Evidence map›Paper›PMID 33452448›Full record

Trial reportBone marrow transplantation2021

Durable benefit of rituximab maintenance post-autograft in patients with relapsed follicular lymphoma: 12-year follow-up of the EBMT lymphoma working party Lym1 trial.

R Pettengell, R Uddin, A Boumendil, R Johnson, B Metzner, A Martín, J Romejko-Jarosinska, I Bence-Bruckler, P Giri, C U Niemann and 6 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Autologous Transplantation in Follicular Lymphoma with Early Therapy Failure: A National LymphoCare Study and Center for International Blood and Marrow Transplant Research Analysis.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018
    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

16 authors.

R PettengellInstitute of Medical & Biomedical Education, St George's University of London, London, United Kingdom. r.pettengell@sgul.ac.uk.ORCID http://orcid.org/0000-0001-9948-660X
R UddinEBMT Clinical Trials Office, European Society for Blood and Marrow Transplantation, London, United Kingdom.
A BoumendilStatistics, European Society for Blood and Marrow Transplantation, Paris, France.
R JohnsonDepartment of Haematology, St James's University Hospital, Leeds, United Kingdom.
B MetznerUniversity Clinic for Internal Medicine, Oncology and Haematology, Klinikum Oldenburg, Oldenburg, Germany.
A MartínHematology Department, Hospital Universitario de Salamanca, IBSAL, CIBERONC, Salamanca, Spain.
J Romejko-JarosinskaDepartment of Lymphoproliferative Diseases, Maria Sklodowska-Curie Memorial Institute and Oncology Center, Warsaw, Poland.
I Bence-BrucklerThe University of Ottawa, The Ottawa Hospital, Ottawa, Canada.
P GiriHaematology, Royal Adelaide Hospital, Adelaide, Southern Australia, Australia.
C U NiemannDepartment of Hematology, Rigshospitalet, Copenhagen, Denmark.
S P RobinsonDepartment of Haematology, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom.
E KimbyDepartment of Hematology, Karolinska Institute, Stockholm, Sweden.
N SchmitzDepartment of Internal Medicine A, University Hospital Muenster, Muenster, Germany.
P DregerDepartment of Internal Medicine V, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-7429-8570
A H GoldstoneUniversity College London Hospital, London, United Kingdom.
S MontotoDepartment of Haemato-oncology, St Bartholomew's Hospital, Barts Health NHS Trust, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the 12-year follow-up of the prospective randomized EBMT LYM1 trial to determine whether the benefit of brief duration rituximab maintenance (RM) on progression-free survival (PFS) in patients with relapsed follicular lymphoma (FL) receiving an autologous stem cell transplant (ASCT) is sustained. One hundred and thirty-eight patients received RM with or without purging. The median follow-up after random assignment is 12 years (range 10-13) for the whole series. The 10-year PFS after ASCT is 47% (95% CI 40-54) with only 4 patients relapsing after 7.5 years. RM continues to significantly improve 10-year PFS after ASCT in comparison with NM [P = 0.002; HR 0.548 (95% CI 0.38-0.80)]. Ten-year non-relapse mortality (NRM) was not significantly different between treatment groups (7% overall). 10-year overall survival (OS) after ASCT was 75% (69-81) for the whole series, with no significant differences according to treatment sub-groups. 10-year OS for patients who progressed within 24 months (POD24T) was 60%, in comparison with 85% for patients without progression. Thus the benefit of rituximab maintenance after ASCT on relapse prevention is sustained at 12 years, suggesting that RM adds to ASCT-mediated disease eradication and may enhance the curative potential of ASCT.

Indexed as

Hematopoietic Stem Cell TransplantationLymphoma, FollicularAntineoplastic Combined Chemotherapy ProtocolsAutograftsCombined Modality TherapyFollow-Up StudiesHumansNeoplasm Recurrence, LocalProspective StudiesRetrospective StudiesRituximabTransplantation, AutologousRituximab

Identifiers

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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.