Evidence map›Paper›PMID 38900302›Full record

Trial reportAnnals of hematology2024

Quality of life assessment in diffuse large B-cell lymphoma (DLBCL) in REFLECT: a prospective, non-interventional, multicenter, German study, assessing Sandoz rituximab in combination with CHOP.

Boris Kubuschok, Burkhard Otremba, Manfred Welslau, Julian Topaly, Thomas Wolff, Georg Lenz, Michael Grau, Larissa Bittencourt da Silva, Ines Brückmann, Tobias Foierl

Abstract 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  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

10 authors.

Boris KubuschokDepartment of Internal Medicine II (Hematology/Oncology) and Comprehensive Cancer Center Augsburg, CCC Alliance WERA and Bavarian Cancer Research Center (BZKF), Universitätsklinikum Augsburg, Augsburg, Germany. Boris.Kubuschok@uk-augsburg.de.ORCID http://orcid.org/0000-0001-5000-2328
Burkhard OtrembaOnkologische Praxis Oldenburg, Oldenburg, Germany.
Manfred WelslauComprehensive Cancer Center Mainfranken, Onkologie Aschaffenburg, Germany and Comprehensive Cancer Center Mainfranken, CCC Alliance WERA and BZKF, Würzburg, Germany.
Julian TopalyMVZ Klinikum Osnabrück GmbH, Osnabrück, Germany.ORCID http://orcid.org/0000-0003-2123-4829
Thomas WolffOncoResearch Lerchenfeld, Hamburg, Germany.
Georg LenzDepartment of Medicine A for Hematology, Oncology and Pneumology, Universitätsklinikum Münster, Münster, Germany.
Michael GrauDepartment of Medicine A for Hematology, Oncology and Pneumology, Universitätsklinikum Münster, Münster, Germany.
Larissa Bittencourt da SilvaSandoz, Holzkirchen, Germany.
Ines BrückmannSandoz, Holzkirchen, Germany.
Tobias FoierlSandoz, Holzkirchen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health-related quality of life (HRQoL) data are important indicators of health status in patients with lymphoma. The objective of this analysis was to assess the impact of treatment with Sandoz rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) on HRQoL in treatment-naïve adult patients with diffuse large B-cell lymphoma (DLBCL) included in the prospective, real-world REFLECT study. REFLECT is the first prospective study to assess HRQoL in patients with DLBCL treated with a rituximab biosimilar. HRQoL was assessed via the patient-reported European Organization for Research and Treatment of Cancer Core Quality of Life questionnaire at baseline, mid-treatment (month 3), end of treatment (month 6), and follow-up (months 9 and 12). Subgroup analyses were performed to evaluate the influence of baseline characteristics on HRQoL, and associations between baseline HRQoL and treatment response. HRQoL was assessed in 169 patients. Mean global health status score remained stable from baseline (54.8) to mid-treatment (month 3; 54.7), before steadily improving through to end of treatment (month 6; 61.4), and follow-up month 9 (64.9) and month 12 (68.8). Similar trends were observed across most functional and symptom subscales. Higher cognitive, physical, or role functioning, and less appetite loss, diarrhea, fatigue, or pain at baseline, were all associated with an improved likelihood of reaching a complete versus partial response at the end of treatment. Overall, these findings confirm the HRQoL benefits of R-CHOP therapy in treatment-naïve adult patients with DLBCL, and suggest that baseline HRQoL may be predictive of treatment response.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCyclophosphamideDoxorubicinLymphoma, Large B-Cell, DiffusePrednisoneQuality of LifeRituximabVincristineAdultAgedAged, 80 and overFemaleFollow-Up StudiesGermanyHumansMaleCyclophosphamideDoxorubicinPrednisoneR-CHOP protocolRituximabVincristineBiosimilarDLBCLQuality of lifeR-CHOPReal worldRituximab

Identifiers

PMID38900302
PMCPMC11283426

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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.