Evidence map›Paper›PMID 38280061›Full record

Trial reportAnnals of hematology2024

Secondary central nervous system involvement in patients with diffuse large B-cell lymphoma treated with rituximab combined CHOP therapy - a supplementary analysis of JCOG0601.

Kazuyuki Shimada, Ken Ohmachi, Ryunosuke Machida, Shuichi Ota, Hidekazu Itamura, Hideki Tsujimura, Nobuyuki Takayama, Takaki Shimada, Mitsutoshi Kurosawa, Takayuki Tabayashi and 9 more

Open access · hybridAbstract readMulticenter StudyClinical Trial
In one paragraph

Trial report in Annals of hematology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

19 authors at 17 institutions in 1 country.

Kazuyuki ShimadaDepartment of Hematology and Oncology, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya, Aichi, 466-8550, Japan. kshimada@med.nagoya-u.ac.jp.ORCID http://orcid.org/0000-0002-1075-9219
Ken OhmachiDepartment of Hematology and Oncology, Tokai University School of Medicine, Kanagawa, Japan.
Ryunosuke MachidaJapan Clinical Oncology Group Data Center, National Cancer Center Hospital, Tokyo, Japan.
Shuichi OtaDepartment of Hematology, Sapporo Hokuyu Hospital, Sapporo, Japan.
Hidekazu ItamuraDivision of Hematology, Respiratory Medicine and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Hideki TsujimuraDepartment of Hematology-Oncology, Chiba Cancer Center, Chiba, Japan.
Nobuyuki TakayamaDepartment of Hematology, Faculty of Medicine, Kyorin University, Mitaka, Japan.
Takaki ShimadaDivision of Clinical Oncology/Hematology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.
Mitsutoshi KurosawaDepartment of Hematology, National Hospital Organization Hokkaido Cancer Center, Sapporo, Japan.
Takayuki TabayashiDepartment of Hematology, Saitama Medical Center, Saitama Medical University, Kawagoe, Japan.
Tatsu ShimoyamaDepartment of Medical Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan.
Koichi OhshimaDepartment of Pathology, Kurume University School of Medicine, Kurume, Japan.
Kana MiyazakiDepartment of Hematology and Oncology, Mie University Graduate School of Medicine, Tsu, Japan.
Dai MaruyamaDepartment of Hematology Oncology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
Tomohiro KinoshitaDepartment of Hematology and Cell Therapy, Aichi Cancer Center Hospital, Nagoya, Japan.
Kiyoshi AndoDepartment of Hematology and Oncology, Tokai University School of Medicine, Kanagawa, Japan.
Tomomitsu HottaDepartment of Hematology, National Hospital Organization Nagoya Medical Center, Nagoya, Japan.
Kunihiro TsukasakiDepartment of Hematology, National Cancer Center Hospital East, Kashiwa, Japan.
Hirokazu NagaiDepartment of Hematology, National Hospital Organization Nagoya Medical Center, Nagoya, Japan.
National Hospital Organization · JPTokai University · JPAichi Cancer Center · JPChiba Cancer Center · JPJapan Clinical Cancer Research Organization · JPJapanese Foundation For Cancer Research · JPJikei University School of Medicine · JPKurume University · JPKyorin University · JPMie University · JPNagoya University · JPNational Cancer Center Hospital East · JPNational Hospital Organization Hokkaido Medical Center · JPSaga University · JPSapporo Hokuyu Hospital · JPSocial Insurance Saitama Chuo Hospital · JPTokyo Metropolitan Komagome Hospital · JP

Funding

Ministry of Health, Labour and Welfare 20S-6Ministry of Health, Labour and Welfare 22-14)Ministry of Health, Labour and Welfare 23-A-16Ministry of Health, Labour and Welfare 23-A-17)Ministry of Health, Labour and Welfare Grants-in-Aid for Cancer Research (20S-1Ministry of Health, Labour and Welfare HealthMinistry of Health, Labour and Welfare Labour Sciences Research Grant for Clinical Cancer Research (19-20National Cancer Center Research and Development Fund 2020-J-3National Cancer Center Research and Development Fund 2023-J-03National Cancer Center Research and Development Fund 23-A-16National Cancer Center Research and Development Fund 23-A-17National Cancer Center Research and Development Fund 26-A-4National Cancer Center Research and Development Fund 29-A-3
6 · The paper itself

Abstract

Secondary central nervous system involvement (sCNSi) in diffuse large B-cell lymphoma (DLBCL) is fatal. However, its features in patients with sCNSi who are categorized as lower risk by international prognostic index (IPI) or CNS-IPI are not yet fully understood. In the present analysis, we evaluated DLBCL patients who developed sCNSi at their first progression and who participated in JCOG0601, most of whom were lower risk by IPI. Of 409 patients, 21 (5.1%) developed sCNSi during a median follow-up of 4.9 years. Five-year cumulative incidence of sCNSi were 5.1%; and 4.0%, 5.3%, and 11.5% at low, intermediate, and high risk of CNS-IPI, respectively. The most common locations of extranodal lesions at the time of registration in patients with sCNSi were the stomach (n = 4), paranasal cavity (n = 3), and bone marrow (n = 2). In univariable analysis, paranasal cavity lesion was a high-risk factor for sCNSi (subdistribution hazard ratio, 4.34 [95% confidence interval 1.28-14.73]). Median overall survival after sCNSi was 1.3 years, with a 2-year overall survival rate of 39.3%. The incidence of sCNSi in DLBCL patients at lower risk of CNS-IPI was low, as previously reported, but paranasal cavity lesion might indicate high risk for organ involvement. CLINICAL

trial registrationJCOG0601 was registered in the UMIN Clinical Trials Registry (UMIN000000929, date of registration; December 04, 2007) and the Japan Registry of Clinical Trials (jRCTs031180139, date of registration; February 20, 2019).

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCentral Nervous System NeoplasmsCyclophosphamideDoxorubicinLymphoma, Large B-Cell, DiffusePrednisoneRituximabVincristineAdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMiddle AgedCyclophosphamideDoxorubicinPrednisoneRituximabVincristineCentral nervous system-international prognostic indexDiffuse large B-cell lymphomaInternational prognostic indexJCOG0601Secondary central nervous system involvement

Identifiers

PMID38280061
PMCPMC11090957
OpenAlexW4391276533

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.