Evidence map›Paper›PMID 32139889›Full record

Trial reportLeukemia2021

Targeting of inflammatory pathways with R2CHOP in high-risk DLBCL.

Keenan T Hartert, Kerstin Wenzl, Jordan E Krull, Michelle Manske, Vivekananda Sarangi, Yan Asmann, Melissa C Larson, Matthew J Maurer, Susan Slager, William R Macon and 11 more

Open access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Leukemia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.5field-weighted citation impact, top 4% 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

31 citing papers in PubMed, 52 citations in OpenAlex.

  1. Trial
  2. Molecular Insights and Novel Therapies for Lymphoproliferative Disorders.International journal of molecular sciences · 2026
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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

21 authors at 4 institutions in 1 country.

Keenan T HartertDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
Kerstin WenzlDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
Jordan E KrullDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
Michelle ManskeDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
Vivekananda SarangiDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Yan AsmannDepartment of Health Sciences Research, Mayo Clinic, Jacksonville, FL, USA.
Melissa C LarsonDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Matthew J MaurerDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0002-1867-0526
Susan SlagerDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
William R MaconDivision of Hematopathology, Mayo Clinic, Rochester, MN, USA.
Rebecca L KingDivision of Hematopathology, Mayo Clinic, Rochester, MN, USA.
Andrew L FeldmanDivision of Hematopathology, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0001-5009-4808
Anita K GandhiCelgene, Summit, NJ, USA.
Brian K LinkDivision of Hematology, Oncology, and Bone & Marrow Transplantation, University of Iowa, Iowa City, IA, USA.
Thomas M HabermannDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
Zhi-Zhang YangDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
Stephen M AnsellDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
James R CerhanDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0002-7482-178X
Thomas E Witzig *Division of Hematology, Mayo Clinic, Rochester, MN, USA. Witzig.Thomas@mayo.edu.ORCID http://orcid.org/0000-0002-4215-6500
Grzegorz S Nowakowski *Division of Hematology, Mayo Clinic, Rochester, MN, USA. Nowakowski.Grzegorz@mayo.edu.
Anne J Novak *Division of Hematology, Mayo Clinic, Rochester, MN, USA. Novak.Anne@mayo.edu.
Mayo Clinic in Arizona · USMayo Clinic in Florida · USMayo Clinic · USUniversity of Iowa · US

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI AKHILESH PANDEY · 1985 to 2026
$151.3M
Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Christopher K Laubenthal · 2000 to 2026
$70.0M
The Role of Monocytes in non-Hodgkin LymphomaP50CA097274 · NCI · UNIVERSITY OF IOWA · PI LENTZ, STEVEN R · 2002 to 2021
$45.7M
The Lymphoma Epidemiology of Outcomes (LEO) Cohort Study (Supplement)U01CA195568 · NCI · MAYO CLINIC ROCHESTER · PI CERHAN, JAMES R, FLOWERS, CHRISTOPHER R · 2015 to 2025
$22.1M
PHD TRAINING PROGRAM IN BASIC IMMUNOLOGYT32AI007425 · NIAID · MAYO CLINIC ROCHESTER · PI SHAPIRO, VIRGINIA SMITH · 1995 to 2020
$3.6M
Genetic Predictors of Early Clinical Failure in Diffuse Large B Cell LymphomaR01CA212162 · NCI · MAYO CLINIC ROCHESTER · PI CERHAN, JAMES R, NOVAK, ANNE JOSEPHINE · 2017 to 2021
$3.3M
NCI NIH HHS P30 CA015083NCI NIH HHS P50 CA097274NCI NIH HHS R01 CA212162NCI NIH HHS U01 CA195568NIAID NIH HHS T32 AI007425
6 · The paper itself

Abstract

Diffuse large B-cell lymphoma (DLBCL) is the most common lymphoma, and front line therapies have not improved overall outcomes since the advent of immunochemotherapy. By pairing DNA and gene expression data with clinical response data, we identified a high-risk subset of non-GCB DLBCL patients characterized by genomic alterations and expression signatures capable of sustaining an inflammatory environment. These mutational alterations (PIM1, SPEN, and MYD88 [L265P]) and expression signatures (NF-κB, IRF4, and JAK-STAT engagement) were associated with proliferative signaling, and were found to be enriched in patients treated with RCHOP that experienced unfavorable outcomes. However, patients with these high-risk mutations had more favorable outcomes when the immunomodulatory agent lenalidomide was added to RCHOP (R2CHOP). We are the first to report the genomic validation of a high-risk phenotype with a preferential response towards R2CHOP therapy in non-GCB DLBCL patients. These conclusions could be translated to a clinical setting to identify the ~38% of non-GCB patients that could be considered high-risk, and would benefit from alternative therapies to standard RCHOP based on personalized genomic data.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorCyclophosphamideDoxorubicinFemaleFollow-Up StudiesGene Expression Regulation, NeoplasticHumansLenalidomideLymphoma, Large B-Cell, DiffuseMaleMiddle AgedPrednisoneBiomarkers, TumorCyclophosphamideDoxorubicinLenalidomidePrednisoneRituximabVincristine

Identifiers

PMID32139889
PMCPMC7483252
OpenAlexW3010064674

What OpenQuestion holds

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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.