Evidence map›Paper›PMID 36629030›Full record

ArticleAmerican journal of hematology2023

Checkpoint inhibitor-based salvage regimens prior to autologous stem cell transplant improve event-free survival in relapsed/refractory classic Hodgkin lymphoma.

Sanjal H Desai, Michael A Spinner, Kevin David, Veronika Bachanova, Gaurav Goyal, Brad Kahl, Kathleen Dorritie, Jacques Azzi, Vaishalee P Kenkre, Sally Arai and 20 more

Erratum issuedOpen access · bronzeAbstract readMulticenter Study
In one paragraph

Article in American journal of hematology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
7.4field-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.

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

16 citing papers in PubMed, 29 citations in OpenAlex.

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  11. [Treatment challenges and optimal management of classical Hodgkin's lymphoma].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2025
    Article
  12. Article
  13. When to use stem cell transplantation for classical Hodgkin lymphoma.Hematology. American Society of Hematology. Education Program · 2024
    Review
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  16. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors at 14 institutions in 1 country.

Sanjal H DesaiDivision of Hematology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-7892-2625
Michael A SpinnerDivision of Oncology, Department of Medicine, Stanford University Medical Center, Stanford, California, USA.
Kevin DavidDepartment of Hematology and Medical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, USA.ORCID 0000-0001-7415-0376
Veronika BachanovaDivision of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, USA.ORCID 0000-0002-9325-432X
Gaurav GoyalO'Neal Comprehensive Cancer Center, University of Alabama, Birmingham, Alabama, USA.ORCID 0000-0001-6148-5177
Brad KahlDivision of Hematology and Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
Kathleen DorritieDivision of Hematology-Oncology, UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, USA.
Jacques AzziDivision of Hematology and Medical Oncology, Icahn School of Medicine Mount Sinai, New York, New York, USA.
Vaishalee P KenkreDepartment of Hematology, University of Wisconsin, Madison, Wisconsin, USA.
Sally AraiDivision of Oncology, Department of Medicine, Stanford University Medical Center, Stanford, California, USA.
Cheryl ChangDivision of Oncology, Department of Medicine, Stanford University Medical Center, Stanford, California, USA.
Brendon FuscoDepartment of Hematology and Medical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, USA.
Nuttavut SumransubDivision of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, USA.ORCID 0000-0001-7456-0623
Haris HaticO'Neal Comprehensive Cancer Center, University of Alabama, Birmingham, Alabama, USA.
Raya SabaDivision of Hematology and Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
Uroosa IbrahimDivision of Hematology and Medical Oncology, Icahn School of Medicine Mount Sinai, New York, New York, USA.
Elyse I HarrisDepartment of Hematology, University of Wisconsin, Madison, Wisconsin, USA.
Harsh ShahDivision of Hematology, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0001-6054-5238
Jacob MurphyDepartment of Oncology, the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland, USA.
Stephen AnsellDivision of Hematology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0003-1244-6758
Deepa JagadishCleveland Clinic Foundation, Cleveland, Ohio, USA.
Victor Orellana-NoiaDivision of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia, USA.
Catherine DiefenbachPerlmutter Cancer Center, NYU Grossman Medical School, New York, New York, USA.
Siddharth IyengerDivision of Hematology, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.
K C RappazzoDepartment of Oncology, the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland, USA.
Rahul MishraCleveland Clinic Foundation, Cleveland, Ohio, USA.
Yun ChoiPerlmutter Cancer Center, NYU Grossman Medical School, New York, New York, USA.
Grzegorz S NowakowskiDivision of Hematology, Mayo Clinic, Rochester, Minnesota, USA.
Ranjana H AdvaniDivision of Oncology, Department of Medicine, Stanford University Medical Center, Stanford, California, USA.
Ivana N MicallefDivision of Hematology, Mayo Clinic, Rochester, Minnesota, USA.
Stanford Medicine · USMayo Clinic · USUniversity of Minnesota · USCleveland Clinic · USMount Sinai Medical Center · USNYU Langone’s Laura and Isaac Perlmutter Cancer CenterRutgers, The State University of New Jersey · USSidney Kimmel Comprehensive Cancer Center · USUniversity of Alabama at Birmingham · USUniversity of Utah · USUniversity of Wisconsin System · USWashington University in St. Louis · USEmory University · USUPMC Hillman Cancer Center · US

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOHN C. BYRD · 1988 to 2026
$158.0M
NCI NIH HHS P30 CA047904
6 · The paper itself

Abstract

Clinical trials of novel salvage therapies have encouraging outcomes for relapsed/refractory transplant-eligible classic Hodgkin lymphoma (R/R cHL) but comparison with conventional chemotherapy is lacking. Herein, we report the final analysis of a multicenter retrospective cohort of R/R cHL assessing outcomes by type of salvage therapy before autologous stem cell transplant (ASCT). R/R cHL patients who underwent ASCT at 14 institutions across the United States were included. Outcomes were compared among patients receiving conventional chemotherapy, brentuximab vedotin (BV) + chemotherapy, BV alone, and a checkpoint inhibitor (CPI)-based regimens before ASCT. Study endpoints included event-free survival (EFS), progression-free survival (PFS), and overall survival (OS). All endpoints are defined from relapse. Of 936 patients, 728 received conventional chemotherapy, 73 received BV + chemotherapy, 70 received BV alone, and 65 received CPI-based regimens prior to ASCT. When adjusted for time to relapse, pre-ASCT response and use of BV maintenance, patients receiving CPI-based regimens had superior 2-year EFS compared to conventional chemotherapy, BV + chemotherapy, and BV alone (79.7, 49.6, 62.3, and 36.9%, respectively, p < .0001). Among 649 patients transplanted after 1 line of salvage therapy, CPI-based regimens were associated with superior 2-year PFS compared to conventional chemotherapy (98% vs. 68.8%, hazard ratio: 0.1, 95% confidence interval: 0.03-0.5, p < .0001). OS did not differ by pre-ASCT salvage regimen. In this large multicenter retrospective study, CPI-based regimens improved EFS and PFS compared to other salvage regimens independent of pre-ASCT response. These data support earlier sequencing of CPI-based regimens in R/R cHL in the pre-ASCT setting.

Indexed as

Hematopoietic Stem Cell TransplantationHodgkin DiseaseAntineoplastic Combined Chemotherapy ProtocolsBrentuximab VedotinHumansNeoplasm Recurrence, LocalProgression-Free SurvivalRetrospective StudiesSalvage TherapyStem Cell TransplantationTransplantation, AutologousBrentuximab Vedotin

Identifiers

PMID36629030
PMCPMC11234511
OpenAlexW4315620007

What OpenQuestion holds

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Registered trials

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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.