Evidence map›Paper›PMID 39875951›Full record

ArticleCardio-oncology (London, England)2025

Rationale and design of the HOVON 170 DLBCL-ANTICIPATE trial: preventing anthracycline-induced cardiac dysfunction with dexrazoxane.

Marijke Linschoten, Jesse Geels, Erik van Werkhoven, Heleen Visser-Wisselaar, Martine E D Chamuleau, Arco J Teske, Lourens Robbers, Simone Oerlemans, Heleen Crommelin, Marleen Breems-de Ridder and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in Cardio-oncology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06220032 (ANTICIPATE), which is not on this 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.

NCT06220032 phase3recruitingnot on this map

ANTICIPATE: Prevention of ANThracycline-Induced Cardiac Dysfunction by Dexrazoxane In PATients With diffusE Large B-cell Lymphoma: a Phase III National Multicenter Prospective Randomized Open-label Trial

TypeinterventionalSponsorStichting Hemato-Oncologie voor Volwassenen NederlandRan2024 to 2028Enrolled324ConditionsDLBCL - Diffuse Large B Cell LymphomaArmsDexrazoxane, Rituximab, Cyclophosphamide, Doxorubicin, Vincristine
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

Marijke LinschotenDepartment of Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands. m.p.m.linschoten@amsterdamumc.nl.
Jesse GeelsDepartment of Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Erik van WerkhovenHOVON Foundation, Rotterdam, The Netherlands.
Heleen Visser-WisselaarHOVON Foundation, Rotterdam, The Netherlands.
Martine E D ChamuleauDepartment of Hematology, Amsterdam University Medical Center, Location Vrije Universiteit, Amsterdam, The Netherlands.
Arco J TeskeDepartment of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands.
Lourens RobbersDepartment of Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Simone OerlemansDepartment of Research and Development, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, The Netherlands.
Heleen CrommelinDepartment of Clinical Pharmacy, Division Laboratories, Pharmacy and Biomedical Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.
Marleen Breems-de RidderHOVON Foundation, Rotterdam, The Netherlands.
Astrid SchutThe Dutch Network for Cardiovascular Research (WCN), Utrecht, The Netherlands.
Folkert W AsselbergsDepartment of Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Anna van RhenenDepartment of Hematology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
HOVON 170 DLBCL – ANTICIPATE consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDexrazoxane has been studied for its ability to prevent anthracycline-induced cardiac dysfunction (AICD) in several trials but its use in clinical practice remains limited. This is related to the low to moderate quality of the generated evidence, safety concerns and restricted prescribing indications. Additional randomized trials are needed before this drug can be routinely integrated into cardio-oncology clinical practice.

objectivesTo describe the rationale and design of the HOVON 170 DLBCL - ANTICIPATE trial. This trial aims to establish the efficacy and safety of dexrazoxane for the primary prevention of AICD in patients diagnosed with Diffuse Large B-Cell Lymphoma (DLBCL) treated with six cycles R-CHOP

methodsThis is a multicenter, parallel-group, open-label, phase III trial, randomizing 324 patients between either no cardioprotective treatment or dexrazoxane from the first R-CHOP cycle. The primary and co-primary endpoints are the incidence of AICD within 12 months of registration and the percentage of patients with complete metabolic remission at the end-of-treatment PET-CT respectively. The trial is registered at the EU Clinical Trials Register (EU-CT number 2023-505377-32) and ClinicalTrials.gov (NCT06220032).

resultsThe medical research ethics committee approved the trial in May 2024. Recruitment has started in September 2024 and is expected to last for three years.

conclusionsThis trial is poised to contribute crucial evidence concerning the efficacy and safety on the use of dexrazoxane in the primary prevention of AICD. The trial is anticipated to address critical knowledge gaps and offer important insights into the value of dexrazoxane in cardio-oncology practice.

Indexed as

AnthracyclinesCardiotoxicityDexrazoxaneDiffuse large B-Cell lymphomaRandomized Controlled TrialR-CHOP chemotherapy

Identifiers

PMID39875951
PMCPMC11773844

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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.