Evidence map›Paper›PMID 32072150›Full record

ArticleHemaSphere2020

Long Term Follow-up Data and Health-Related Quality of Life in Frontline Therapy of Fit Patients Treated With FCR Versus BR (CLL10 Trial of the GCLLSG).

Nadine Kutsch, Jasmin Bahlo, Sandra Robrecht, Jeremy Franklin, Can Zhang, Christian Maurer, Nisha De Silva, Elisabeth Lange, Rudolf Weide, Michael G Kiehl and 19 more

Open access · goldAbstract read
In one paragraph

Article in HemaSphere, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 44 citations in OpenAlex.

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  7. Greek Consensus on Chronic Lymphocytic Leukemia (CLL) Treatment.Mediterranean journal of hematology and infectious diseases · 2025
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  19. The Evolution of Targeted Therapies in Chronic Lymphocytic Leukaemia.Current hematologic malignancy reports · 2020
    Review
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 15 institutions in 6 countries.

Nadine KutschDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf and German CLL Study Group, University of Cologne, Germany.
Jasmin BahloDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf and German CLL Study Group, University of Cologne, Germany.
Sandra RobrechtDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf and German CLL Study Group, University of Cologne, Germany.
Jeremy FranklinDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf and German CLL Study Group, University of Cologne, Germany.
Can ZhangDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf and German CLL Study Group, University of Cologne, Germany.
Christian MaurerDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf and German CLL Study Group, University of Cologne, Germany.
Nisha De SilvaDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf and German CLL Study Group, University of Cologne, Germany.
Elisabeth LangeDepartment of Hematology and Oncology, Evangelisches Krankenhaus Hamm, Hamm, Germany.
Rudolf WeidePraxis fuer Haematologie und Onkologie, Koblenz, Germany.
Michael G KiehlDepartment of Internal Medicine, Frankfurt (Oder) General Hospital, Frankfurt/Oder, Germany.
Martin SöklerDepartment II of Internal Medicine, University Hospital Tübingen, Tübingen, Germany.
Rudolf SchlagPractice for Oncology, Würzburg, Germany.
Ursula Vehling-KaiserOncology and Palliative Care, Day clinic Landshut, Landshut, Germany.
Georg KöchlingPrivate Oncology Practice, Villingen-Schwenningen, Germany.
Christoph PlögerPrivate Oncology Practice, Mannheim, Germany.
Michael GregorDivision of Hematology, Cantonal Hospital of Lucerne, Lucerne, Switzerland.
Torben PlesnerDepartment of Hematology, Vejle Hospital, Vejle, Denmark.
Marco HerlingDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf and German CLL Study Group, University of Cologne, Germany.
Kirsten FischerDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf and German CLL Study Group, University of Cologne, Germany.
Hartmut DöhnerDepartment of Internal Medicine III, University Hospital of Ulm, Ulm, Germany.
Michael KnebaDepartment of Medicine II, University of Schleswig-Holstein, Kiel, Germany.
Clemens-Martin WendtnerDepartment of Hematology, Oncology, Immunology, Infectious Diseases and Tropical Medicine, Klinikum Schwabing, Munich, Germany.
Wolfram KlapperHematopathology Section, Christian-Albrechts-University Kiel, Kiel, Germany.
Karl-Anton KreuzerDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf and German CLL Study Group, University of Cologne, Germany.
Sebastian BöttcherDepartment of Medicine II, University of Schleswig-Holstein, Kiel, Germany.
Stephan StilgenbauerDepartment of Internal Medicine III, University Hospital of Ulm, Ulm, Germany.
Anna Maria FinkDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf and German CLL Study Group, University of Cologne, Germany.
Michael HallekDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf and German CLL Study Group, University of Cologne, Germany.
Barbara EichhorstDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf and German CLL Study Group, University of Cologne, Germany.
University Hospital Cologne · DEUniversity of Cologne · DEKiel University · DEUniversity Hospital Ulm · DEEvangelisches Krankenhaus Hamm · DEMünchen Klinik Schwabing · DENephrologisches Zentrum Villingen-Schwenningen · DEPraxis für Hämatologie und Onkologie · DESwiss Group For Clinical Cancer Research · CHUniversitätsklinikum Würzburg · DEUniversity Children's Hospital Tübingen · DEUniversity Hospital Frankfurt · DEUniversity of Applied Sciences Landshut · DEUniversity of Mannheim · DEVejle Sygehus · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fludarabine, cyclophosphamide and rituximab (FCR) was compared to bendamustine and rituximab (BR) in an international, randomized, open label, phase 3 trial in 561 previously untreated, fit patients with chronic lymphocytic leukemia (CLL) without del (17p). Primary endpoint was progression free survival (PFS). The final primary endpoint analysis after 37.1 months median follow up failed to show the non-inferiority of BR as compared with FCR. With extended median follow up of 58.2 months, median PFS was 42.3 months in BR-treated patients versus 57.6 months for FCR-treated patients (Hazard Ratio [HR] 1.593; 95% CI 1.271-1.996; p < 0.0001). For patients > 65 years, median PFS was 48.5 months with BR versus 57.9 months with FCR without reaching statistical significance (HR 1.352; 95% CI 0.912-2.006; p = 0.134). Median OS was not reached for both arms with 5-year OS rates of 80.1% vs 80.9%, respectively (HR 1.108; 95% CI 0.755-1.627; p = 0.599). No statistically significant difference was found in the time to secondary malignancy between the 2 groups (at 5 years, 86.6% free from secondary malignancies in the BR group vs 83.8% in the FCR group [HR 0.801; 95% CI 0.507-1.267; p = 0.344]). In patients >65 years secondary neoplasia occurred more frequently after FCR treatment [28 of 86 (32.6%) patients] as compared with BR [18 of 107 (16.8%) patients; p = 0.011]. Health-related quality of life was similar in both treatments. Despite the improved PFS for FCR, OS did not differ. These results also suggest an increase in secondary neoplasia associated with FCR in elderly fit CLL patients.

Identifiers

PMID32072150
PMCPMC7000471
OpenAlexW3003468352

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.