Evidence map›Paper›PMID 34041708›Full record

ReviewAdvances in therapy2021

Phase III Clinical Trials in First-Line Follicular Lymphoma: A Review of Their Design and Interpretation.

Emmanuel Bachy, Kaspar Rufibach, Joana Parreira, Aino Launonen, Tina Nielsen, Allan Hackshaw

Open access · hybridAbstract readReview
In one paragraph

Review in Advances in therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 44% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. 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

6 authors at 3 institutions in 3 countries.

Emmanuel BachyHospices Civils de Lyon, Université Claude Bernard Lyon 1, Pierre-Bénite, France. emmanuel.bachy@chu-lyon.fr.ORCID http://orcid.org/0000-0003-2694-7510
Kaspar RufibachF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Joana ParreiraF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Aino LaunonenF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Tina NielsenF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Allan HackshawUniversity College London, London, UK.
Roche (Switzerland) · CHUniversité Claude Bernard Lyon 1 · FRUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Follicular lymphoma (FL) is one of the most common subtypes of non-Hodgkin lymphoma worldwide. Improved survival outcomes with rituximab-based therapy in clinical trials led to the establishment of rituximab-based immunochemotherapy as standard of care for first-line (1L) treatment of FL. In the GALLIUM trial, obinutuzumab-based immunochemotherapy demonstrated improved progression-free survival (PFS), prolonged time-to-next antilymphoma treatment (TTNT) and comparable overall survival (OS) compared with rituximab-based immunochemotherapy as 1L treatment for FL. Using GALLIUM as an example, this article aims to explain how improved outcomes in 1L treatment of FL have changed the landscape for the design and interpretation of future trials. As approved therapies for 1L FL already achieve good responses, it is becoming more difficult to design trials that demonstrate further treatment benefits with the currently accepted primary endpoints. New endpoints are needed to reflect the long remission times, low relapse rates, and impact of subsequent therapies in FL. PFS is used as a primary efficacy endpoint in registrational clinical trials for indolent malignancies like FL, where improvement in OS is not always observed due to the large number of patients and long study duration required to demonstrate a clear survival benefit. However, there are limitations to using PFS as the primary endpoint. Other potential endpoints, including TTNT, progression of disease within 2 years, response rate, and minimal residual disease status are explored.

Indexed as

Lymphoma, FollicularLymphoma, Non-HodgkinAntineoplastic Combined Chemotherapy ProtocolsClinical Trials, Phase III as TopicHumansNeoplasm Recurrence, LocalRituximabRituximabFollicular lymphomaObinutuzumabRituximab

Identifiers

PMID34041708
PMCPMC8280048
OpenAlexW3165591970

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.