Yoko IkedaDepartment of Pathology, Matsunami General Hospital, Hashima, Japan.
Masanori MurayamaDepartment of General Internal Medicine, Matsunami General Hospital, Hashima, Japan.
Hisashi TsurumiDepartment of Hematology, Matsunami General Hospital, 185-1 Dendai, Kasamatsu-cho, Hashima, 501-6062, Japan. htsuru@gifu-u.ac.jp.ORCID http://orcid.org/0000-0002-9262-5790
Matsunami General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obinutuzumab is a novel glycoengineered, type-II anti-CD20 monoclonal antibody that was recently developed to treat follicular lymphoma (FL), the most prevalent subtype of indolent B-cell lymphoma. Several intensely hypermetabolic lesions (SUVmax: 40) were identified in the post-mediastinal and paraaortic lymph nodes by 18F-FDG-PET maximum-intensity projection images of a 58-year-old man who presented with systemic lymphadenopathy. A biopsy at the time of laparotomy definitively diagnosed grade 1 FL. The patient was given the recommended standard premedication, comprising acetaminophen (1000 mg), diphenhydramine (50 mg), and dexamethasone (20 mg), and then started on six cycles of obinutuzumab plus cyclophosphamide, doxorubicin, vincristine, and prednisolone (CHOP). However, the patient developed severe hypotension and dyspnea about 15 min after starting obinutuzumab. It was difficult to differentiate between a possible allergic reaction and infusion-related reaction. A pleural effusion was drained to reduce the tumor burden, after which a single course of CHOP was started. Rituximab (R) was added 10 days later without incident, and the patient completed six cycles of the R-CHOP therapy without adverse events. We conclude that R-CHOP was safe for administration to patients who react to infused obinutuzumab. Such patients should be carefully monitored during R infusion, given the risk of cross-reactivity.

Indexed as

Administration, OralAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideDoxorubicinHumansInfusions, IntravenousLymphoma, FollicularMaleMiddle AgedPositron-Emission TomographyPrednisoneRituximabSelf AdministrationTreatment OutcomeVincristineAntibodies, Monoclonal, HumanizedCyclophosphamideDoxorubicinobinutuzumabPrednisoneR-CHOP protocolRituximabVincristineInfusion-related reactionObinutuzumabRituximab

Identifiers

PMID31848991
OpenAlexW2995193809

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.