Evidence map›Paper›PMID 33512419›Full record

Trial reportBlood2021

A randomized phase 3 trial of autologous vs allogeneic transplantation as part of first-line therapy in poor-risk peripheral T-NHL.

Norbert Schmitz, Lorenz Truemper, Krimo Bouabdallah, Marita Ziepert, Mathieu Leclerc, Guillaume Cartron, Arnaud Jaccard, Peter Reimer, Eva Wagner, Martin Wilhelm and 31 more

5 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase IIIComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Blood, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 62 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 2% 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.

NCT00984412 phase1 / phase2unknown statusnot on this map

Allo-allo Tandem Matched Stem Cell Transplantation (AATT) for the Treatment of Patients With Refractory Acute Leukemia; a Feasibility Phase I/II Study

TypeinterventionalSponsorHadassah Medical OrganizationRan2009 to 2020Enrolled15ConditionsRefractory Acute LeukemiaArmsAllogeneic hematopoietic stem-cell-transplantation
NCT06468267 phase2unknown statusnot on this mapstarted 2024, after this paper: background citation

Reduced Intensity Conditioning With Thiotepa Combined With Busulfan, Fludarabine and Cytarabine in Allogeneic Hematopoietic Stem Cell Transplantation in the Treatment of Relapsed or Refractory Peripheral T-cell Lymphoma.

TypeinterventionalSponsorXianmin Song, MDRan2024 to 2026Enrolled50ConditionsPeripheral T Cell LymphomaArmsThiotepa
NCT07253129 recruitingnot on this mapstarted 2025, after this paper: background citation

Allogeneic Hematopoietic Stem Cell Transplantation Versus Autologous Hematopoietic Stem Cell Transplantation for Peripheral T-cell Lymphoma Patients With Partial Remission After First-line Systemic Therapy : A Prospective, Multicenter, Cohort Study(T-START-PR)

TypeobservationalSponsorShanghai General Hospital, Shanghai Jiao Tong University School of MedicineRan2025 to 2029Enrolled88ConditionsPeripheral T Cell LymphomaArmsAutologous Hematopoietic Stem Cell Transplantation, Allogenic stem cell transplant (ASCT)
NCT07353840 recruitingnot on this mapstarted 2026, after this paper: background citation

T Cell Lymphoma -Stratified Therapy After Response to First-line Treatment-CR

TypeobservationalSponsorShanghai General Hospital, Shanghai Jiao Tong University School of MedicineRan2026 to 2029Enrolled160ConditionsPeripheral T Cell LymphomaArmsAutologous Hematopoietic Stem Cell Transplantation, Observation
NCT07470996 recruitingnot on this mapstarted 2025, after this paper: background citation

T Cell Lymphoma -Stratified Therapy After Response to First-line Treatment-NR

TypeobservationalSponsorShanghai General Hospital, Shanghai Jiao Tong University School of MedicineRan2025 to 2029Enrolled58ConditionsPeripheral T Cell LymphomaArmsAllogenic stem cell transplant (ASCT), Salvage Therapy
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

41 authors at 20 institutions in 3 countries.

Norbert SchmitzDivision of Hematology and Oncology, Department of Medicine A, Muenster University Hospital, Muenster, Germany.
Lorenz TruemperDepartment of Hematology and Oncology, Georg August University Goettingen, Goettingen, Germany.ORCID 0000-0002-9798-4573
Krimo BouabdallahService d'Hématologie Clinique et de Thérapie Cellulaire, Centre Hospitalier Universitaire (CHU), Bordeaux, Bordeaux, France.
Marita ZiepertInstitute for Medical Informatics, Statistics, and Epidemiology, University of Leipzig, Leipzig, Germany.
Mathieu LeclercService d'Hématologie Clinique, Hôpital Henri Mondor, Hôpitaux de Paris, Créteil, France.
Guillaume CartronDépartement Hématologie Clinique, Hôpital St Eloi, Montpellier, France.ORCID 0000-0003-0659-9635
Arnaud JaccardService d'Hématologie Clinique, CHU Dupuytren, Limoges, France.
Peter ReimerKlinik für Hämatologie, Internistische Onkologie und Stammzelltransplantation Evang, Krankenhaus Essen-Werden, Essen, Germany.
Eva WagnerDepartment of Medicine III, University of Mainz, Mainz, Germany.
Martin WilhelmMedizinische Klinik 5, Klinikum Nuernberg, Paracelsus Medical University, Klinikum Nuernberg, Nuernberg, Germany.
Laurence SanhesService d'Hématologie Clinique, CH Saint-Jean, Perpignan, France.
Thierry LamyDepartment of Hematology, Rennes University Hospital, INSERM Research Unit 1236, Rennes, France.
Laurence de LevalInstitute of Pathology, Lausanne University Hospital, Lausanne, Switzerland.
Andreas RosenwaldInstitute of Pathology, University of Wuerzburg, Wuerzburg, Germany.
Muriel RousselService d'Hématologie, IUCT-Oncopole, Toulouse, France.ORCID 0000-0002-4045-9428
Frank KroschinskyMedizinische Klinik I, Dresden University Hospital, Dresden, Germany.
Walter LindemannKatholisches Krankenhaus Hagen, Hagen, Germany.
Peter DregerDepartment of Internal Medicine 5, Heidelberg University Hospital, Heidelberg, Germany.
Andreas ViardotDepartment of Internal Medicine III, Ulm University Hospital, Ulm, Germany.
Noël MilpiedService d'Hématologie Clinique et de Thérapie Cellulaire, Centre Hospitalier Universitaire (CHU), Bordeaux, Bordeaux, France.
Christian GisselbrechtInstitut d'Hématologie, Hospital Saint Louis Paris, Paris, France.
Gerald WulfDepartment of Hematology and Oncology, Georg August University Goettingen, Goettingen, Germany.
Emmanuel GyanService d'Hématologie et Thérapie Cellulaire, CHU de Tours, Tours, France.ORCID 0000-0002-7651-9189
Philippe GaulardDépartement de Pathologie, Groupe Hospitalier Henri Mondor, Créteil, France.
Jacques Olivier BayService d'Hématologie Clinique et de Thérapie Cellulaire, CHU Estaing, Université Clermont Auvergne, Clermont-Ferrand, France.
Bertram GlassDepartment of Haematology and Stem Cell Transplantation, Helios Klinikum Berlin-Buch, Berlin, Germany.
Viola PoeschelDepartment of Internal Medicine 1, Saarland University Medical School, Homburg/Saar, Germany.
Gandhi DamajInstitut d'Hematologie de Basse-Normandie, CHU, Caen, France.ORCID 0000-0002-4689-3882
David SibonDepartment of Haematology, Necker University Hospital, University-Sorbonne Paris Cite, Paris, France.ORCID 0000-0002-9205-625X
Alain DelmerService d'Hematologie Clinique, Centre Hospitalier Universitaire, Hôpital Robert Debre, Reims, France.ORCID 0000-0002-1430-2574
Karin BilgerHematology Department, CHU, Strasbourg, France.
Anne BanosDepartment of Hematology, Centre Hospitalier de la Cote de Basque, Bayonne, France.
Mathias HaenelKlinik für Innere Medizin III, Klinikum Chemnitz, GmbH, Chemnitz, Germany.
Martin DreylingDepartment of Medicine III, Ludwig-Maximilians-Universitaet, Muenchen, Germany.
Bernd MetznerKlinikum Oldenburg, GmbH, Oldenburg, Germany.ORCID 0000-0002-1496-1377
Ulrich KellerClinic and Polyclinic for Internal Medicine III, School of Medicine, Munich Technical University, Munich, Germany.ORCID 0000-0002-8485-1958
Friederike BraulkeDepartment of Hematology and Oncology, Georg August University Goettingen, Goettingen, Germany.
Birte FriedrichsDivision of Hematology and Oncology, Department of Medicine A, Muenster University Hospital, Muenster, Germany.
Maike NickelsenOnkologie Lerchenfeld, Hamburg, Germany; and.
Bettina AltmannInstitute for Medical Informatics, Statistics, and Epidemiology, University of Leipzig, Leipzig, Germany.
Olivier TournilhacService d'Hematologie et de Therapie Cellulaire, CHU Estaing, Universite Clermont Auvergne, EA 7453, CIC 1405, Clermont-Ferrand, France.ORCID 0000-0002-9438-621X
Leipzig University · DEUniversity Hospital Münster · DECentre Hospitalier de la Côte Basque · FRCentre Hospitalier de Perpignan · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRCentre Hospitalier Universitaire de Limoges · FRCentre Hospitalier Universitaire de Montpellier · FRCentre Hospitalier Universitaire de Toulouse · FRCentre Hospitalier Universitaire de Tours · FRCharité - Universitätsmedizin Berlin · DEHeidelberg University · DEHelios Hospital Berlin-Buch · DEHôpital Cardiologique du Haut-Lévêque · FRHôpital Necker-Enfants Malades · FRHôpital Robert-Debré · FRHôpital Saint-Louis · FRInserm · FRInstitut de Cancérologie Strasbourg · FRJohannes Gutenberg University Mainz · DEKatholisches Krankenhaus St. Johann Nepomuk · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

First-line therapy for younger patients with peripheral T-cell non-Hodgkin lymphoma (T-NHL) consists of 6 courses of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) with or without etoposide (CHOEP), consolidated by high-dose therapy and autologous stem cell transplantation (auto-SCT). We hypothesized that allogeneic stem cell transplantation (allo-SCT) could improve outcomes. 104 patients with peripheral T-cell non-Hodgkin lymphoma, except ALK+ anaplastic large cell lymphoma, 18 to 60 years, all stages, and all age adjusted International Prognostic Index scores, except 0 and stage I, were randomized to 4 cycles of CHOEP and 1 cycle of dexamethasone, cytosine-arabinoside, and platinum (DHAP) followed by high-dose therapy and auto-SCT or myeloablative conditioning and allo-SCT. The primary end point was event-free survival (EFS) at 3 years. After a median follow-up of 42 months, the 3-year EFS after allo-SCT was 43%, as compared with 38% after auto-SCT. Overall survival at 3 years was 57% vs 70% after allo- or auto-SCT, without significant differences between treatment arms. None of the 21 responding patients proceeding to allo-SCT relapsed, as opposed to 13 of 36 patients (36%) proceeding to auto-SCT. Eight of 26 patients (31%) and none of 41 patients died of transplant-related toxicity after allo- and auto-SCT, respectively. The strong graft-versus-lymphoma effect after allo-SCT was counterbalanced by transplant-related mortality. This trial is registered at www.clinicaltrials.gov as #NCT00984412.

Indexed as

Peripheral Blood Stem Cell TransplantationAdultAllograftsAntineoplastic Combined Chemotherapy ProtocolsCisplatinCombined Modality TherapyConsolidation ChemotherapyCyclophosphamideCytarabineDexamethasoneDoxorubicinEtoposideFemaleGraft vs Host DiseaseHumansKaplan-Meier EstimateCisplatinCyclophosphamideCytarabineDexamethasoneDoxorubicinEtoposideMyeloablative AgonistsPrednisoloneVincristine

Identifiers

PMID33512419
PMCPMC9635528
OpenAlexW3114319385

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.