Evidence map›Paper›PMID 36857637›Full record

ArticleBlood2023

Improved outcomes for relapsed/refractory Hodgkin lymphoma after autologous transplantation in the era of novel agents.

Michael A Spinner, R A Sica, John S Tamaresis, Ying Lu, Cheryl Chang, Robert Lowsky, Matthew J Frank, Laura J Johnston, David B Miklos, Lori S Muffly and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
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  8. Observational
  9. Article
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  11. Article
  12. Classical Hodgkin Lymphoma Today.Mediterranean journal of hematology and infectious diseases · 2026
    Review
  13. BEGEV is an Effective Therapy for Heavily Pretreated and Platinum-Resistant Relapsed/Refractory Hodgkin's Lymphoma Patients: A Single Center Real-Life Experience.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Spatially Resolved Tumor Microenvironment Predicts Treatment Outcomes in Relapsed/Refractory Hodgkin Lymphoma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 4 institutions in 1 country.

Michael A SpinnerDivision of Oncology, Department of Medicine, Stanford University, Stanford, CA.
R A SicaDivision of Oncology, Department of Medicine, Albert Einstein College of Medicine, Bronx, NY.ORCID 0000-0001-8877-4470
John S TamaresisDepartment of Biomedical Data Science, Stanford University, Stanford, CA.ORCID 0000-0002-9868-2366
Ying LuDepartment of Biomedical Data Science, Stanford University, Stanford, CA.ORCID 0000-0002-7698-8962
Cheryl ChangDivision of Oncology, Department of Medicine, Stanford University, Stanford, CA.
Robert LowskyDivision of Blood and Marrow Transplantation, Department of Medicine, Stanford University, Stanford, CA.
Matthew J FrankDivision of Blood and Marrow Transplantation, Department of Medicine, Stanford University, Stanford, CA.
Laura J JohnstonDivision of Blood and Marrow Transplantation, Department of Medicine, Stanford University, Stanford, CA.
David B MiklosDivision of Blood and Marrow Transplantation, Department of Medicine, Stanford University, Stanford, CA.ORCID 0000-0003-0717-4305
Lori S MufflyDivision of Blood and Marrow Transplantation, Department of Medicine, Stanford University, Stanford, CA.ORCID 0000-0002-9887-6136
Robert S NegrinDivision of Blood and Marrow Transplantation, Department of Medicine, Stanford University, Stanford, CA.
Andrew R RezvaniDivision of Blood and Marrow Transplantation, Department of Medicine, Stanford University, Stanford, CA.
Parveen ShirazDivision of Blood and Marrow Transplantation, Department of Medicine, Stanford University, Stanford, CA.ORCID 0000-0002-6721-0358
Judith A ShizuruDivision of Blood and Marrow Transplantation, Department of Medicine, Stanford University, Stanford, CA.
Wen-Kai WengDivision of Blood and Marrow Transplantation, Department of Medicine, Stanford University, Stanford, CA.
Michael S BinkleyDepartment of Radiation Oncology, Stanford University, Stanford, CA.ORCID 0000-0002-2640-5255
Richard T HoppeDepartment of Radiation Oncology, Stanford University, Stanford, CA.ORCID 0000-0003-0125-0194
Ranjana H AdvaniDivision of Oncology, Department of Medicine, Stanford University, Stanford, CA.
Sally AraiDivision of Blood and Marrow Transplantation, Department of Medicine, Stanford University, Stanford, CA.ORCID 0000-0003-1993-4172
Stanford University · USStanford Medicine · USAlbert Einstein College of Medicine · USUniversity of California, San Francisco · US

Funding

Translational Oncology Research Program (Project-005)P30CA124435 · NCI · STANFORD UNIVERSITY · PI Vittorio Sebastiano · 2007 to 2026
$71.4M
NCI NIH HHS P30 CA124435
6 · The paper itself

Abstract

The treatment landscape of relapsed/refractory (R/R) classic Hodgkin lymphoma (cHL) has evolved significantly over the past decade after the approval of brentuximab vedotin (BV) and the programmed death-1 (PD-1) inhibitors. We evaluated how outcomes and practice patterns have changed for patients with R/R cHL who underwent autologous hematopoietic cell transplantation (AHCT) at our institution from 2011 to 2020 (N = 183) compared with those from 2001 to 2010 (N = 159) and evaluated prognostic factors for progression-free survival (PFS) and overall survival (OS) in both eras. OS was superior in the modern era with a trend toward lower nonrelapse mortality beyond 2 years after transplant. Among patients who progressed after AHCT, 4-year postprogression survival increased from 43.3% to 71.4% in the modern era, reflecting increasing use of BV and the PD-1 inhibitors. In multivariable analysis for patients that underwent transplant in the modern era, age ≥45 years, primary refractory disease, and lack of complete remission pre-AHCT were associated with inferior PFS, whereas receipt of a PD-1 inhibitor-based regimen pre-AHCT was associated with superior PFS. Extranodal disease at relapse was associated with inferior OS. Our study demonstrates improved survival for R/R cHL after AHCT in the modern era attributed to more effective salvage regimens allowing for better disease control pre-AHCT and improved outcomes for patients who progressed after AHCT. Excellent outcomes were observed with PD-1 inhibitor-based salvage regimens pre-AHCT and support a randomized trial evaluating immunotherapy in the second line setting.

Indexed as

Hematopoietic Stem Cell TransplantationHodgkin DiseaseBrentuximab VedotinHumansImmune Checkpoint InhibitorsMiddle AgedNeoplasm Recurrence, LocalTransplantation, AutologousBrentuximab VedotinImmune Checkpoint Inhibitors

Identifiers

PMID36857637
PMCPMC13122320
OpenAlexW4322754341

What OpenQuestion holds

Textmetadata
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.