Evidence map›Paper›PMID 34323957›Full record

ArticleBlood advances2021

Single-nucleotide Fcγ receptor polymorphisms do not impact obinutuzumab/rituximab outcome in patients with lymphoma.

Jonathan C Strefford, Malgorzata Nowicka, Chantal E Hargreaves, Cathy Burton, Andrew Davies, Rosalind Ganderton, Wolfgang Hiddemann, Chisako Iriyama, Wolfram Klapper, Kate V Latham and 13 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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.

NCT01287741 phase3terminatednot on this map

A Phase III, Multicenter, Open-Label Randomized Trial Comparing the Efficacy of GA101 (RO5072759) in Combination With CHOP (G-CHOP) Versus Rituximab and CHOP (R-CHOP) in Previously Untreated Patients With CD20-Positive Diffuse Large B-Cell Lymphoma (DLBCL)

TypeinterventionalSponsorHoffmann-La RocheRan2011 to 2018Enrolled1,418ConditionsDiffuse Large B-Cell LymphomaArmsRituximab, Obinutuzumab, Cyclophosphamide, Doxorubicin, Vincristine
NCT01332968 phase3completednot on this map

A Multicenter, Phase III, Open-Label, Randomized Study in Previously Untreated Patients With Advanced Indolent Non-Hodgkin's Lymphoma Evaluating the Benefit of GA101 (RO5072759) Plus Chemotherapy Compared With Rituximab Plus Chemotherapy Followed by GA101 or Rituximab Maintenance Therapy in Responders

TypeinterventionalSponsorHoffmann-La RocheRan2011 to 2021Enrolled1,401ConditionsNon-Hodgkin's LymphomaArmsObinutuzumab, Cyclophosphamide, Doxorubicin, Vincristine, Prednisone
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Serum immunoglobulin and the threshold of Fc receptor-mediated immune activation.Biochimica et biophysica acta. General subjects · 2023
    Review
  7. Article
  8. Article
  9. 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

23 authors at 13 institutions in 7 countries.

Jonathan C StreffordSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.ORCID 0000-0002-0972-2881
Malgorzata NowickaF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Chantal E HargreavesSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
Cathy BurtonHaematological Malignancy Diagnostic Service, Leeds Cancer Centre, Leeds, United Kingdom.
Andrew DaviesSouthampton Cancer Research United Kingdom (CRUK)/National Institute of Health Research (NIHR) Experimental Cancer Medicines Centre, University of Southampton, Southampton, United Kingdom.
Rosalind GandertonSouthampton University Hospitals National Health Service (NHS) Foundation Trust, Southampton, United Kingdom.
Wolfgang HiddemannDepartment of Medicine III, Ludwig-Maximilians University Hospital Munich, Munich, Germany.
Chisako IriyamaDepartment of Pathology and Tumor Biology, Nagoya Graduate School of Medicine, Nagoya University, Nagoya, Japan.
Wolfram KlapperDepartment of Hematopathology, University of Kiel, Kiel, Germany.ORCID 0000-0001-7208-4117
Kate V LathamSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
Maurizio MartelliDepartment of Translational and Precision Medicine, Section of Hematology, Sapienza University, Rome, Italy.
Farheen MirRoyal Marsden Hospital, London, United Kingdom.
Helen ParkerSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
Kathleen N PotterSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
Matthew J J Rose-ZerilliSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.ORCID 0000-0002-1064-5350
Laurie H SehnBC Cancer Centre for Lymphoid Cancer.
Marek Trněný1st Department of Medicine, 1st Faculty of Medicine, Charles University General Hospital, Prague, Czech Republic.ORCID 0000-0002-6952-6073
Umberto VitoloMultidisciplinary Oncology Outpatient Clinic, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Italy.ORCID 0000-0001-7772-2747
Christopher R BolenGenentech, Inc., South San Francisco, CA.
Christian KleinRoche Innovation Center Zurich, Roche Glycart AG, Schlieren, Switzerland; and.
Andrea KnappF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Mikkel Z OestergaardF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Mark S CraggSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.ORCID 0000-0003-2077-089X
University of Southampton · GBRoche (Switzerland) · CHCandiolo Cancer Institute · ITCharles University · CZChristian-Albrechts-Universität zu Kiel · DEJohn Radcliffe Hospital · GBLudwig-Maximilians-Universität München · DENagoya University · JPNational Health Service · GBNIHR CRUK Experimental Cancer Medicine Centre · GBRoyal Marsden Hospital · GBSapienza University of Rome · ITUniversity of British Columbia · CA

Funding

Cancer Research UK 24721Cancer Research UK A15581Cancer Research UK A18087Cancer Research UK A24721Cancer Research UK A25139
6 · The paper itself

Abstract

Single-nucleotide polymorphisms (SNPs) have been shown to influence Fcγ receptor (FcγR) affinity and activity, but their effect on treatment response is unclear. We assessed their importance in the efficacy of obinutuzumab or rituximab combined with chemotherapy in untreated advanced follicular lymphoma (FL) and diffuse large B-cell lymphoma (DLBCL) in the GALLIUM (www.clinicaltrials.gov #NCT01332968) and GOYA (#NCT01287741) trials, respectively. Genomic DNA was extracted from patients enrolled in GALLIUM (n = 1202) and GOYA (n = 1418). Key germline SNPs, FCGR2A R131H (rs1801274), FCGR3A F158V (rs396991), and FCGR2B I232T (rs1050501), were genotyped and assessed for their impact on investigator-assessed progression-free survival (PFS). In both cohorts there was no prognostic effect of FCGR2A or FCGR3A. In FL, FCGR2B was associated with favorable PFS in univariate and multivariate analyses comparing I232T with I232I, with a more modest association for rituximab-treated (univariate: hazard ratio [HR], 0.78; 95% confidence interval [CI], 0.54-1.14; P = .21) vs obinutuzumab-treated patients (HR, 0.56; 95% CI, 0.34-0.91; P = .02). Comparing T232T with I232I, an association was found for obinutuzumab (univariate: HR, 2.76; 95% CI, 1.02-7.5; P = .0459). Neither observation retained significance after multiple-test adjustment. FCGR2B was associated with poorer PFS in multivariate analyses comparing T232T with I232I in rituximab- but not obinutuzumab-treated patients with DLBCL (HR, 4.40; 95% CI, 1.71-11.32; P = .002; multiple-test-adjusted P = .03); however, this genotype was rare (n = 13). This study shows that FcγR genotype is not associated with response to rituximab/obinutuzumab plus chemotherapy in treatment-naive patients with advanced FL or DLBCL.

Indexed as

Lymphoma, FollicularReceptors, IgGAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsHumansPolymorphism, Single NucleotideRituximabAntibodies, Monoclonal, HumanizedFCGR3A protein, humanobinutuzumabReceptors, IgGRituximab

Identifiers

PMID34323957
PMCPMC8361457
OpenAlexW3186090849

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.