Evidence map›Paper›PMID 32187361›Full record

ArticleBlood2020

Targeted sequencing in DLBCL, molecular subtypes, and outcomes: a Haematological Malignancy Research Network report.

Stuart E Lacy, Sharon L Barrans, Philip A Beer, Daniel Painter, Alexandra G Smith, Eve Roman, Susanna L Cooke, Camilo Ruiz, Paul Glover, Suzan J L Van Hoppe and 7 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Blood, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05816746 (Low-Dose Decitabine Plus Anti-PD-1 Treatment for Relapsed/Refractory Diffuse Large B Cell Lymphoma With Extranodal), which is not on this map. Cited by 316 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
316citing papers in PubMed, 2 pooled it
39.1field-weighted citation impact, top 1% 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.

NCT05816746 phase2unknown statusnot on this mapstarted 2023, after this paper: background citation

Low-Dose Decitabine Plus Anti-PD-1 Treatment for Relapsed/Refractory Diffuse Large B Cell Lymphoma With Extranodal (Esp. Central Nervous System) Involvement: A PhaseⅡClinical Trial

TypeinterventionalSponsorChinese PLA General HospitalRan2023 to 2026Enrolled20ConditionsDiffuse Large B Cell Lymphoma, Relapse/Recurrence, Extranodal Extension, Central Nervous System LymphomaArmsLow-Dose Decitabine plus anti-PD-1
3 · Its place in the literature

Who cites it

316 citing papers in PubMed, 2 syntheses or guidelines pooled it, 484 citations in OpenAlex.

  1. A genetic profiling guideline to support diagnosis and clinical management of lymphomas.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
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256 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 7 institutions in 1 country.

Stuart E LacyEpidemiology and Cancer Statistics Group, Department of Health Sciences, University of York, York, United Kingdom.
Sharon L BarransHaematological Malignancy Diagnostic Service, St. James's Institute of Oncology, Leeds, United Kingdom.
Philip A BeerWellcome Trust Sanger Institute, Hinxton, Cambridge, United Kingdom.
Daniel PainterEpidemiology and Cancer Statistics Group, Department of Health Sciences, University of York, York, United Kingdom.
Alexandra G SmithEpidemiology and Cancer Statistics Group, Department of Health Sciences, University of York, York, United Kingdom.
Eve RomanEpidemiology and Cancer Statistics Group, Department of Health Sciences, University of York, York, United Kingdom.
Susanna L CookeInstitute of Cancer Sciences, University of Glasgow, Glasgow, United Kingdom.
Camilo RuizWellcome Trust Sanger Institute, Hinxton, Cambridge, United Kingdom.
Paul GloverHaematological Malignancy Diagnostic Service, St. James's Institute of Oncology, Leeds, United Kingdom.
Suzan J L Van HoppeHaematological Malignancy Diagnostic Service, St. James's Institute of Oncology, Leeds, United Kingdom.
Nichola WebsterHaematological Malignancy Diagnostic Service, St. James's Institute of Oncology, Leeds, United Kingdom.
Peter J CampbellWellcome Trust Sanger Institute, Hinxton, Cambridge, United Kingdom.
Reuben M ToozeSection of Experimental Haematology, Leeds Institute of Molecular Medicine, University of Leeds, Leeds, United Kingdom.
Russell PatmoreQueen's Centre for Oncology and Haematology, Castle Hill Hospital, Cottingham, United Kingdom; and.
Cathy BurtonHaematological Malignancy Diagnostic Service, St. James's Institute of Oncology, Leeds, United Kingdom.
Simon CrouchEpidemiology and Cancer Statistics Group, Department of Health Sciences, University of York, York, United Kingdom.
Daniel J HodsonWellcome-MRC Cambridge Stem Cell Institute, University of Cambridge, Cambridge, United Kingdom.
St James's University Hospital · GBUniversity of York · GBWellcome Sanger Institute · GBCastle Hill Hospital · GBUniversity of Glasgow · GBUniversity of Leeds · GBWellcome/MRC Cambridge Stem Cell Institute · GB

Funding

Cancer Research UK 10066Cancer Research UK 29685Medical Research Council MC_PC_12009Medical Research Council MC_PC_17230Medical Research Council MR/M008584/1
6 · The paper itself

Abstract

Based on the profile of genetic alterations occurring in tumor samples from selected diffuse large B-cell lymphoma (DLBCL) patients, 2 recent whole-exome sequencing studies proposed partially overlapping classification systems. Using clustering techniques applied to targeted sequencing data derived from a large unselected population-based patient cohort with full clinical follow-up (n = 928), we investigated whether molecular subtypes can be robustly identified using methods potentially applicable in routine clinical practice. DNA extracted from DLBCL tumors diagnosed in patients residing in a catchment population of ∼4 million (14 centers) were sequenced with a targeted 293-gene hematological-malignancy panel. Bernoulli mixture-model clustering was applied and the resulting subtypes analyzed in relation to their clinical characteristics and outcomes. Five molecular subtypes were resolved, termed MYD88, BCL2, SOCS1/SGK1, TET2/SGK1, and NOTCH2, along with an unclassified group. The subtypes characterized by genetic alterations of BCL2, NOTCH2, and MYD88 recapitulated recent studies showing good, intermediate, and poor prognosis, respectively. The SOCS1/SGK1 subtype showed biological overlap with primary mediastinal B-cell lymphoma and conferred excellent prognosis. Although not identified as a distinct cluster, NOTCH1 mutation was associated with poor prognosis. The impact of TP53 mutation varied with genomic subtypes, conferring no effect in the NOTCH2 subtype and poor prognosis in the MYD88 subtype. Our findings confirm the existence of molecular subtypes of DLBCL, providing evidence that genomic tests have prognostic significance in non-selected DLBCL patients. The identification of both good and poor risk subtypes in patients treated with R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone) clearly show the clinical value of the approach, confirming the need for a consensus classification.

Indexed as

Exome SequencingAdolescentAdultAgedAged, 80 and overBiomedical ResearchChildChild, PreschoolCohort StudiesCommunity NetworksDNA Mutational AnalysisFemaleGene Expression ProfilingGene Expression Regulation, NeoplasticHematologic NeoplasmsHumans

Identifiers

PMID32187361
PMCPMC7259825
OpenAlexW3012464003

What OpenQuestion holds

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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.