Evidence map›Paper›PMID 35015819›Full record

Trial reportBlood advances2022

Safety and activity of pembrolizumab in combination with rituximab in relapsed or refractory follicular lymphoma.

Loretta J Nastoupil, Collin K Chin, Jason R Westin, Nathan H Fowler, Felipe Samaniego, Xiaoyun Cheng, Man Chun John Ma, Zhiqiang Wang, Fuliang Chu, Ly Dsouza and 7 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Blood advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02446457 (Phase II Study of Rituximab Plus Pembrolizumab), which is not on this map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
6.3field-weighted citation impact, top 2% 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.

NCT02446457 phase2active not recruitingnot on this map

Phase II Study of Rituximab Plus Pembrolizumab (MK-3475) in Subjects With Relapsed Follicular Lymphoma

TypeinterventionalSponsorM.D. Anderson Cancer CenterRan2015 to 2026Enrolled53ConditionsRecurrent Diffuse Large B-Cell Lymphoma, Recurrent Grade 1 Follicular Lymphoma, Recurrent Grade 2 Follicular Lymphoma, Recurrent Grade 3a Follicular LymphomaArmsLaboratory Biomarker Analysis, Lenalidomide, Pembrolizumab, Rituximab
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
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  6. Molecular Insights and Novel Therapies for Lymphoproliferative Disorders.International journal of molecular sciences · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Current and future therapies for follicular lymphoma.Experimental hematology & oncology · 2024
    Review
  18. Article
  19. Article
  20. 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

17 authors at 1 institution in 1 country.

Loretta J NastoupilDepartment of Lymphoma/Myeloma, San Diego, CA and.
Collin K ChinDepartment of Lymphoma/Myeloma, San Diego, CA and.
Jason R WestinDepartment of Lymphoma/Myeloma, San Diego, CA and.ORCID 0000-0002-1824-2337
Nathan H FowlerDepartment of Lymphoma/Myeloma, San Diego, CA and.
Felipe SamaniegoDepartment of Lymphoma/Myeloma, San Diego, CA and.
Xiaoyun ChengDepartment of Lymphoma/Myeloma, San Diego, CA and.
Man Chun John MaDepartment of Lymphoma/Myeloma, San Diego, CA and.ORCID 0000-0002-2000-8144
Zhiqiang WangDepartment of Lymphoma/Myeloma, San Diego, CA and.
Fuliang ChuDepartment of Lymphoma/Myeloma, San Diego, CA and.
Ly DsouzaDepartment of Lymphoma/Myeloma, San Diego, CA and.
Chizobam ObiDepartment of Lymphoma/Myeloma, San Diego, CA and.
Jennifer MimsDepartment of Lymphoma/Myeloma, San Diego, CA and.
Lei FengDepartment of Biostatistics, University of Texas MD Anderson Cancer Center, Houston, TX.
Shouhao ZhouDepartment of Lymphoma/Myeloma, San Diego, CA and.ORCID 0000-0002-8124-5047
Michael GreenDepartment of Lymphoma/Myeloma, San Diego, CA and.
Richard Eric DavisDepartment of Lymphoma/Myeloma, San Diego, CA and.
Sattva S NeelapuDepartment of Lymphoma/Myeloma, San Diego, CA and.ORCID 0000-0003-1045-4914
The University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

PD-1 blockade enhances the function of antitumor T cells and antibody-dependent, cell-mediated cytotoxicity (ADCC) of NK cells. In a single-center, open-label, phase 2 trial, we tested the combination of pembrolizumab, an anti-PD-1 monoclonal antibody, and rituximab, an anti-CD20 monoclonal antibody that induces ADCC, in 30 patients with follicular lymphoma (FL) with rituximab-sensitive disease who had relapsed after ≥1 prior therapy. Pembrolizumab was administered at 200 mg IV every 3 weeks for up to 16 cycles, and rituximab was given at 375 mg/m2 IV weekly for 4 weeks in cycle 1 only. The most common grade 3/4 adverse events (AEs) were liver enzyme abnormalities (3%), diarrhea (3%), nausea (3%), aseptic meningitis (3%), and pancreatitis (3%). Low-grade immune-related AEs were reported in 80% of patients, including diarrhea (43%), liver enzyme abnormalities (33%), thyroid dysfunction (27%), and rash (23%). Grade 3 or 4 immune-related AEs occurred in 13% of the patients. Treatment-related AEs led to discontinuation in 6 (20%) patients. The overall response rate (primary end point) was 67%, and the complete response (CR) rate was 50%. Median progression-free survival (PFS) was 12.6 months (95% confidence interval, 8.2-27.6), the 3-year overall survival rate was 97%, and 23% of patients were in remission at a median follow-up of 35 months. The presence of a high CD8+ T-effector score at baseline in the tumor was associated with induction of a CR and improved PFS. In this single-arm, phase 2 study, the combination of pembrolizumab and rituximab demonstrates favorable efficacy and safety profile in relapsed FL. This trial is registered at www.clinicaltrials.gov as #NCT02446457.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsLymphoma, FollicularAntibodies, Monoclonal, HumanizedDiarrheaHumansNeoplasm Recurrence, LocalRituximabAntibodies, Monoclonal, HumanizedpembrolizumabRituximab

Identifiers

PMID35015819
PMCPMC8864656
OpenAlexW4205778306

What OpenQuestion holds

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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.