Evidence map›Paper›PMID 34614146›Full record

ArticleBlood2022

Validation of POD24 as a robust early clinical end point of poor survival in FL from 5225 patients on 13 clinical trials.

Carla Casulo, Jesse G Dixon, Jennifer Le-Rademacher, Eva Hoster, Howard S Hochster, Wolfgang Hiddemann, Robert Marcus, Eva Kimby, Michael Herold, Catherine Sebban and 7 more

Abstract read
In one paragraph

Article in Blood, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing 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.

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

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

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  6. End of induction [European journal of nuclear medicine and molecular imaging · 2024
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51 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Carla CasuloWilmot Cancer Institute, University of Rochester, Rochester, NY.ORCID 0000-0003-4998-9932
Jesse G DixonDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN.
Jennifer Le-RademacherDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN.ORCID 0000-0002-2234-7430
Eva HosterDepartment of Internal Medicine III, Ludwig-Maximilians University Hospital, Campus Grosshadern, Munich, Germany; Division of Hematology-Oncology and Transplantation.ORCID 0000-0002-0749-1389
Howard S HochsterRutgers Cancer Institute of New Jersey, New Brunswick, NJ.ORCID 0000-0002-9893-1529
Wolfgang HiddemannDepartment of Internal Medicine III, Ludwig-Maximilians University Hospital, Campus Grosshadern, Munich, Germany.
Robert MarcusDepartment of Haematology, Addenbrookes Hospital, Cambridge, United Kingdom.
Eva KimbyKarolinska Institutet, and Hematology Centre, Karolinska University Hospital, Stockholm, Sweden.
Michael HeroldLeiter Onkologisches Zentrum, Nordhäuser Strasse 74 99089 Erfurt, Germany.
Catherine SebbanCentre Léon Bérard, Lyon, France.
Emmanuel GyanDepartment of Hematology and Cell Therapy, University of Tours, Tours, France.ORCID 0000-0002-7651-9189
Kenneth FoonCelegene Corporation, Summit, NJ.
Tina NielsenPharma Development Clinical Oncology, F. Hoffmann-La Roche Ltd., Basel, Switzerland.
Umberto VitoloCandiolo Cancer Institute, Fondazione del Piemonte per l'Oncologia-Istituto di Ricovero e Cura a Carattere Scientifico (FPO-IRCCS), Torino, Italy.ORCID 0000-0001-7772-2747
Gilles A SallesMemorial Sloan-Kettering Cancer Center, NY; and.ORCID 0000-0002-9541-8666
Qian ShiDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN.
Christopher R FlowersDepartment of Lymphoma/Myeloma, MD Anderson Cancer Center, University of Texas, Houston, TX.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Observational studies and stand-alone trials indicate that patients with follicular lymphoma (FL) who experience disease progression within 24 months of front-line chemoimmunotherapy (POD24), have poor outcomes. We performed a pooled analysis of 13 randomized clinical trials of patients with FL in the pre- and postrituximab eras to identify clinical factors that predict POD24. Logistic regression models evaluated the association between clinical factors and POD24. Cox regression evaluated the association between POD24 as a time-dependent factor and subsequent overall survival (OS). A landmark analysis evaluated the association of POD24 with OS for the subset of patients who were alive at 24 months after trial registration. Patients without progression at 24 months at baseline had favorable performance status (PS), limited-stage (I/II) disease, low-risk FL International Prognostic Index (FLIPI) score, normal baseline hemoglobin, and normal baseline β2 microglobulin (B2M) level. In a multivariable logistic regression model, male sex (odds ratio [OR], 1.30), PS ≥2 (OR, 1.63), B2M (≥3 mg/L; OR, 1.43), and high-risk FLIPI score (3-5; OR, 3.14) were associated with increased risk of progression before 24 months. In the time-dependent Cox model and the 24-month landmark analysis, POD24 was associated with poor subsequent OS (hazard ratio, 4.85 and 3.06, respectively). This is the largest pooled analysis of clinical trials data validating POD24 as a robust indicator of poor FL survival and identified clinical predictors of early death and progression that can aid in building comprehensive prognostic models incorporating clinical and molecular predictors of POD24.

Indexed as

Lymphoma, FollicularAntineoplastic Combined Chemotherapy ProtocolsDisease ProgressionHumansImmunotherapyMalePrognosisRisk Factors

Identifiers

PMID34614146
PMCPMC9974165

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.