Evidence map›Paper›PMID 34221295›Full record

ArticleHematology reports2021

Immune checkpoint inhibitors in combination with radiotherapy as salvage treatment for relapsed/refractory classical Hodgkin lymphoma: A retrospective analysis in 12 patients.

Elisa Lucchini, Chiara Rusconi, Mario Levis, Francesca Ricci, Armando Santoro, Umberto Ricardi, Stefano Volpetti, Fabio Matrone, Anna di Russo, Manuela Caizzi and 2 more

Open access · goldAbstract read
In one paragraph

Article in Hematology reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. 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

12 authors at 6 institutions in 1 country.

Elisa LucchiniDepartment of Hematology, Azienda Sanitaria Universitaria Giuliano- Isontina, Trieste.
Chiara RusconiDivision of Hematology and Stem Cell Transplantation Fondazione IRCCS Istituto Nazionale dei Tumori, Milano.
Mario LevisDepartment of Oncology, University of Torino.
Francesca RicciDepartment of Oncology and Hematology, Humanitas Clinical and Research Center - IRCCS, Rozzano, Milano.
Armando SantoroDepartment of Oncology and Hematology, Humanitas Clinical and Research Center - IRCCS, Rozzano, Milano.
Umberto RicardiDepartment of Oncology, University of Torino.
Stefano VolpettiDepartment of Hematology, Azienda Sanitaria Universitaria Friuli Centrale, Udine.
Fabio MatroneDepartment of Radiation Oncology, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano, Pordenone.
Anna di RussoDivision of Radiotherapy Oncology Fondazione IRCCS Istituto Nazionale dei Tumori, Milano.
Manuela CaizziDepartment of Hematology, Azienda Sanitaria Universitaria Giuliano- Isontina, Trieste.
Anna SchiattarellaDepartment of Radiotherapy, Azienda Sanitaria Universitaria Giuliano-Isontina, Trieste.
Francesco Zaja
Azienda Sanitaria Universitaria Integrata di Trieste · ITHumanitas University · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITUniversity of Turin · ITCentro di Riferimento Oncologico · ITOspedale Santa Maria della Misericordia di Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The rate of complete remission (CR) with the anti-PD1 immune checkpoint inhibitors (ICI) nivolumab (N) and pembrolizumab (P) in patients with relapsed/refractory (R/R) classical Hodgkin lymphoma (cHL) is low (20-30%), and the majority of patients eventually relapse. One strategy to improve their outcome is to combine ICI with radiotherapy (ICI-RT), taking advantage of a supposed synergistic effect. We retrospectively collected data of 12 adult patients with R/R cHL treated with ICI-RT delivered during or within 8 weeks from the start or after the end of ICI. Median age at ICI-RT was 37 years, 50% had previously received an autologous stem cell transplantation (SCT) and 92% brentuximab vedotin. RT was given concurrently, before or after ICI in 4, 1 and 7 patients. Median RT dose was 30Gy, for a median duration of 22 days. Median number of ICI administrations was 15. Overall response and CR rate were 100% and 58%. Nine patients received subsequent SCT consolidation (7 allogeneic and 2 autologous). After a median follow-up of 18 months, 92% of patients were in CR. No major concerns about safety were reported. ICI-RT combination appears to be a feasible and highly active bridge treatment to transplant consolidation.

Indexed as

Hodgkin lymphomaICI-RTNivolumabpembrolizumabradiotherapy

Identifiers

PMID34221295
PMCPMC8215529
OpenAlexW3169462609

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.