Evidence map›Paper›PMID 39122717›Full record

Trial reportNature communications2024

Blinatumomab after R-CHOP bridging therapy for patients with Richter transformation: a phase 2 multicentre trial.

Romain Guièze, Loïc Ysebaert, Damien Roos-Weil, Luc-Mathieu Fornecker, Emmanuelle Ferrant, Lysiane Molina, Thérèse Aurran, Aline Clavert, Sophie de Guibert, Anne-Sophie Michallet and 18 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
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 NCT03931642 (BLINAtumomab After R-CHOP Debulking Therapy for Patients With Richter Transformation), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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.

NCT03931642 phase2completednot on this map

BLINAtumomab After R-CHOP Debulking Therapy for Patients With Richter Transformation

TypeinterventionalSponsorFrench Innovative Leukemia OrganisationRan2019 to 2022Enrolled41ConditionsRichter SyndromeArmsRCHOP, Blinatumomab
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Molecularly targeted therapy and immunotherapy in leukemias.Journal of hematology & oncology · 2026
    Review
  4. Article
  5. The Evolving Therapeutic Landscape of Richter Transformation.Current hematologic malignancy reports · 2025
    Review
  6. From Bench to Bedside: Emerging Paradigms in CAR-T Cell Therapy for Solid Malignancies.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  7. Review
  8. Review
  9. Article
  10. 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

28 authors.

Romain GuièzeCHU Clermont-Ferrand, Service de Thérapie Cellulaire et d'Hématologie Clinique, Clermont-Ferrand, France. rguieze@chu-clermontferrand.fr.ORCID 0000-0001-7563-580X
Loïc YsebaertService d'Hématologie, Institut Universitaire du Cancer de Toulouse, 1 Avenue Irene Joliot-Curie, 31059, Toulouse, France.
Damien Roos-WeilService d'Hématologie Clinique, Hôpital Pitié-Salpêtrière, AP-HP, Sorbonne Université, Paris, France.ORCID 0000-0002-7767-755X
Luc-Mathieu ForneckerInstitut de Cancérologie Strasbourg Europe (ICANS) and University of Strasbourg, Strasbourg, France.
Emmanuelle FerrantHospices Civils de Lyon, Centre Hospitalier Lyon Sud, Service d'Hématologie Clinique, Pierre-Bénite, France.
Lysiane MolinaUniversity Hospital Grenoble Alpes, Grenoble, France.
Thérèse AurranInstitut Paoli-Calmettes, Hématologie, Marseille, France.
Aline ClavertService des Maladies du Sang, CHU Angers, Angers, France.
Sophie de GuibertService d'Hématologie Clinique, CHU Rennes, Rennes, France.
Anne-Sophie MichalletService d'Hématologie, Centre Léon Bérard, Lyon, France.
Alain SaadHaematology Department, Hospital Center of Beziers, Beziers, France.
Bernard DrénouDepartment of Hematology, CH Mulhouse, Mulhouse, France.
Philippe QuittetDépartement d'Hématologie, CHU Montpellier, Montpellier, France.
Bénédicte HivertHématologie Clinique, Groupement des Hôpitaux de l'Institut Catholique de Lille Hôpital St Vincent de Paul, Lille, France.
Kamel LaribiDepartment of Hematology, Centre Hospitalier Le Mans, Le Mans, France.
Julie GayService d'Hématologie, Centre Hospitalier de la Côte Basque, Bayonne, France.ORCID 0009-0006-8923-6010
Anne QuinquenelDepartment of Hematology, University Hospital of Reims, UFR Médecine, Reims, France.
Julien BroseusCHRU-Nancy, Service d'Hématologie Biologique, Pôle Laboratoires, F54000, Nancy, France.
Valérie RouilleFrench Innovative Leukemia Organization, Tours, France.
David SchwartzFrench Innovative Leukemia Organization, Tours, France.
Benoit MagninDepartment of Radiology, CHU Clermont-Ferrand, Clermont-Ferrand, France.ORCID 0000-0002-4246-5688
Grégory LazarianLaboratoire d'hématologie, HUPSSD, Hôpital Avicenne, Bobigny, France.
Lauren VéronèseUniversité Clermont Auvergne, Unité de Recherche 7453 (CHELTER), Clermont-Ferrand, France.
Marie de AntonioDepartment of Statistics, CHU de Clermont-Ferrand, Clermont-Ferrand, France.
Camille LaurentDépartement de Pathologie, Institut Universitaire du Cancer, Centre Hospitalo-Universitaire (CHU) de Toulouse, Toulouse, France.
Olivier TournilhacCHU Clermont-Ferrand, Service de Thérapie Cellulaire et d'Hématologie Clinique, Clermont-Ferrand, France.ORCID 0000-0002-9438-621X
Bruno PereiraDepartment of Statistics, CHU de Clermont-Ferrand, Clermont-Ferrand, France.
Pierre FeugierInserm UMRS1256 Nutrition-Génétique et Exposition aux Risques Environnementaux (N-GERE), Université de Lorraine, Nancy, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Richter transformation (RT) is an aggressive lymphoma occurring in patients with chronic lymphocytic leukaemia. Here we investigated the anti-CD3/anti-CD19 T-cell-engager blinatumomab after R-CHOP (i.e. rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone) in patients with untreated RT of diffuse large B-cell lymphoma histology (NCT03931642). In this multicentre phase 2 study, patients without complete response (CR) after two cycles of R-CHOP were eligible to receive an 8-week blinatumomab induction via continuous vein infusion with stepwise dosing until 112 μg/day. The primary endpoint was the CR rate after blinatumomab induction and secondary endpoint included safety, response duration, progression-free and overall survival. Thirty-nine patients started the first cycle of R-CHOP, 25 of whom received blinatumomab. After blinatumomab induction, five (20%) patients achieved CR, four (16%) achieved partial response, and six (24%) were stable. Considering the entire strategy, the overall response rate in the full-analysis-set was 46% (n = 18), with CR in 14 (36%) patients. The most common treatment-emergent adverse events of all grades in the blinatumomab-safety-set included fever (36%), anaemia (24%), and lymphopaenia (24%). Cytokine release syndrome (grade 1/2) was observed in 16% and neurotoxicity in 20% of patients. Blinatumomab demonstrated encouraging anti-tumour activity (the trial met its primary endpoint) and acceptable toxicity in patients with RT.

Indexed as

Antibodies, BispecificAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideDoxorubicinLymphoma, Large B-Cell, DiffusePrednisoneRituximabVincristineAdultAgedAged, 80 and overFemaleHumansLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedAntibodies, BispecificblinatumomabCyclophosphamideDoxorubicinPrednisoneR-CHOP protocolRituximabVincristine

Identifiers

PMID39122717
PMCPMC11316063

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.