Evidence map›Paper›PMID 38555311›Full record

Trial reportNature communications2024

Combination of acalabrutinib with lenalidomide and rituximab in relapsed/refractory aggressive B-cell non-Hodgkin lymphoma: a single-arm phase II trial.

Changhee Park, Ho Sup Lee, Ka-Won Kang, Won-Sik Lee, Young Rok Do, Jae-Yong Kwak, Ho-Jin Shin, Sung-Yong Kim, Jun Ho Yi, Sung-Nam Lim and 9 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04094142 (Phase II Trial of Acalabrutinib With Rituximab and Lenalidomide in Relapsed/Refractory B-cell Non-Hodgkin Lymphoma), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% 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.

NCT04094142 phase2completednot on this map

Phase II Trial of Acalabrutinib With Rituximab and Lenalidomide in Relapsed/Refractory B-cell Non-Hodgkin Lymphoma

TypeinterventionalSponsorSeoul National University HospitalRan2019 to 2022Enrolled66ConditionsNon-hodgkin Lymphoma,B CellArmsAcalabrutinib
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Observational
  5. Article
  6. Article
  7. 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

19 authors at 13 institutions in 1 country.

Changhee ParkDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0002-7125-9795
Ho Sup LeeDepartment of Internal Medicine, Kosin University College of Medicine, Gospel Hospital, Pusan, Republic of Korea.
Ka-Won KangDepartment of Internal Medicine, Korea University College of Medicine, Anam Hospital, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0003-1462-0502
Won-Sik LeeDepartment of Internal Medicine, Busan Paik Hospital, Pusan, Republic of Korea.
Young Rok DoDepartment of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Republic of Korea.
Jae-Yong KwakDepartment of Internal Medicine, Jeonbuk National University Medical School, Jeonju, Republic of Korea.ORCID http://orcid.org/0000-0002-8070-4002
Ho-Jin ShinDepartment of Internal Medicine, School of Medicine, Pusan National University, Pusan, Republic of Korea.
Sung-Yong KimDepartment of Internal Medicine, Department of Hematology/Oncology, KonKuk University Hospital, KonKuk University, Seoul, Republic of Korea.
Jun Ho YiDepartment of Internal Medicine, Division of Hematology-Oncology, Department of Medicine, Chung-Ang University, Seoul, Republic of Korea.
Sung-Nam LimDepartment of Internal Medicine, Department of Hematology-Oncology, Inje University Haeundae Paik Hospital, Pusan, Republic of Korea.
Jeong-Ok LeeDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Deok-Hwan YangDepartment of Internal Medicine, Chonnam National University Hwasun Hospital, Hwasun, Republic of Korea.ORCID http://orcid.org/0000-0002-8167-8520
Hun JangDepartment of Biomarker Discovery, PROTEINA Co., Ltd, Seoul, Republic of Korea.
Byoungsan ChoiDepartment of Biomarker Discovery, PROTEINA Co., Ltd, Seoul, Republic of Korea.
Jiwoo LimGenomeOpinion Inc., Seoul, Republic of Korea.
Choong Hyun SunGenomeOpinion Inc., Seoul, Republic of Korea.
Ja Min ByunDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0003-1780-5553
Sung-Soo YoonDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0003-2591-7459
Youngil KohDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea. go01@snu.ac.kr.ORCID http://orcid.org/0000-0002-4750-931X
Seoul National University Hospital · KRChonnam National University Hwasun Hospital · KRChung-Ang University · KRGenome Research Foundation · KRInje University Busan Paik Hospital · KRInje University Haeundae Paik Hospital · KRJeonbuk National University · KRKeimyung University Dongsan Medical Center · KRKonkuk University Medical Center · KRKorea University · KRKosin University Gospel Hospital · KRPusan National University · KRSeoul National University Bundang Hospital · KR

Funding

AstraZeneca Korea ESR-18-13701
6 · The paper itself

Abstract

Potential synergism between Bruton's tyrosine kinase (BTK) inhibitor and lenalidomide in treating aggressive B-cell lymphoma has been suggested. Here, the authors report a single-arm phase II clinical trial of combination of acalabrutinib, lenalidomide and rituximab (R2A) in patients with aggressive relapsed/refractory aggressive (R/R) B-cell non-Hodgkin lymphoma (NHL). The primary endpoint of this study is objective response rate (ORR), and the secondary endpoints are complete remission (CR) rate, duration of response (DoR), progression-free survival (PFS) and overall survival (OS). A total of 66 patients are enrolled mostly with diffuse large B-cell lymphoma. The ORR is 54.5% and CR rate is 31.8% meeting the primary end point. The median DoR is 12.9 months, and 1-year PFS and OS rate is 33.1% and 67.5% respectively. Adverse events (AE) are manageable with the most frequent AE being neutropenia (31.8%). Patients with MYD88 mutations, subtypes known for NF-κB activation, and high BTK expression by immunohistochemistry respond well. Overall, these results show a significant efficacy of the R2A regimen in patients with aggressive R/R B-cell NHL, with exploratory biomarkers suggesting potential associations with response. (ClinicalTrials.gov 51 identifier: NCT04094142).

Indexed as

BenzamidesLymphoma, Large B-Cell, DiffusePyrazinesAntineoplastic Combined Chemotherapy ProtocolsDisease-Free SurvivalHumansLenalidomideRituximabTreatment OutcomeacalabrutinibBenzamidesLenalidomidePyrazinesRituximab

Identifiers

PMID38555311
PMCPMC10981676
OpenAlexW4393344870

What OpenQuestion holds

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LicenceCC BY
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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.