Evidence map›Paper›PMID 32767806›Full record

Trial reportCancer science2020

R-CHOP-14 versus R-CHOP-14/CHASER for upfront autologous transplantation in diffuse large B-cell lymphoma: JCOG0908 study.

Yoshitoyo Kagami, Kazuhito Yamamoto, Taro Shibata, Kensei Tobinai, Yoshitaka Imaizumi, Toshiki Uchida, Kazuyuki Shimada, Koichiro Minauchi, Noriko Fukuhara, Hirofumi Kobayashi and 23 more

Open access · goldAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Cancer science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
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

33 authors at 20 institutions in 1 country.

Yoshitoyo KagamiDepartment of Hematology, Toyota Kosei Hospital, Toyota, Japan.ORCID https://orcid.org/0000-0002-1566-3101
Kazuhito YamamotoHematology and Cell Therapy, Aichi Cancer Center, Nagoya, Japan.ORCID https://orcid.org/0000-0002-8588-8955
Taro ShibataJCOG Data Center/Operations Office, National Cancer Center, Tokyo, Japan.
Kensei TobinaiDepartment of Hematology, National Cancer Center Hospital, Tokyo, Japan.
Yoshitaka ImaizumiDepartment of Hematology, Nagasaki University Hospital, Nagasaki, Japan.ORCID https://orcid.org/0000-0002-2954-5691
Toshiki UchidaDepartment of Hematology and Oncology, Japanese Red Cross Nagoya Daini Hospital, Nagoya, Japan.
Kazuyuki ShimadaHematology and Oncology, Nagoya University Graduate School of Medicine, Nagoya, Japan.ORCID https://orcid.org/0000-0002-1075-9219
Koichiro MinauchiDepartment of Hematology, Sapporo Hokuyu Hospital, Sapporo, Japan.
Noriko FukuharaHematology and Rheumatology, Tohoku University Hospital, Sendai, Japan.
Hirofumi KobayashiDepartment of Hematology, Saitama Cancer Center, Ina-cho, Japan.
Nobuhiko YamauchiDepartment of Hematology, National Cancer Center East, Kashiwa, Japan.
Hideki TsujimuraDivision of Hematology-Oncology, Chiba Cancer Center, Chiba, Japan.
Akira HangaishiDivision of Hematology, NTT Medical Center Tokyo, Tokyo, Japan.
Ryo TominagaDivision of Hematology, Hyogo Cancer Center, Akashi, Japan.
Youko SuehiroDepartment of Hematology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
Shinichiro YoshidaDepartment of Hematology, National Hospital Organization Nagasaki Medical Center, Ohmura, Japan.
Yoshiko InoueDepartment of Hematology, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan.
Sachiko SuzukiHematology, National Hospital Organization Hokkaido Cancer Center, Sapporo, Japan.
Michihide TokuhiraDepartments of Hematology, Saitama Medical Center, Saitama Medical University, Kawagoe, Japan.ORCID https://orcid.org/0000-0003-3780-5331
Shigeru KusumotoDepartment of Hematology and Oncology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Junya KurodaDivision of Hematology and Oncology, Department of Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Yoshihiro YakushijinFirst Department of Internal Medicine, Ehime University Hospital, Toon, Japan.ORCID https://orcid.org/0000-0001-6001-746X
Yasushi TakamatsuDivision of Medical Oncology, Hematology and Infectious Diseases, Department of Internal Medicine, Fukuoka University Hospital, Fukuoka, Japan.
Yasushi KubotaDivision of Hematology, Respiratory Medicine and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Kisato NosakaDepartment of Hematology, Kumamoto University Hospital, Kumamoto, Japan.ORCID https://orcid.org/0000-0001-6682-2451
Satoko MorishimaSecond Department of Internal Medicine, University of the Ryukyus Hospital, Nishihara, Japan.ORCID https://orcid.org/0000-0002-7391-4271
Shigeo NakamuraDepartment of Pathology and Laboratory Medicine, Nagoya University Hospital, Nagoya, Japan.
Michinori OguraDepartment of Hematology and Oncology, Japanese Red Cross Nagoya Daini Hospital, Nagoya, Japan.
Dai MaruyamaDepartment of Hematology, National Cancer Center Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0003-0654-6920
Tomomitsu HottaNational Hospital Organization Nagoya Medical Center, Nagoya, Japan.
Yasuo MorishimaHematology and Cell Therapy, Aichi Cancer Center, Nagoya, Japan.
Kunihiro TsukasakiDepartment of Hematology, International Medical Center, Saitama Medical University, Hidaka, Japan.
Hirokazu NagaiDepartment of Hematology, National Hospital Organization Nagoya Medical Center, Nagoya, Japan.
Aichi Cancer Center · JPJapanese Red Cross Nagoya Daini Hospital · JPNational Hospital Organization · JPTokyo National Hospital · JPChiba Cancer Center · JPEhime Medical Center · JPFukuoka University · JPHyogo Prefectural Cancer Center · JPJapan Clinical Cancer Research Organization · JPKumamoto Medical Center · JPKumamoto University Hospital · JPKyoto Prefectural University of Medicine · JPNagasaki Medical Center · JPNagasaki University Hospital · JPNagoya City University · JPNagoya University · JPNagoya University Hospital · JPNational Cancer Center Hospital East · JPNational Hospital Organization Hokkaido Medical Center · JPNational Hospital Organization Kyushu Cancer Center · JP

Funding

Health and Labour Sciences Research Grants for Clinical Cancer Research 19-27Health and Labour Sciences Research Grants for Clinical Cancer Research 22-29Ministry of Health, Labour and Welfare Grants-in-Aid for Cancer Research 16-6Ministry of Health, Labour and Welfare Grants-in-Aid for Cancer Research 20S-1Ministry of Health, Labour and Welfare Grants-in-Aid for Cancer Research 20S-6Ministry of Health, Labour and Welfare Grants-in-Aid for Cancer Research 23-A-16Ministry of Health, Labour and Welfare Grants-in-Aid for Cancer Research 23-A-17National Cancer Center Research and Development Fund 23-A-16National Cancer Center Research and Development Fund 23-A-17National Cancer Center Research and Development Fund 26-A-4National Cancer Center Research and Development Fund 29-A-3
6 · The paper itself

Abstract

The efficiency of upfront consolidation with high-dose chemotherapy/autologous stem-cell transplantation (HDCT/ASCT) for newly diagnosed high-risk diffuse large B-cell lymphoma (DLBCL) may be influenced by induction chemotherapy. To select better induction chemotherapy regimens for HDCT/ASCT, a randomized phase II study was conducted in high-risk DLBCL patients having an age-adjusted International Prognostic Index (aaIPI) score of 2 or 3. As induction chemotherapy, 6 cycles of R-CHOP-14 (arm A) or 3 cycles of R-CHOP-14 followed by 3 cycles of CHASER (arm B) were planned, and patients who responded proceeded to HDCT with LEED and ASCT. The primary endpoint was 2-y progression-free survival (PFS), and the main secondary endpoints included overall survival, overall response rate, and adverse events (AEs). In total, 71 patients were enrolled. With a median follow-up of 40.3 mo, 2-y PFS in arms A and B were 68.6% (95% confidence interval [CI], 50.5%-81.2%) and 66.7% (95% CI: 48.8%-79.5%), respectively. Overall survival at 2 y in arms A and B was 74.3% (95% CI: 56.4%-85.7%) and 83.3% (95% CI: 66.6%-92.1%). Overall response rates were 82.9% in arm A and 69.4% in arm B. During induction chemotherapy, 45.7% and 75.0% of patients in arms A and B, respectively, had grade ≥ 3 non-hematologic toxicities. One patient in arm A and 6 in arm B discontinued induction chemotherapy due to AEs. In conclusion, R-CHOP-14 showed higher 2-y PFS and less toxicity compared with R-CHOP-14/CHASER in patients with high-risk DLBCL, suggesting the former to be a more promising induction regimen for further investigations (UMIN-CTR, UMIN000003823).

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsCombined Modality TherapyCyclophosphamideDoxorubicinFemaleHematopoietic Stem Cell TransplantationHumansInduction ChemotherapyLymphoma, Large B-Cell, DiffuseMaleMiddle AgedPrednisoneProgression-Free SurvivalRituximabCyclophosphamideDoxorubicinPrednisoneR-CHOP protocolRituximabVincristineautologous stem-cell transplantationdiffuse large B-cell lymphomahigh-dose chemotherapyinduction chemotherapyJCOG-LSG

Identifiers

PMID32767806
PMCPMC7540987
OpenAlexW3047866508

What OpenQuestion holds

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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.