Evidence map›Paper›PMID 35816645›Full record

SynthesisBlood advances2022

Comparative efficacy and tolerability of novel agents vs chemotherapy in relapsed and refractory T-cell lymphomas: a meta-analysis.

Nazila Shafagati, Min J Koh, Leora Boussi, Hyun J Park, Robert Stuver, Paul Bain, Francine M Foss, Changyu Shen, Salvia Jain

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Blood advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. 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

9 authors at 7 institutions in 1 country.

Nazila ShafagatiDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Min J KohSchool of Medicine, Georgetown University, Washington, DC.ORCID 0000-0001-9791-4463
Leora BoussiDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.ORCID 0000-0001-7018-2071
Hyun J ParkDartmouth School of Medicine, Dartmouth, NH.
Robert StuverMemorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-0991-5170
Paul BainHarvard Medical School, Harvard University, Boston, MA.ORCID 0000-0002-4257-2467
Francine M FossDepartment of Medicine and Yale Cancer Center, Yale University School of Medicine, New Haven, CT.ORCID 0000-0001-7843-3162
Changyu ShenDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Salvia JainDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.ORCID 0000-0003-1566-9308
Beth Israel Deaconess Medical Center · USBiogen (United States) · USDartmouth College · USGeorgetown University · USHarvard University · USMemorial Sloan Kettering Cancer Center · USYale Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Dissecting mechanisms of resistance underlying CD47-SIRPα inhibition in T-cell lymphomasK08CA230498 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI JAIN, SALVIA · 2020 to 2024
$1.3M
NCATS NIH HHS UL1 TR001863NCI NIH HHS K08 CA230498NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Optimal treatment strategies for (relapsed and refractory [R/R]) peripheral T-cell lymphoma (PTCL) have not been well defined, and with the approval of several novel single agents (SA), the comparative efficacy of combination chemotherapy (CC) to single-agent strategies remains unclear. We conducted a meta-analysis to evaluate overall response rates (ORR) and toxicities of SA to CC. MEDLINE, Embase, Web of Science Core Collection, and Cochrane were systematically searched for phase I, phase II, and phase III trials investigating a defined SA or an anthracycline-, ifosfamide-, gemcitabine-, and platinum-based regimens. One hundred and fifty-one articles were included, encompassing single and combinations of 60 phase I trials involving 1075 patients, 95 phase II trials involving 3246, and 23 phase III trials involving 1888 patients. There was a high degree of heterogeneity in the trials. Using a random-effects model, the estimated ORR for SA in phase I trials were 40% (95% confidence interval [CI], 34.7%, 46.9%) relative to 41% for CC (95% CI, 27.4%, 56.1%; P = .97) and in phase II trials 34.4% (95% CI, 30.4%, 38.7%) for SA vs 55.3% (95% CI, 31%, 77.2%; P = .1) for CC. There were significant subgroup differences in ORR between histological subtypes of PTCL and drug classes. Our results highlight SA as an attractive outpatient option for R/R PTCL, and their incorporation in the development of upfront treatment paradigms merits urgent consideration. Our results underscore enrollment in clinical trials of SA as a critical strategy for R/R PTCL.

Indexed as

Lymphoma, T-Cell, PeripheralNeoplasm Recurrence, LocalAntibiotics, AntineoplasticAntineoplastic Combined Chemotherapy ProtocolsHumansIfosfamideAntibiotics, AntineoplasticIfosfamide

Identifiers

PMID35816645
PMCPMC9631658
OpenAlexW4285004596

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.