Evidence map›Paper›PMID 37495776›Full record

ArticleLeukemia2023

Clinical outcome of Mantle Cell Lymphoma patients with high-risk disease (high-risk MIPI-c or high p53 expression).

Gabriel Scheubeck, Linmiao Jiang, Olivier Hermine, Hanneke C Kluin-Nelemans, Christian Schmidt, Michael Unterhalt, Andreas Rosenwald, Wolfram Klapper, Andrea Evangelista, Marco Ladetto and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Leukemia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
13.5field-weighted citation impact, top 1% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Journal of clinical medicine · 2025
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
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

14 authors at 10 institutions in 5 countries.

Gabriel ScheubeckDepartment of Medicine III, LMU University Hospital, Munich, Germany. gabriel.scheubeck@med.uni-muenchen.de.ORCID 0009-0004-2546-6154
Linmiao JiangInstitute for Medical Information Processing, Biometry, and Epidemiology, LMU Munich, Munich, Germany.ORCID 0000-0002-9009-4236
Olivier HermineUniversity Hospital, Paris, France.
Hanneke C Kluin-NelemansDepartment of Hematology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Christian SchmidtDepartment of Medicine III, LMU University Hospital, Munich, Germany.
Michael UnterhaltDepartment of Medicine III, LMU University Hospital, Munich, Germany.
Andreas RosenwaldInstitute of Pathology, University of Wuerzburg, Wuerzburg, Germany.
Wolfram KlapperDepartment of Pathology, Hematopathology Section, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.ORCID 0000-0001-7208-4117
Andrea EvangelistaUnit of Clinical Epidemiology, Azienda Ospedaliera Universitaria Città della Salute e della Scienza and CPO Piemonte, Turin, Italy.
Marco LadettoHematology, Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Mats JerkemanSkane University Hospital, Lund, Sweden.ORCID 0000-0003-4509-6707
Simone FerreroDivision of Hematology, Department of Molecular Biotechnologies and Health Sciences University of Torino/AOU "Città della Salute e della Scienza di Torino", Turin, Italy.ORCID 0000-0002-9711-1502
Martin Dreyling *Department of Medicine III, LMU University Hospital, Munich, Germany.
Eva Hoster *Department of Medicine III, LMU University Hospital, Munich, Germany.ORCID 0000-0002-0749-1389
LMU Klinikum · DEAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITAzienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo · ITSkåne University Hospital · SEUniversité Sorbonne Paris Nord · FRUniversity Hospital Schleswig-Holstein · DEUniversity Medical Center Groningen · NLUniversity of Turin · ITUniversity of Würzburg · DEZimmer Biomet (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Currently, treatment allocation of patients with Mantle Cell Lymphoma (MCL) is mainly based on age and medical fitness. The combined MCL International Prognostic Index (MIPI-c) allows to predict prognosis using clinical factors (MIPI) and the Ki-67 index. However, high p53 expression as surrogate for TP53 alterations has demonstrated to be an independent predictor for poor outcome. We aimed to define a clear high-risk group based on the combination of MIPI, Ki-67 and p53 expression/TP53 alteration. A total of 684 patients from the prospective European MCL-Younger and MCL-Elderly trials were evaluable. The classification of high-risk disease (HRD) as high-risk MIPI-c or p53 expression >50% versus low-risk disease (LRD) as low, low-intermediate or high-intermediate MIPI-c and p53 expression ≤50% allowed to characterize two distinct groups with highly divergent outcome. Patients with HRD had significantly shorter median failure-free survival (FFS) (1.1 vs. 5.6 years, p < 0.0001) and overall survival (OS) (2.2 vs. 13.2 years, p < 0.0001) compared to those with LRD. These major differences were confirmed in two validation cohorts from the Italian MCL0208 and the Nordic-MCL4 trials. The results suggest that this subset of HRD patients is not sufficiently managed with the current standard treatment and is asking for novel treatment strategies.

Indexed as

Lymphoma, Mantle-CellAdultAgedHumansKi-67 AntigenPrognosisProspective StudiesTumor Suppressor Protein p53Ki-67 AntigenTumor Suppressor Protein p53

Identifiers

PMID37495776
PMCPMC10457193
OpenAlexW4385286040

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.