Evidence map›Paper›PMID 34407602›Full record

Trial reportHaematologica2022

Total metabolic tumor volume as a survival predictor for patients with diffuse large B-cell lymphoma in the GOYA study.

Lale Kostakoglu, Federico Mattiello, Maurizio Martelli, Laurie H Sehn, David Belada, Chiara Ghiggi, Neil Chua, Eva González-Barca, Xiaonan Hong, Antonio Pinto and 9 more

Open access · goldAbstract readClinical Trial, Phase III
In one paragraph

Trial report in Haematologica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.7field-weighted citation impact, top 4% 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

35 citing papers in PubMed, 49 citations in OpenAlex.

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  20. Clinical scoring systems, molecular subtypes and baseline [Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
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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

19 authors at 12 institutions in 8 countries.

Lale KostakogluDepartment of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA. lk3qf@virginia.edu.
Federico MattielloF. Hoffmann-La Roche Ltd, Basel.
Maurizio MartelliDepartment of translational and precision medicine, Sapienza University, Rome.
Laurie H SehnBC Cancer Centre for Lymphoid Cancer and the University of British Columbia, Vancouver, BC.
David Belada4th Department of Internal Medicine-Hematology, Charles University, Hospital and Faculty of Medicine, Hradec Králové, Czech Republic.
Chiara GhiggiUniversitaria San Martino, Genoa.
Neil ChuaCross Cancer Institute, University of Alberta, Edmonton, AB.
Eva González-BarcaInstitut Català d'Oncologia, Institut d'Investigació Biomédica de Bellvitge, Universitat de Barcelona, Hospitalet de Llobregat, Barcelona.
Xiaonan HongFudan University Shanghai Cancer Center, Shanghai.
Antonio PintoHematology-Oncology, Istituto Nazionale Tumori, Fondazione G. Pascale, IRCCS, Naples.
Yuankai ShiDepartment of Medical Oncology, Beijing Key Laboratory of Clinical Study on Anticancer Molecular Targeted Drugs, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing.
Yoichi TatsumiDepartment of Patient Safety and Management, Kindai University Hospital and Department of Hematology and Rheumatology, Kindai University Faculty of Medicine, Osaka.
Christopher BolenGenentech, Inc., South San Francisco, CA.
Andrea KnappF. Hoffmann-La Roche Ltd, Basel.
Gila SellamF. Hoffmann-La Roche Ltd, Basel.
Tina NielsenF. Hoffmann-La Roche Ltd, Basel.
Deniz SahinF. Hoffmann-La Roche Ltd, Basel.
Umberto VitoloMultidisciplinary Oncology Outpatient Clinic, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Turin.
Marek TrněnýFirst Department of Medicine, Charles University General Hospital, Prague, Czech Republic.
Roche (Switzerland) · CHCharles University · CZCandiolo Cancer Institute · ITChinese Academy of Medical Sciences & Peking Union Medical College · CNFudan University Shanghai Cancer Center · CNInstitut d'Investigació Biomédica de Bellvitge · ESIstituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · ITKindai University Hospital · JPSapienza University of Rome · ITSpinal Cord Injury BC · CAUniversity of Alberta · CAUniversity of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This retrospective analysis of the phase III GOYA study investigated the prognostic value of baseline metabolic tumor volume parameters and maximum standardized uptake values for overall and progression-free survival (PFS) in treatment-naïve diffuse large B-cell lymphoma. Baseline total metabolic tumor volume (determined for tumors >1 mL using a threshold of 1.5 times the mean liver standardized uptake value +2 standard deviations), total lesion glycolysis, and maximum standardized uptake value positron emission tomography data were dichotomized based on receiver operating characteristic analysis and divided into quartiles by baseline population distribution. Of 1,418 enrolled patients, 1,305 had a baseline positron emission tomography scan with detectable lesions. Optimal cut-offs were 366 cm3 for total metabolic tumor volume and 3,004 g for total lesion glycolysis. High total metabolic tumor volume and total lesion glycolysis predicted poorer PFS, with associations retained after adjustment for baseline and disease characteristics (high total metabolic tumor volume hazard ratio: 1.71, 95% confidence interval [CI]: 1.35- 2.18; total lesion glycolysis hazard ratio: 1.46; 95% CI: 1.15-1.86). Total metabolic tumor volume was prognostic for PFS in subgroups with International Prognostic Index scores 0-2 and 3-5, and those with different cell-of-origin subtypes. Maximum standardized uptake value had no prognostic value in this setting. High total metabolic tumor volume associated with high International Prognostic Index or non-germinal center B-cell classification identified the highest-risk cohort for unfavorable prognosis. In conclusion, baseline total metabolic tumor volume and total lesion glycolysis are independent predictors of PFS in patients with diffuse large B-cell lymphoma after first-line immunochemotherapy.

Indexed as

Fluorodeoxyglucose F18Lymphoma, Large B-Cell, DiffuseGlycolysisHumansPositron-Emission TomographyPositron Emission Tomography Computed TomographyPrognosisRadiopharmaceuticalsRetrospective StudiesTumor BurdenFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

PMID34407602
PMCPMC9244811
OpenAlexW3193510908

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.