Evidence map›Paper›PMID 33917062›Full record

ArticleCancers2021

Rituximab-Containing Risk-Adapted Treatment Strategy in Nodular Lymphocyte Predominant Hodgkin Lymphoma: 7-Years Follow-Up.

Novella Pugliese, Marco Picardi, Roberta Della Pepa, Claudia Giordano, Francesco Muriano, Aldo Leone, Giuseppe Delle Cave, Alessandro D'Ambrosio, Violetta Marafioti, Maria Gabriella Rascato and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

2 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
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 1 institution in 1 country.

Novella PuglieseDepartment of Clinical Medicine and Surgery, Hematology Section, University of Naples "Federico II", Via Sergio Pansini, 5, 80131 Naples, Italy.ORCID 0000-0002-2714-5109
Marco PicardiDepartment of Clinical Medicine and Surgery, Hematology Section, University of Naples "Federico II", Via Sergio Pansini, 5, 80131 Naples, Italy.ORCID 0000-0001-8508-2524
Roberta Della PepaDepartment of Clinical Medicine and Surgery, Hematology Section, University of Naples "Federico II", Via Sergio Pansini, 5, 80131 Naples, Italy.ORCID 0000-0001-5641-231X
Claudia GiordanoDepartment of Clinical Medicine and Surgery, Hematology Section, University of Naples "Federico II", Via Sergio Pansini, 5, 80131 Naples, Italy.ORCID 0000-0003-3943-4263
Francesco MurianoDepartment of Clinical Medicine and Surgery, Hematology Section, University of Naples "Federico II", Via Sergio Pansini, 5, 80131 Naples, Italy.
Aldo LeoneDepartment of Clinical Medicine and Surgery, Hematology Section, University of Naples "Federico II", Via Sergio Pansini, 5, 80131 Naples, Italy.
Giuseppe Delle CaveDepartment of Clinical Medicine and Surgery, Hematology Section, University of Naples "Federico II", Via Sergio Pansini, 5, 80131 Naples, Italy.
Alessandro D'AmbrosioDepartment of Clinical Medicine and Surgery, Hematology Section, University of Naples "Federico II", Via Sergio Pansini, 5, 80131 Naples, Italy.ORCID 0000-0001-8582-4874
Violetta MarafiotiDepartment of Clinical Medicine and Surgery, Hematology Section, University of Naples "Federico II", Via Sergio Pansini, 5, 80131 Naples, Italy.
Maria Gabriella RascatoDepartment of Clinical Medicine and Surgery, Hematology Section, University of Naples "Federico II", Via Sergio Pansini, 5, 80131 Naples, Italy.
Daniela RussoPathology Unit, Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Sergio Pansini, 5, 80131 Naples, Italy.
Massimo MascoloPathology Unit, Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Sergio Pansini, 5, 80131 Naples, Italy.ORCID 0000-0002-2576-220X
Fabrizio PaneDepartment of Clinical Medicine and Surgery, Hematology Section, University of Naples "Federico II", Via Sergio Pansini, 5, 80131 Naples, Italy.
University of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNodular lymphocyte predominant Hodgkin lymphoma (NLPHL) is a rare variant of HL that accounts for 5% of all HL cases. The expression of CD20 on neoplastic lymphocytes provides a suitable target for novel treatments based on Rituximab. Due to its rarity, consolidated and widely accepted treatment guidelines are still lacking for this disease.

methodsBetween 1 December 2007 and 28 February 2018, sixteen consecutive newly diagnosed adult patients with NLPHL received Rituximab (induction ± maintenance)-based therapy, according to the baseline risk of German Hodgkin Study Group prognostic score system. The treatment efficacy and safety of the Rituximab-group were compared to those of a historical cohort of 12 patients with NLPHL who received Doxorubicin, Bleomycin, Vinblastine, Dacarbazine (ABVD) chemotherapy followed by radiotherapy (RT), if needed, according to a similar baseline risk. The primary outcome was progression-free survival (PFS) and secondary outcomes were overall survival (OS) and side-effects (according to the Common Terminology Criteria for Adverse Events, v4.03).

resultsAfter a 7-year follow-up (range, 1-11 years), PFS was 100% for patients treated with the Rituximab-containing regimen versus 66% for patients of the historical cohort (

conclusionOur results confirm the value of Rituximab in NLPHL therapy and show that Rituximab (single-agent) induction and maintenance in a limited-stage, or Rituximab with ABVD only in the presence of risk factors, give excellent results while sparing cytotoxic agent- and/or RT-related damage. Furthermore, Rituximab inclusion in advanced-stage therapeutic strategy seems to improve PFS compared to conventional chemo-radiotherapy.

Indexed as

nodular lymphocyte predominant hodgkin lymphomaprogression-free survivalrituximab

Identifiers

PMID33917062
PMCPMC8067750
OpenAlexW3142013785

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.