Evidence map›Paper›PMID 34222013›Full record

ArticleFrontiers in oncology2021

Combination of Decitabine and a Modified Regimen of Cisplatin, Cytarabine and Dexamethasone: A Potential Salvage Regimen for Relapsed or Refractory Diffuse Large B-Cell Lymphoma After Second-Line Treatment Failure.

Junxia Hu, Xin Wang, Fei Chen, Mengjie Ding, Meng Dong, Wanqiu Yang, Meifeng Yin, Jingjing Wu, Lei Zhang, Xiaorui Fu and 12 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03579082 (A Clinical Trial of Decitabine in Relapse and Refractory Diffuse Large B Cell Lymphoma), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% 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.

NCT03579082 phase4unknown statusnot on this map

A Clinical Trial of Decitabine in Relapse and Refractory Diffuse Large B Cell Lymphoma

TypeinterventionalSponsorMingzhi ZhangRan2018 to 2019Enrolled60ConditionsDiffuse Large B Cell LymphomaArmsDecitabine
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
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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

22 authors at 6 institutions in 1 country.

Junxia HuDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Xin WangDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Fei ChenMedical School, Queen Mary School, Nanchang University, Nanchang, China.
Mengjie DingDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Meng DongDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Wanqiu YangDepartment of Oncology, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, China.
Meifeng YinDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Jingjing WuDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Lei ZhangDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Xiaorui FuDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Zhenchang SunDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Ling LiDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Xinhua WangDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Xin LiDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Shuangshuang GuoDepartment of Oncology, The First Affiliated Hospital of Henan University of Science and Technology, Luoyang, China.
Dianbao ZhangDepartment of Oncology, The First Affiliated Hospital of Henan University of Science and Technology, Luoyang, China.
Xiaohui LuLymphoma Hematopoietic Stem Cell Transplantation Center of the People's Hospital of Jiaozuo City, Jiaozuo, China.
Qing LengDepartment of Hematology, Anshan Central Hospital, Anshan, China.
Mingzhi ZhangDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Linan ZhuDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Xudong ZhangDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Qingjiang ChenDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
First Affiliated Hospital of Zhengzhou University · CNFirst Affiliated Hospital of Henan University of Science and Technology · CNAnshan Hospital · CNFirst Affiliated Hospital of Xinxiang Medical University · CNJiaozuo University · CNNanchang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe prognosis for patients with relapsed or refractory diffuse large B-cell lymphoma (R/R-DLBCL) after second-line treatment failure is extremely poor. This study prospectively observed the efficacy and safety of decitabine with a modified cisplatin, cytarabine, and dexamethasone (DHAP) regimen in R/R-DLBCL patients who failed second-line treatment.

methodsTwenty-one R/R-DLBCL patients were enrolled and treated with decitabine and a modified DHAP regimen. The primary endpoints were overall response rate (ORR) and safety. The secondary endpoints were progression-free survival (PFS) and overall survival (OS).

resultsORR reached 50% (complete response rate, 35%), five patients (25%) had stable disease (SD) with disease control rate (DCR) of 75%. Subgroup analysis revealed patients over fifty years old had a higher complete response rate compared to younger patients (

conclusionDecitabine with a modified DHAP regimen can improve the treatment response and prognosis of R/R-DLBCL patients with good tolerance to AEs, suggesting this regimen has potential as a possible new treatment option for R/R-DLBCL patients after second-line treatment failure. CLINICAL

trial registrationClinicalTrials.gov, identifier: NCT03579082.

Indexed as

chemotherapydecitabinediffuse large B cell lymphomamodified DHAP regimensafety

Identifiers

PMID34222013
PMCPMC8253157
OpenAlexW3175889295

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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.