Evidence map›Paper›PMID 35187850›Full record

ArticlePediatric blood & cancer2022

Survival of pediatric Hodgkin lymphoma patients treated with doxorubicin, bleomycin, vincristine, etoposide, prednisone, and cyclophosphamide (ABVE-PC) versus doxorubicin, bleomycin, vinblastine, and dacarbazine (ABVD) at a single institution.

Sebastian de Armas, Carolina Huertas-Ayala, Randall Y Chan, Yueh-Yun Chi, Winston W Huh, Amanda Termuhlen, Paul S Gaynon, Alexandra E Kovach, Andrew Doan

Open access · greenAbstract read
In one paragraph

Article in Pediatric blood & cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

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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

9 authors at 4 institutions in 2 countries.

Sebastian de ArmasLoma Linda University School of Medicine, Loma Linda, California, USA.
Carolina Huertas-AyalaSan Juan Bautista School of Medicine, Caguas, Puerto Rico.
Randall Y ChanDepartment of Pediatrics, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA.ORCID 0000-0003-2210-5164
Yueh-Yun ChiDepartment of Pediatrics, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA.
Winston W HuhDepartment of Pediatrics, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA.ORCID 0000-0002-4045-6622
Amanda TermuhlenDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Paul S GaynonDepartment of Pediatrics, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA.ORCID 0000-0002-1582-2862
Alexandra E KovachDepartment of Pathology, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA.
Andrew DoanDepartment of Pediatrics, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA.ORCID 0000-0002-8362-549X
University of Southern California · USLoma Linda University · USSan Juan Bautista School of Medicine · PRUniversity of Minnesota Medical Center · US

Funding

USC/CHLA Summer Oncology Research Fellowship (SORF) Program for Medical StudentsR25CA225513 · NCI · CHILDREN'S HOSPITAL OF LOS ANGELES · PI ANAT ERDREICH-EPSTEIN, WIJBE MARTIN KAST · 2019 to 2026
$1.7M
NCI NIH HHS R25 CA225513
6 · The paper itself

Abstract

backgroundAdriamycin, bleomycin, vinblastine, dacarbazine (ABVD), the de facto standard of care in adult-onset Hodgkin lymphoma (HL), has not been directly compared to doxorubicin, bleomycin, vincristine, etoposide, prednisone, and cyclophosphamide (ABVE-PC), a pediatric-aimed regimen designed to reduce late effects. We aimed to describe the single-institution experience of using both regimens in patients with pediatric HL.

methodsThis retrospective cohort study evaluated a total of 224 patients diagnosed with HL between 1999 and 2018 at Children's Hospital Los Angeles (CHLA), of which 93 patients were eligible having received ABVD (n = 46) or ABVE-PC (n = 47) chemotherapy as their initial treatment. Descriptive analyses were performed using the Student's t-test or Fisher's exact test. Survival analysis used the Kaplan-Meier method. Events included death, relapse, and secondary malignancy. We also describe the use of radiation therapy, pulmonary toxicity, and cardiomyopathy determined by shortening fraction <29%. Analyses followed an intention-to-treat principle.

resultsThere was no difference in baseline characteristics between the patients receiving ABVE-PC or ABVD in regard for stage, risk group, or prognostic variables, such as the presence or absence of "B" symptoms, bulky disease, and extra-nodal involvement. A greater proportion of patients treated with ABVE-PC received consolidating external beam radiation treatment (XRT) either by randomization or by response compared to ABVD (59.6% vs. 32.6%, respectively, p = .01). While not statistically significant, response to therapy, assessed by positron emission tomography/computerized tomography (PET/CT) where available, mirrored the use for radiation (rapid response 58.3% vs. 90.0%, n = 34, p = .11). The median dose of anthracycline (doxorubicin) was the same in patients receiving ABVE-PC versus ABVD (200 vs. 200 mg/m

conclusionsABVD and ABVE-PC achieved similar survival outcomes in our single-institution cohort.

Indexed as

Hodgkin DiseaseAdultAntineoplastic Combined Chemotherapy ProtocolsBleomycinChildCyclophosphamideDacarbazineDoxorubicinEtoposideHumansPositron Emission Tomography Computed TomographyPrednisoneRetrospective StudiesVinblastineVincristineBleomycinCyclophosphamideDacarbazineDoxorubicinEtoposidePrednisoneVinblastineVincristineABVDABVE-PCHodgkin lymphomapediatric

Identifiers

PMID35187850
PMCPMC10257525
OpenAlexW4212971118

What OpenQuestion holds

Textmetadata
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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.