Evidence map›Paper›PMID 33598942›Full record

ArticleCancer2021

Phase 1 study of bendamustine in combination with clofarabine, etoposide, and dexamethasone in pediatric patients with relapsed or refractory hematologic malignancies.

Sima Jeha, Kristine R Crews, Deqing Pei, Melissa Peyton, John C Panetta, Raul C Ribeiro, Xujie Zhao, Patrick Campbell, Monika L Metzger, Jun J Yang and 3 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase I
In one paragraph

Article in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01900509 (A Phase I Trial of Bendamustine in Combination With Clofarabine and Etoposide in Pediatric Patients With Relapsed or Refractory Hematologic Malignancies), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 36% 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.

NCT01900509 phase1completednot on this map

A Phase I Trial of Bendamustine in Combination With Clofarabine and Etoposide in Pediatric Patients With Relapsed or Refractory Hematologic Malignancies

TypeinterventionalSponsorSt. Jude Children's Research HospitalRan2013 to 2016Enrolled16ConditionsHodgkin Lymphoma, Non-Hodgkin Lymphoma, Acute LeukemiaArmsBendamustine, Clofarabine, Etoposide, Etoposide phosphate, Dexamethasone
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. The strategies and advances of mRNA translation booster.Asian journal of pharmaceutical sciences · 2025
    Review
  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

13 authors at 2 institutions in 1 country.

Sima JehaDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0003-2835-5869
Kristine R CrewsDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee.
Deqing PeiDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, Tennessee.
Melissa PeytonCancer Center Administration, St. Jude Children's Research Hospital, Memphis, Tennessee.
John C PanettaDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee.
Raul C RibeiroDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Xujie ZhaoDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee.
Patrick CampbellDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Monika L MetzgerDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Jun J YangDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee.
Cheng ChengDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, Tennessee.
Ching-Hon PuiDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0003-0303-5658
Deepa BhojwaniChildren's Hospital Los Angeles, Los Angeles, California.
St. Jude Children's Research Hospital · USUniversity of Southern California · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
American Lebanese Syrian Associated CharitiesNCI NIH HHS P30 CA021765TEVA Pharmaceuticals
6 · The paper itself

Abstract

backgroundA phase 1 study was conducted to determine the maximum tolerated dose of bendamustine when given in combination with clofarabine, etoposide, and dexamethasone daily for 5 days in children and adolescents with relapsed or refractory hematologic malignancies.

methodsPatients younger than 22 years with second or greater relapsed or refractory acute leukemia or lymphoma after 2 or more prior regimens were eligible. With the rolling 6 design, participants received escalating doses of bendamustine (30, 40, or 60 mg/m

resultsSixteen patients were enrolled. Six patients were treated at the dose level of 30 mg/m

conclusionsBendamustine is well tolerated in combination with clofarabine, etoposide, and dexamethasone. The combination administered over 5 days is effective for multiple relapsed and refractory hematologic malignancies. This trial is registered with ClinicalTrials.gov (NCT01900509). LAY SUMMARY: Improvements to the existing chemotherapy regimen are still needed for patients who relapse after targeted therapies and immunotherapies and for those who are not eligible for or have no access to such therapies. A regimen combining cyclophosphamide, clofarabine, and etoposide has been used in relapsed and refractory pediatric patients with hematologic malignancies. This study shows that substituting bendamustine for cyclophosphamide in combination with clofarabine and etoposide is safe and effective.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsHematologic NeoplasmsAdolescentBendamustine HydrochlorideChildClofarabineDexamethasoneEtoposideHumansRecurrenceBendamustine HydrochlorideClofarabineDexamethasoneEtoposideleukemialymphomapediatricrelapse

Identifiers

PMID33598942
PMCPMC8710083
OpenAlexW3131263934

What OpenQuestion holds

Textmetadata
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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.