Evidence map›Paper›PMID 33909455›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2021

Short Diagnosis-to-Treatment Interval Is Associated With Higher Circulating Tumor DNA Levels in Diffuse Large B-Cell Lymphoma.

Stefan Alig, Charles W Macaulay, David M Kurtz, Ulrich Dührsen, Andreas Hüttmann, Christine Schmitz, Michael C Jin, Brian J Sworder, Andrea Garofalo, Mohammad Shahrokh Esfahani and 13 more

Abstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing 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

51 citing papers in PubMed.

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  19. Update on Liquid Biopsy.Radiology · 2025
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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

23 authors.

Stefan AligDepartment of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA.ORCID 0000-0001-6825-702X
Charles W MacaulayDepartment of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA.
David M KurtzDepartment of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA.ORCID 0000-0002-6382-4651
Ulrich DührsenDepartment of Hematology, University Hospital of Essen, Essen, Germany.ORCID 0000-0002-4034-9472
Andreas HüttmannDepartment of Hematology, University Hospital of Essen, Essen, Germany.ORCID 0000-0003-2230-3873
Christine SchmitzDepartment of Hematology, University Hospital of Essen, Essen, Germany.
Michael C JinDepartment of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA.ORCID 0000-0001-7709-1551
Brian J SworderDepartment of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA.
Andrea GarofaloDepartment of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA.
Mohammad Shahrokh EsfahaniDepartment of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA.
Barzin Y NabetDepartment of Radiation Oncology, Stanford University Medical Center, Stanford, CA.ORCID 0000-0002-4824-3533
Joanne SooDepartment of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA.
Florian SchererDepartment of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA.
Alexander F M CraigDepartment of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA.ORCID 0000-0003-1720-8687
Olivier CasasnovasHematology Department, University Hospital F. Mitterrand and Inserm UMR 1231, Dijon, France.ORCID 0000-0002-1156-8983
Jason R WestinDepartment of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-1824-2337
Gianluca GaidanoDivision of Hematology, Department of Translational Medicine, University of Piemonte Orientale Amedeo Avogadro, Novara, Italy.
Davide RossiOncology Institute of Southern Switzerland and Institute of Oncology Research, Bellinzona, Switzerland.ORCID 0000-0002-2837-1597
Mark RoschewskiNational Cancer Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0003-0278-2635
Wyndham H WilsonNational Cancer Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0002-2862-9711
Michel MeignanHôpitaux Universitaires Henri Mondor, Creteil, France.ORCID 0000-0001-5071-3330
Maximilian DiehnDepartment of Radiation Oncology, Stanford University Medical Center, Stanford, CA.
Ash A AlizadehDepartment of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA.ORCID 0000-0002-5153-5625

Funding

Therapeutic Strategies and Molecular Correlates in Aggressive B-cell LymphomasZIASC006741 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI WILSON, WYNDHAM H · 2009 to 2025
$10.4M
Molecular Biology of LymphomaZIABC011914 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI ROSCHEWSKI, MARK · 2019 to 2025
$5.5M
Targeted treatment of B-cell LymphomaZIABC011354 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI WILSON, WYNDHAM H · 2010 to 2025
$4.6M
A Genomic Framework for Molecular Risk Prediction & Individualized Lymphoma TherapyR01CA233975 · NCI · STANFORD UNIVERSITY · PI ALIZADEH, ASH ARASH, DIEHN, MAXIMILIAN · 2019 to 2023
$2.8M
Developing a genomic approach for cancer screeningDP2CA186569 · NCI · STANFORD UNIVERSITY · PI DIEHN, MAXIMILIAN · 2013 to 2013
$2.4M
Noninvasive monitoring of lung cancer patients treated with radiotherapyR01CA188298 · NCI · STANFORD UNIVERSITY · PI ALIZADEH, ASH ARASH, DIEHN, MAXIMILIAN · 2015 to 2019
$1.8M
Molecular Characterization and Personalized Approaches to Non-Hodgkin Lymphoma from Circulating Tumor DNAK08CA241076 · NCI · STANFORD UNIVERSITY · PI KURTZ, DAVID MATTHEW · 2019 to 2023
$957k
NCI NIH HHS DP2 CA186569NCI NIH HHS K08 CA241076NCI NIH HHS R01 CA188298NCI NIH HHS R01 CA233975
6 · The paper itself

Abstract

purposePatients with Diffuse Large B-cell Lymphoma (DLBCL) in need of immediate therapy are largely under-represented in clinical trials. The diagnosis-to-treatment interval (DTI) has recently been described as a metric to quantify such patient selection bias, with short DTI being associated with adverse risk factors and inferior outcomes. Here, we characterized the relationships between DTI, circulating tumor DNA (ctDNA), conventional risk factors, and clinical outcomes, with the goal of defining objective disease metrics contributing to selection bias. PATIENTS AND

methodsWe evaluated pretreatment ctDNA levels in 267 patients with DLBCL treated across multiple centers in Europe and the United States using Cancer Personalized Profiling by Deep Sequencing. Pretreatment ctDNA levels were correlated with DTI, total metabolic tumor volumes (TMTVs), the International Prognostic Index (IPI), and outcome.

resultsShort DTI was associated with advanced-stage disease (

conclusionShort DTI largely reflects baseline tumor burden, which can be objectively measured using pretreatment ctDNA levels. Pretreatment ctDNA levels therefore have utility for quantifying and guarding against selection biases in prospective DLBCL clinical trials.

Indexed as

AdolescentAdultAgedAged, 80 and overCirculating Tumor DNAFemaleHumansLymphoma, Large B-Cell, DiffuseMaleMiddle AgedPrognosisYoung AdultCirculating Tumor DNA

Identifiers

PMID33909455
PMCPMC8331064

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.