Evidence map›Paper›PMID 32735654›Full record

ArticleBlood advances2020

Bendamustine and rituximab as induction therapy in both transplant-eligible and -ineligible patients with mantle cell lymphoma.

Diego Villa, Laurie H Sehn, Kerry J Savage, Cynthia L Toze, Kevin Song, Wendie D den Brok, Ciara L Freeman, David W Scott, Alina S Gerrie

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
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  8. RB and CHASER as induction therapy for transplant-eligible mantle cell lymphoma.Journal of clinical and experimental hematopathology : JCEH · 2025
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  9. Article
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  13. Three-Year Follow-Up of KTE-X19 in Patients With Relapsed/Refractory Mantle Cell Lymphoma, Including High-Risk Subgroups, in the ZUMA-2 Study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
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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

9 authors at 2 institutions in 1 country.

Diego VillaCentre for Lymphoid Cancer, BC Cancer Research Centre, Vancouver, BC, Canada.
Laurie H SehnCentre for Lymphoid Cancer, BC Cancer Research Centre, Vancouver, BC, Canada.
Kerry J SavageCentre for Lymphoid Cancer, BC Cancer Research Centre, Vancouver, BC, Canada.
Cynthia L TozeLeukemia/Bone Marrow Transplant Program of BC, Vancouver Coastal Health/University of British Columbia/BC Cancer Agency, Vancouver, BC, Canada.
Kevin SongLeukemia/Bone Marrow Transplant Program of BC, Vancouver Coastal Health/University of British Columbia/BC Cancer Agency, Vancouver, BC, Canada.
Wendie D den BrokDivision of Medical Oncology, Fraser Valley Centre, BC Cancer Agency, Surrey, BC, Canada.
Ciara L FreemanCentre for Lymphoid Cancer, BC Cancer Research Centre, Vancouver, BC, Canada.
David W ScottCentre for Lymphoid Cancer, BC Cancer Research Centre, Vancouver, BC, Canada.
Alina S GerrieCentre for Lymphoid Cancer, BC Cancer Research Centre, Vancouver, BC, Canada.
University of British Columbia · CABC Cancer Agency · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rituximab-containing chemotherapy regimens constitute standard first-line therapy for mantle cell lymphoma (MCL). Since June 2013, 190 patients ≥18 years of age with MCL in British Columbia have been treated with bendamustine and rituximab (BR). The overall response rate to BR was 88% (54% complete response). Of these, 61 of 89 patients (69%) aged ≤65 years received autologous stem cell transplantation and 141 of 190 patients (74%) from the entire cohort received maintenance rituximab. Twenty-three patients (12%) had progressive disease, associated with high risk per the Mantle Cell Lymphoma International Prognostic Index (MIPI), Ki-67 ≥50%, and blastoid/pleomorphic histology. Outcomes were compared with a historical cohort of 248 patients treated with rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP; January 2003 to May 2013). Treatment with BR was associated with significant improvements in progression-free survival (PFS), but not overall survival (OS), compared with R-CHOP in the whole cohort (3-year PFS, 66% BR vs 51% R-CHOP, P = .003; 3-year OS, 73% BR vs 66% R-CHOP, P = .054) and in those >65 years of age (3-year PFS, 56% BR vs 35% R-CHOP, P = .001; 3-year OS, 64% BR vs 55% R-CHOP, P = .063). Outcomes in transplanted patients were not statistically significantly different compared with R-CHOP (3-year PFS, 85% BR vs 76% R-CHOP, P = .135; 3-year OS, 90% BR vs 88% R-CHOP, P = .305), although in multivariate analyses, treatment with BR was associated with improved PFS (hazard ratio, 0.40 [95% confidence interval, 0.17-0.94]; P = .036) but not OS. BR is an effective first-line option for most patients with MCL, however, outcomes are suboptimal for those with high-risk features and further studies integrating novel agents are warranted.

Indexed as

Hematopoietic Stem Cell TransplantationLymphoma, Mantle-CellAdultAgedAntibodies, Monoclonal, Murine-DerivedAntineoplastic Combined Chemotherapy ProtocolsBendamustine HydrochlorideHumansInduction ChemotherapyRituximabTransplantation, AutologousAntibodies, Monoclonal, Murine-DerivedBendamustine HydrochlorideRituximab

Identifiers

PMID32735654
PMCPMC7422137
OpenAlexW3046714011

What OpenQuestion holds

Textmetadata
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.