Evidence map›Paper›PMID 40153690›Full record

ArticleJCO global oncology2025

High-Dose Methotrexate Usage Without Drug-Level Monitoring in Advanced Pediatric Mature B-Cell Non-Hodgkin Lymphoma in a Resource-Limited Setting in Malawi.

Rizine R Mzikamanda, Loviisa Mulanje, Casey L McAtee, Apatsa Matatiyo, Zoe Mwale, Grace Chirwa, Watipaso Wanda, Atupele Miranda Mpasa, Stella Wachepa, Minke H W Huibers and 11 more

Abstract read
In one paragraph

Article in JCO global oncology, 2025. 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

21 authors.

Rizine R MzikamandaPediatric Hematology-Oncology, Kamuzu Central Hospital, Lilongwe, Malawi.ORCID 0000-0001-7809-7699
Loviisa MulanjeDepartment of Epidemiological Methods and Etiological Research, Leibniz Institute of Prevention Research and Epidemiology, Bremen, Germany.ORCID 0009-0007-0252-0797
Casey L McAteeDepartment of Pediatrics, Baylor College of Medicine, Houston, TX.ORCID 0000-0003-3968-4668
Apatsa MatatiyoUniversity of North Carolina Project Malawi, Lilongwe, Malawi.
Zoe MwaleBaylor College of Medicine Children's Foundation-Malawi, Lilongwe, Malawi.
Grace ChirwaPediatric Hematology-Oncology, Kamuzu Central Hospital, Lilongwe, Malawi.
Watipaso WandaPediatric Hematology-Oncology, Kamuzu Central Hospital, Lilongwe, Malawi.
Atupele Miranda MpasaPediatric Hematology-Oncology, Kamuzu Central Hospital, Lilongwe, Malawi.ORCID 0009-0006-5974-0080
Stella WachepaPediatric Hematology-Oncology, Kamuzu Central Hospital, Lilongwe, Malawi.ORCID 0000-0001-6132-3717
Minke H W HuibersPrinces' Maxima Center Pediatric Oncology, Utrecht, the Netherlands.ORCID 0000-0003-0310-3067
Steve MartinDepartment of Pediatrics, University of South Carolina School of Medicine, Greenville, SC.ORCID 0000-0003-2684-2284
Tamiwe TomokaUniversity of North Carolina Project Malawi, Lilongwe, Malawi.ORCID 0000-0002-5183-8714
Maurice MulengaUniversity of North Carolina Project Malawi, Lilongwe, Malawi.ORCID 0000-0001-8623-2205
Yuri FedoriwUniversity of North Carolina Project Malawi, Lilongwe, Malawi.ORCID 0000-0002-2135-2908
Gugulethu MapurisaUniversity of North Carolina Project Malawi, Lilongwe, Malawi.ORCID 0000-0001-7740-6437
Julie M Gastier FosterDepartment of Pediatrics, Baylor College of Medicine, Houston, TX.ORCID 0000-0001-7141-8031
Nader El-MallawanyDepartment of Pediatrics, Baylor College of Medicine, Houston, TX.ORCID 0000-0001-6115-1046
Katherine D WestmorelandUniversity of North Carolina Project Malawi, Lilongwe, Malawi.
Peter WasswaDepartment of Pediatrics, Baylor College of Medicine, Houston, TX.
Carl E AllenDepartment of Pediatrics, Baylor College of Medicine, Houston, TX.ORCID 0000-0002-6625-739X
Nmazuo OzuahDepartment of Pediatrics, Baylor College of Medicine, Houston, TX.ORCID 0000-0001-5344-7875

Funding

Pediatric HIV and Cancer EpidemiologyU54CA254569 · NCI · BAYLOR COLLEGE OF MEDICINE · PI ALLEN, CARL E, JOLOBA, MOSES LUTAAKOME · 2020 to 2024
$5.7M
NCI NIH HHS U54 CA254569
6 · The paper itself

Abstract

purposeExcellent survival for advanced (stages II with high lactate dehydrogenase, III, and IV) pediatric mature B-cell non-Hodgkin lymphoma (MB-NHL) has been achieved with intensive regimens, but adoption in sub-Saharan Africa is limited by inadequate supportive care. We provide real-world data on treating advanced MB-NHL with high-dose methotrexate (HD-MTX; ≥1,000 mg/m

methodsWe identified two cohorts-a retrospective (January 2017-December 2020) cohort treated with 1,000 or 3,000 mg/m

resultsThe retrospective cohort had 108 patients who received HD-MTX 1,000 mg/m

conclusionHD-MTX dosed at 3,000 mg/m

Indexed as

Antimetabolites, AntineoplasticLymphoma, B-CellMethotrexateAdolescentChildChild, PreschoolDrug MonitoringFemaleHumansMalawiMaleProspective StudiesResource-Limited SettingsRetrospective StudiesAntimetabolites, AntineoplasticMethotrexate

Identifiers

PMID40153690
PMCPMC12004980

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.