Evidence map›Paper›PMID 32042081›Full record

Trial reportLeukemia2020

Prognostic model for newly diagnosed CLL patients in Binet stage A: results of the multicenter, prospective CLL1 trial of the German CLL study group.

Manuela A Hoechstetter, Raymonde Busch, Barbara Eichhorst, Andreas Bühler, Dirk Winkler, Jasmin Bahlo, Sandra Robrecht, Michael J Eckart, Ursula Vehling-Kaiser, Georg Jacobs and 19 more

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Leukemia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00262782 (Prognostic Factors and Risk-Adapted Therapy in Patients With Early Stage Chronic Lymphocytic Leukemia), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.5field-weighted citation impact, top 7% 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.

NCT00262782 phase3completednot on this map

Prognostic Factors and Risk-Adapted Therapy in Patients With Early Stage Chronic Lymphocytic Leukemia

TypeinterventionalSponsorGerman CLL Study GroupRan1997 to 2010Enrolled877ConditionsChronic Lymphocytic LeukemiaArmsFludarabine
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 38 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Stereotyped B-Cell Receptor Immunoglobulins in B-Cell Lymphomas.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
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  6. Review
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  14. Review
  15. Article
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  17. Observational
  18. Article
  19. 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

29 authors at 13 institutions in 2 countries.

Manuela A HoechstetterDepartment of Internal Medicine I, München Klinik Schwabing, Munich, Germany.
Raymonde BuschInstitute of Medical Statistics and Epidemiology, Technical University Munich, Munich, Germany.
Barbara EichhorstDepartment of Internal Medicine I, University Hospital Cologne, Cologne, Germany.
Andreas BühlerDepartment of Internal Medicine II, Klinikum Ingolstadt, Ingolstadt, Germany.
Dirk WinklerDepartment of Internal Medicine II, Klinikum Ingolstadt, Ingolstadt, Germany.
Jasmin BahloDepartment of Internal Medicine I, University Hospital Cologne, Cologne, Germany.
Sandra RobrechtDepartment of Internal Medicine I, University Hospital Cologne, Cologne, Germany.
Michael J EckartInternal Medicine, Hematology and Oncology Private Practice, Erlangen, Germany.
Ursula Vehling-KaiserOncological Private Practice, Landshut, Germany.
Georg JacobsInternal Medicine, Hematology and Oncology Private Practice, Saarbrücken, Germany.
Ulrich JägerDepartment of Internal Medicine I, Division of Hematology and Hemostaseology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Hans Jürgen HurtzInternal Medicine, Hematology and Oncology Private Practice, Halle, Germany.
Georg HopfingerDepartment of Internal Medicine I, Division of Bone Marrow Transplantation, Medical University of Vienna, Vienna, Austria.
Frank HartmannDepartment of Hematology and Oncology, Klinikum Lippe-Lemgo, Lemgo, Germany.
Harald FussDepartment of Hematology, Oncology and Palliative Medicine, Klinikum Bad Saarow, Bad Saarow, Germany.
Wolfgang AbenhardtHematology and Oncology Private Practice, Munich, Germany.
Ilona BlauHematology and Oncology Private Practice, Berlin, Germany.
Werner FreierHematology and Oncology Private Practice, Hildesheim, Germany.
Lothar MüllerHematology and Oncology Private Practice, Leer, Germany.
Maria GoebelerDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Clemens WendtnerDepartment of Internal Medicine I, München Klinik Schwabing, Munich, Germany.
Kirsten FischerDepartment of Internal Medicine I, University Hospital Cologne, Cologne, Germany.
Carmen D HerlingDepartment of Internal Medicine I, University Hospital Cologne, Cologne, Germany.
Michael StarckDepartment of Internal Medicine I, München Klinik Schwabing, Munich, Germany.
Martin BentzDepartment of Internal Medicine III, Klinikum Karlsruhe, Karlsruhe, Germany.
Bertold EmmerichInterdisciplinary Oncology Center (IOZ) Private Practice, Munich, Germany.
Hartmut Döhner *Department of Internal Medicine III, University Hospital Ulm, Ulm, Germany.
Stephan Stilgenbauer *Department of Internal Medicine III, University Hospital Ulm, Ulm, Germany.
Michael Hallek *Department of Internal Medicine I, University Hospital Cologne, Cologne, Germany. michael.hallek@uni-koeln.de.
University Hospital Cologne · DEKlinikum Ingolstadt · DEMedical University of Vienna · ATMünchen Klinik Schwabing · DEUniversity Hospital Ulm · DEHelios Hospital Bad Saarow · DEKlinikum Lippe · DEKlinikum Saarbrücken · DEMünchen Klinik · DEStädtisches Klinikum Karlsruhe · DEUniversitätsklinikum Erlangen · DEUniversitätsklinikum Würzburg · DEUniversity of Applied Sciences Landshut · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The heterogeneity of early stage CLL challenges prognostication, and refinement of prognostic indices for risk-adapted management in this population is essential. The aim of the multicenter, prospective CLL1 trial was to explore a novel prognostic model (CLL1-PM) developed to identify risk groups, separating patients with favorable from others with dismal prognosis. A cohort of 539 clinically, biochemically, and genetically characterized Binet stage A patients were observed until progression, first-line treatment, or death. Multivariate analysis identified six independent factors associated with overall survival (OS) and time-to-first treatment (TTFT): del(17p), unmutated IGHV, del(11q), ß2-microglobulin >3.5 mg/dL, lymphocyte doubling time (LDT) <12 months, and age >60 years. These factors were integrated into the CLL1-PM, which stratified patients into four risk groups. The CLL1-PM was prognostic for OS and TTFT, e.g., the risk of treatment at 5 years was 85.9, 51.8, 27.6, and 11.3% for very low (0-1.5), low (2-4), high (4.5-6.5), and very high-risk (7-14) scores, respectively (P < 0.001). Notably, in addition to factors comprising CLL-IPI, we substantiated del(11q) and LDT as prognostic factors in early CLL. Altogether, our findings would be useful to effectively stratify Binet stage A patients, particularly within the scope of clinical trials evaluating novel agents.

Indexed as

MutationAdultAgedAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorDisease ProgressionFemaleFollow-Up StudiesHumansLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedPrognosisProspective StudiesRisk FactorsSurvival RateBiomarkers, Tumor

Identifiers

PMID32042081
OpenAlexW3005249382

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.