Evidence map›Paper›PMID 36996864›Full record

Trial reportCancer research and treatment2023

Intensified First Cycle of Rituximab Plus Eight Cycles of Cyclophosphamide, Doxorubicin, Vincristine, and Prednisolone with Rituximab Chemotherapy for Advanced-Stage or Bulky Diffuse Large B-Cell Lymphoma: A Multicenter Phase II Consortium for Improving Survival of Lymphoma (CISL) Study.

Yu Ri Kim, Jin Seok Kim, Won Seog Kim, Hyeon Seok Eom, Deok-Hwan Yang, Sung Hwa Bae, Hyo Jung Kim, Jae Hoon Lee, Suk-Joong Oh, Sung-Soo Yoon and 11 more

Registry-linked trialOpen access · diamondAbstract readMulticenter StudyClinical Trial, Phase II
In one paragraph

Trial report in Cancer research and treatment, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01054781 (Open-labelled, Multicenter Phase II Study of Intensified 1st Cycle Rituximab Plus 8th Cycles of R-CHOP Chemotherapy in Patients With Advanced or Bulky CD20+ Diffuse Large B-cell Lymphoma), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 28% 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.

NCT01054781 phase2completednot on this map

Open-labelled, Multicenter Phase II Study of Intensified 1st Cycle Rituximab Plus 8th Cycles of R-CHOP Chemotherapy in Patients With Advanced or Bulky CD20+ Diffuse Large B-cell Lymphoma (DLBCL)

TypeinterventionalSponsorSamsung Medical CenterRan2009Enrolled91ConditionsDiffuse Large B-cell Lymphoma (DLBCL)ArmsRituximab
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

21 authors at 18 institutions in 4 countries.

Yu Ri KimDivision of Hematology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Jin Seok KimDivision of Hematology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Won Seog KimDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Hyeon Seok EomHematology-Oncology Clinic, National Cancer Center, Goyang, Korea.
Deok-Hwan YangDepartment of Hematology/Oncology, Chonnam National University Hwasun Hospital, Hwasun, Korea.
Sung Hwa BaeDepartment of Internal Medicine, Daegu Catholic University Medical Center, Daegu, Korea.
Hyo Jung KimDepartment of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.
Jae Hoon LeeDepartments of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.
Suk-Joong OhDepartment of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Sung-Soo YoonDepartment of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Jae-Yong KwakDepartment of Internal Medicine, Jeonbuk National University Medical School, Jeonju, Korea.
Chul Won ChoiDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
Min Kyoung KimDepartment of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.
Sung Young OhDepartment of Internal Medicine, Dong-A University College of Medicine, Busan, Korea.
Hye Jin KangDepartment of Internal Medicine, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences, Seoul, Korea.
Seung Hyun NamDepartment of Internal Medicine, Veterans Health Service Medical Center, Seoul, Korea.
Hyeok ShimDepartment of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea.
Joon Seong ParkDepartment of Hematology-Oncology, Ajou University School of Medicine, Suwon, Korea.
Yeung-Chul MunDepartment of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
Cheolwon SuhDepartment of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Korean Society of Hematology Lymphoma Working Party
Sungkyunkwan University · KRAjou University · KRAsan Medical Center · KRChonnam National University Hwasun Hospital · KRDaegu Catholic University Medical Center · KREwha Womans University · KRGachon University Gil Medical Center · KRHallym University Sacred Heart Hospital · KRHematology\Oncology Clinic · USJeonbuk National University · KRKorea Institute of Radiological and Medical Sciences · KRKorea University · KRSeoul National University Hospital · KRSeverance Hospital · KRUlsan College · KRVeterans Health Service Medical Center · KRWonkwang University · KRYeungnam University · KR

Funding

Ministry of Science and ICTNational Research Foundation of Korea 2022R1A2C1013495
6 · The paper itself

Abstract

purposeThis phase II, open-label, multicenter study aimed to investigate the efficacy and safety of a rituximab intensification for the 1st cycle with every 21-day of rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone (R-CHOP-21) among patients with previously untreated advanced-stage or bulky diffuse large B-cell lymphoma (DLBCL). MATERIALS AND

methodsNinety-two patients with stage III/IV or bulky DLBCL from 21 institutions were administered 8 cycles of R-CHOP-21 with an additional one dose of rituximab intensification on day 0 of the 1st cycle (RR-CHOP). The primary endpoint was a complete response (CR) rate after 3 cycles of chemotherapy.

resultsAmong the 92 DLBCL patients assessed herein, the response rate after 3 cycles of chemotherapy was 88.0% (38.0% CR+50.0% partial response [PR]). After the completion of 8 cycles of chemotherapy, the overall response rate was observed for 68.4% (58.7% CR+9.8% PR). The 3-year progression-free survival rate was 64.0%, and the 3-year overall survival rate was 70.4%. Febrile neutropenia was one of the most frequent grade 3 adverse events (40.0%) and 5 treatment-related deaths occurred. Compared with the clinical outcomes of patients who received R-CHOP chemotherapy as a historical control, the interim CR rate was higher in male patients with RR-CHOP (20.5% vs. 48.8%, p=0.016).

conclusionRituximab intensification on days 0 to the 1st cycle of the standard 8 cycles R-CHOP-21 for advanced DLBCL yielded favorable response rates after the 3 cycles of chemotherapy and acceptable toxicities, especially for male patients. ClinicalTrials.gov ID: NCT01054781.

Indexed as

Lymphoma, Large B-Cell, DiffusePrednisoloneAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideDoxorubicinHumansMaleRituximabTreatment OutcomeVincristineCyclophosphamideDoxorubicinPrednisoloneRituximabVincristineDiffuse large B-cell lymphomaR-CHOPResponseRituximab

Identifiers

PMID36996864
PMCPMC10582534
OpenAlexW4361281124

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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.