Evidence map›Paper›PMID 31872361›Full record

Trial reportAnnals of hematology2020

Clinical characteristics of interim-PET negative patients with a positive end PET from the prospective HD08-01 FIL study.

Luigi Rigacci, Benedetta Puccini, Alessandro Broccoli, Manjola Dona, Manuel Gotti, Andrea Evangelista, Armando Santoro, Maurizio Bonfichi, Alessandro Re, Michele Spina and 10 more

Abstract readClinical TrialComparative StudyMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Annals of hematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. 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

20 authors.

Luigi RigacciDepartment of Hematology, AOU Careggi, Florence, Italy. luigi.rigacci@unifi.it.ORCID http://orcid.org/0000-0002-9320-9334
Benedetta PucciniDepartment of Hematology, AOU Careggi, Florence, Italy.
Alessandro BroccoliInstitute of Hematology "L. e A. Seràgnoli", University of Bologna, Bologna, Italy.
Manjola DonaDepartment of Nuclear Medicine, Ospedale Santo Stefano, Prato, Italy.
Manuel GottiPoliclinico San Matteo Pavia Fondazione, IRCCS, Pavia, Italy.
Andrea EvangelistaUnit of Cancer Epidemiology, AO Città della Salute e della Scienza di Torino and FIL Secretary, Turin, Italy.
Armando SantoroHumanitas Cancer Center, IRCCS, Rozzano, Italy.
Maurizio BonfichiPoliclinico San Matteo Pavia Fondazione, IRCCS, Pavia, Italy.
Alessandro ReDepartment of Hematology, Spedali Civili, Brescia, Italy.
Michele SpinaOncology Centre of Reference, Aviano, Italy.
Barbara BottoHematology, Azienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino, Turin, Italy.
Alessandro PulsoniInstitute of Haematology, Catholic University, Rome, Italy.
Chiara PaganiDepartment of Hematology, Spedali Civili, Brescia, Italy.
Caterina StelitanoHematology Ospedale Bianchi Melacrino Morelli, Reggio Calabria, Italy.
Flavia SalviDivision of Hematology, A.O. SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Luca NassiDivision of Hematology, Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy.
Lara MannelliDepartment of Hematology, AOU Careggi, Florence, Italy.
Sofia KovalchukDepartment of Hematology, AOU Careggi, Florence, Italy.
Daniela GioiaUnit of Cancer Epidemiology, AO Città della Salute e della Scienza di Torino and FIL Secretary, Turin, Italy.
Pier Luigi ZinzaniInstitute of Hematology "L. e A. Seràgnoli", University of Bologna, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

FDG-positron emission tomography (PET) performed early during therapy in advanced Hodgkin lymphoma patients has been confirmed as being important for progression-free survival. A group of patients with a negative interim-PET (i-PET) showed a positive end induction PET (e-PET). The aim of this study was to evaluate the clinical characteristics of patients with a positive e-PET as a secondary end point of the HD0801 study. A total of 519 patients with advanced-stage de novo Hodgkin lymphoma received initial treatment and underwent an i-PET. Patients with negative results continued the standard treatment. i-PET negative patients were then evaluated for response with an e-PET and those patients found to have a positive one were also then given a salvage therapy. Among 409 i-PET negative, 16 interrupted the therapy, 393 patients were evaluated with an e-PET, and 39 were positive. Sixteen out of 39 underwent a diagnostic biopsy and 15 were confirmed as HD. Seventeen out of 39 e-PET were reviewed according to the Deauville Score and, in sixteen, it was confirmed positive (10 DS 5, 6 DS 4). With the exception of high LDH value at diagnosis (p = 0.01; HR 95% CI 1.18-4.89), no clinical characteristics were significantly different in comparison with e-PET negative patients. Positive e-PET after a negative i-PET has a worse outcome when compared with i-PET positive patients salvaged with therapy intensification. It was not possible to identify clinical characteristics associated with a positive e-PET.

Indexed as

Hodgkin DiseasePositron-Emission TomographyStem Cell TransplantationAdultAntineoplastic Combined Chemotherapy ProtocolsAutograftsBleomycinDacarbazineDisease-Free SurvivalDoxorubicinFemaleFluorodeoxyglucose F18HumansMaleProspective StudiesSurvival RateBleomycinDacarbazineDoxorubicinFluorodeoxyglucose F18VinblastineAdvanced Hodgkin lymphomaInterim-PETPrognosis

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Registered trials

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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.