Evidence map›Paper›PMID 34440175›Full record

ArticleBiomedicines2021

Myocardial Metabolic Response Predicts Chemotherapy Curative Potential on Hodgkin Lymphoma: A Proof-of-Concept Study.

Cecilia Marini, Matteo Bauckneht, Anna Borra, Rita Lai, Maria Isabella Donegani, Alberto Miceli, Cristina Campi, Vanessa Cossu, Daniela Schenone, Silvia Morbelli and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in Biomedicines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00795613 (Multicenter Clinical Study With Early Treatment Intensification In Patients With High- Risk Hodgkin Lymphoma, Identified As FDG-PET Scan Positive After 2 Conventional ABVD Courses), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT00795613 phase2unknown statusnot on this map

Multicenter Clinical Study With Early Treatment Intensification In Patients With High- Risk Hodgkin Lymphoma, Identified As FDG-PET Scan Positive After 2 Conventional ABVD Courses

TypeinterventionalSponsorOspedale Santa Croce-Carle CuneoRan2008 to 2015Enrolled450ConditionsHODGKIN LYMPHOMAArmsESCALATED BEACOPP, CONVENTIONAL ABVD
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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

14 authors.

Cecilia MariniNuclear Medicine, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.
Matteo BaucknehtNuclear Medicine, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.ORCID 0000-0002-1937-9116
Anna BorraDepartment of Health Sciences (DISSAL), University of Genoa, 16132 Genoa, Italy.
Rita LaiDepartment of Informatics, Bioengineering, Robotics and Systems Engineering (DIBRIS), University of Genoa, 16128 Genoa, Italy.
Maria Isabella DoneganiDepartment of Health Sciences (DISSAL), University of Genoa, 16132 Genoa, Italy.
Alberto MiceliDepartment of Health Sciences (DISSAL), University of Genoa, 16132 Genoa, Italy.
Cristina CampiLISCOMP Lab., Department of Mathematics (DIMA), University of Genoa, 16132 Genoa, Italy.ORCID 0000-0003-2105-8554
Vanessa CossuDepartment of Health Sciences (DISSAL), University of Genoa, 16132 Genoa, Italy.
Daniela SchenoneLISCOMP Lab., Department of Mathematics (DIMA), University of Genoa, 16132 Genoa, Italy.
Silvia MorbelliNuclear Medicine, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.
Stephane ChauvieDepartment of Medical Physics, S. Croce Hospital, 12100 Cuneo, Italy.ORCID 0000-0003-4394-5031
Michele PianaNuclear Medicine, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.
Andrea GallaminiResearch and Clinical Innovation Department, Antoine Lacassagne Cancer Center, 06189 Nice, France.
Gianmario SambucetiNuclear Medicine, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.ORCID 0000-0003-2979-6500

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Genome sharing between cancer and normal tissues might imply a similar susceptibility to chemotherapy toxicity. The present study aimed to investigate whether curative potential of doxorubicin, bleomycin, vinblastine, and dacarbazine (ABVD) is predicted by the metabolic response of normal tissues in patients with Hodgkin lymphoma (HL).

methodsAccording to current guidelines, 86 patients with advanced-stage (IIB-IVB) HL, prospectively enrolled in the HD0607 trial (NCT00795613), underwent 18 F-fluorodeoyglucose PET/CT imaging at diagnosis and, at interim, after two ABVD courses, to decide regimen maintenance or its escalation. In both scans, myocardial FDG uptake was binarized according to its median value. Death and disease relapse were recorded to estimate progression-free survival (PFS) during a follow-up with median duration of 43.8 months (range 6.97-60).

resultsFour patients (4.6%) died, while six experienced disease relapse (7%). Complete switch-off of cancer lesions and cardiac lighting predicted a favorable outcome at Kaplan-Mayer analyses. The independent nature and additive predictive value of their risk prediction were confirmed by the multivariate Cox regression analysis.

conclusionSusceptibility of HL lesions to chemotherapy is at least partially determined by factors featuring the host who developed it.

Indexed as

chemotherapyfluorodeoyglucoseHodgkin lymphomapositron emission tomography

Identifiers

PMID34440175
PMCPMC8393404

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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.