Evidence map›Paper›PMID 32881376›Full record

ArticleCancer medicine2020

Effectiveness of chemotherapy after anti-PD-1 blockade failure for relapsed and refractory Hodgkin lymphoma.

Beatrice Casadei, Lisa Argnani, Alice Morigi, Ginevra Lolli, Alessandro Broccoli, Cinzia Pellegrini, Laura Nanni, Vittorio Stefoni, Paolo E Coppola, Matteo Carella and 2 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 29 citations in OpenAlex.

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  11. Phase I Study of the Liposomal Formulation of Eribulin (E7389-LF): Results from the Advanced Gastric Cancer Expansion Cohort.Clinical cancer research : an official journal of the American Association for Cancer Research · 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

12 authors at 1 institution in 1 country.

Beatrice CasadeiInstitute of Hematology "L. e A. Seràgnoli", University of Bologna, Bologna, Italy.
Lisa ArgnaniInstitute of Hematology "L. e A. Seràgnoli", University of Bologna, Bologna, Italy.
Alice MorigiInstitute of Hematology "L. e A. Seràgnoli", University of Bologna, Bologna, Italy.
Ginevra LolliInstitute of Hematology "L. e A. Seràgnoli", University of Bologna, Bologna, Italy.
Alessandro BroccoliInstitute of Hematology "L. e A. Seràgnoli", University of Bologna, Bologna, Italy.
Cinzia PellegriniInstitute of Hematology "L. e A. Seràgnoli", University of Bologna, Bologna, Italy.
Laura NanniInstitute of Hematology "L. e A. Seràgnoli", University of Bologna, Bologna, Italy.
Vittorio StefoniInstitute of Hematology "L. e A. Seràgnoli", University of Bologna, Bologna, Italy.
Paolo E CoppolaInstitute of Hematology "L. e A. Seràgnoli", University of Bologna, Bologna, Italy.
Matteo CarellaInstitute of Hematology "L. e A. Seràgnoli", University of Bologna, Bologna, Italy.
Michele CavoInstitute of Hematology "L. e A. Seràgnoli", University of Bologna, Bologna, Italy.
Pier Luigi ZinzaniInstitute of Hematology "L. e A. Seràgnoli", University of Bologna, Bologna, Italy.ORCID 0000-0002-2112-2651
University of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Programmed death-1 (PD1) blockade is an efficient and safe therapeutic option in patients with relapsed/refractory (R/R) classical Hodgkin lymphoma (cHL). However, a substantial proportion of patients' progresses or loses the response to anti-PD1 treatment. We retrospectively investigated the effectiveness of salvage chemotherapies (CHT) for unsatisfactory response to anti-PD1, in 25 R/R cHL patients. Twenty-three patients (92%) were refractory to the last treatment before anti-PD1. After a median of 14 cycles (range 3-52), 68% (17/25) of patients had unsatisfactory responses to anti-PD1 therapy, whereas 6 had a partial response (PR) and 2 patients achieved complete response (CR), with an overall response rate (ORR) of 32%. After a median time of 1.5 months, 15 patients received a single agent treatment and 10 had a multi-agents regimen, due to the failure of PD1 blockade. The ORR was 60% (8 CR and 7 PR). Seven patients (3 in PR and 4 in CR) underwent a consolidation strategy with stem cell transplantation. Median progression-free survival (PFS) with salvage treatment was reached at 19.1 months, while median PFS after anti-PD1 has been reached at 8.2 months. After a median follow-up of 32.4 months, 6 patients died while 13 are still in CR. The median overall estimated from the start of CHT was not reached. The efficacy of treatment following anti-PD1 is not yet established, especially in lymphoma patients. To note, in our series, a subset of heavily pre-treated and chemo-refractory patients increased response rates to and survival with CHT given after exposure to immune-checkpoint inhibitors.

Indexed as

Drug SubstitutionAdolescentAdultAgedAntineoplastic Combined Chemotherapy ProtocolsFemaleHodgkin DiseaseHumansImmune Checkpoint InhibitorsMaleMiddle AgedProgrammed Cell Death 1 ReceptorProgression-Free SurvivalRetrospective StudiesSalvage TherapyTime FactorsImmune Checkpoint InhibitorsPDCD1 protein, humanProgrammed Cell Death 1 Receptorcheckpoint inhibitorschemotherapyHodgkin lymphomaimmunotherapyPD-1

Identifiers

PMID32881376
PMCPMC7643640
OpenAlexW3082026120

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.