Evidence map›Paper›PMID 36045021›Full record

ArticleClinical lymphoma, myeloma & leukemia2022

Factors Affecting the Clinical Course of Follicular Lymphoma: A Multistate Survival Analysis Using Individual Patient Data from Eight Multicenter Randomized Clinical Trials.

Jesse G Dixon, Çağlar Çağlayan, Dai Chihara, Tina Nielsen, Natalie Dimier, Jamie Zheng, Anna K Wall, Gilles Salles, Franck Morschhauser, Robert Marcus and 6 more

Abstract read
In one paragraph

Article in Clinical lymphoma, myeloma & leukemia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

16 authors.

Jesse G DixonDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN. Electronic address: dixon.jesse@mayo.edu.
Çağlar ÇağlayanAsymmetric Operations Sector, Johns Hopkins University Applied Physics Laboratory, Laurel, MD.
Dai ChiharaDepartment of Lymphoma/Myeloma, MD Anderson Cancer Center, University of Texas, Houston, TX.
Tina NielsenDepartment of Biostatistics, Roche Products Ltd, Welwyn Garden City, Hertfordshire, United Kingdom.
Natalie DimierDepartment of Biostatistics, Roche Products Ltd, Welwyn Garden City, Hertfordshire, United Kingdom.
Jamie ZhengBristol-Myers Squibb, Summit, NJ.
Anna K WallDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN.
Gilles SallesDivision of Hematologic Malignancies, Memorial Sloan Kettering Cancer Center, New York, NY.
Franck MorschhauserDepartment of Hematology, University of Lille, Lille, Hauts-de-France, France.
Robert MarcusDepartment of Haematology, Addenbrookes Hospital, Cambridge, Cambridgeshire, United Kingdom.
Michael HeroldHelios Klinikum Erfurt, Onkologisches Zentrum, Erfurt, Thuringia, Germany.
Eva KimbyUnit for Hematology Karolinska University Hospital, Stockholm, Sweden.
Kristie A BlumDepartment of Hematology and Medical Oncology, Emory University, Atlanta, GA.
Michele GhielminiDepartment of Medical Oncology, Oncology Institute of Southern Switzerland, Bellinzona, Ticino, Switzerland.
Qian ShiDepartment of Quantitative Health Sciences, 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 Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

INTRODUCTION/

backgroundLeveraging the Follicular Lymphoma Analysis of Surrogacy Hypothesis database of individual patient data from first-line clinical trials, we studied the clinical course of follicular lymphoma (FL) and investigated clinical factors associated with FL outcomes. PATIENTS AND

methodsWe examined 2428 patients from 8 randomized trials using multistate survival models with 4 states: induction treatment, progression, death from FL, and death from other causes. We utilized Aalen-Johansen estimator and Cox models to assess the likelihood of FL outcomes and quantify predictors' effects.

resultsTwo-year progression, FL-related death, and death from other causes estimates were 26.5%, 3.4% and 1.4%, respectively. FL-associated deaths were the primary cause of mortality within 10 years of follow-up. Male sex (hazard ratio: 1.25; 95% confidence interval: 1.05-1.47), > 4 involved nodal areas (1.51; 1.23-1.86), elevated LDH (1.20; 1.01-1.43), low hemoglobin (1.44; 1.15-1.81), and elevated β-2 levels (1.23; 1.02-1.47) increased risk of progression. CD20-targeting agents reduced risks for progression (0.29; 0.22-0.39), death from FL (0.05; 0.01-0.20), and death from other causes without progression (0.13; 0.05-0.33) and following progression (0.52; 0.30-0.92). Estimated 2-year progression rates were 22.3% and 43.5% with or without CD20-targeting agents, respectively. Two-year FL-associated mortality rate was 8.3% among patients without CD20-targeting agents, 5.4% with B-symptoms, 4.9% with elevated LDH, and 9.1% with low hemoglobin.

conclusionThis study identified independent contributions of baseline clinical factors to distinct outcomes for patients with FL following first-line therapy on a clinical trial. Similar analytical approaches are needed to increase understanding of factors that influence FL outcomes in other settings.

Indexed as

Antineoplastic AgentsLymphoma, FollicularAntineoplastic Combined Chemotherapy ProtocolsHemoglobinsHumansMaleMulticenter Studies as TopicRandomized Controlled Trials as TopicRituximabSurvival AnalysisAntineoplastic AgentsHemoglobinsRituximabAalen-Johansen estimatorFLASHMeta-analysisNewly diagnosedRetrospective

Identifiers

PMID36045021
PMCPMC11265299

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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.