Evidence map›Paper›PMID 40301333›Full record

Trial reportBlood cancer journal2025

Prospective phase II trial of first-line rituximab, methotrexate, and orelabrutinib (R-MO) in primary central nervous system lymphoma.

Lixia Sheng, Hailing Liu, Xiaohui Zhang, Kaiyang Ding, Jie Ma, Hongling Peng, Xia Zhao, Mei Sun, Wei Shi, Feiyan Zhang and 3 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Blood cancer journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. 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

13 authors.

Lixia Sheng *Department of Hematology, the First Affiliated Hospital of Ningbo University, Ningbo, 315010, Zhejiang, China.
Hailing Liu *Department of Hematology, Jiangsu Province Hospital, the First Affiliated Hospital with Nanjing Medical University, Nanjing, 210029, Jiangsu, China.
Xiaohui Zhang *Department of Hematology, the Second Affiliated Hospital of Soochow University, Suzhou, 215004, Jiangsu, China.
Kaiyang DingDepartment of Hematology, Anhui Provincial Hospital, the First Affiliated Hospital of USTC, Hefei, 230002, Anhui, China.
Jie MaDepartment of Hematology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, China.
Hongling PengDepartment of Hematology, the Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.ORCID http://orcid.org/0000-0003-2770-5150
Xia ZhaoDepartment of Lymphoma, the Affiliated Hospital of Qingdao University, Qingdao, 266555, Shandong, China.
Mei SunDepartment of Hematology, Northern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou, 225003, Jiangsu, China.
Wei ShiDepartment of Hematology, the Friendship Hospital of Ili Kazakh Autonomous Prefecture, Yining, 835000, Xinjiang, China.
Feiyan ZhangDepartment of Hematology, Jiangsu Province Hospital, the First Affiliated Hospital with Nanjing Medical University, Nanjing, 210029, Jiangsu, China.
Jianyong LiDepartment of Hematology, Jiangsu Province Hospital, the First Affiliated Hospital with Nanjing Medical University, Nanjing, 210029, Jiangsu, China.ORCID http://orcid.org/0000-0002-9931-4055
Lei CaoDepartment of Hematology, Jiangsu Province Hospital, the First Affiliated Hospital with Nanjing Medical University, Nanjing, 210029, Jiangsu, China. woshicaolei.2008@163.com.
Lei FanDepartment of Hematology, Jiangsu Province Hospital, the First Affiliated Hospital with Nanjing Medical University, Nanjing, 210029, Jiangsu, China. fanlei@jsph.org.cn.ORCID http://orcid.org/0000-0002-9368-4987

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82100211National Natural Science Foundation of China (National Science Foundation of China) 82470186Natural Science Foundation of Jiangsu Province (Jiangsu Provincial Natural Science Foundation) BK20232039
6 · The paper itself

Abstract

The treatment of primary central nervous system lymphoma (PCNSL) is currently limited by the impermeability of the blood-brain barrier. This study aims to assess the efficacy and safety of the R-MO regimen (rituximab, high-dose methotrexate, and orelabrutinib) in the treatment of patients with newly diagnosed PCNSL. A total of 37 patients were enrolled in this prospective, multi-center phase II trial. The post-induction overall response rate (ORR) was 90.3%, and the complete response rate (CRR) was 87.1%. Throughout the trial, the best ORR was 97.1%, and the best CRR was 94.1%. With a median follow-up of 12.6 months, the median progression-free survival (PFS) was not reached, with a 1-year PFS rate of 83.6%, meeting the primary study endpoint. The 1-year overall survival rate was 89.6%. Notably, there was no significant difference in PFS between transplanted and non-transplanted groups (P = 0.226). The most common adverse events were neutropenia, lymphocytopenia, and infections, each occurring in 45.9% of patients. Overall, the addition of orelabrutinib to high-dose methotrexate and rituximab in newly diagnosed PCNSL patients has demonstrated promising outcomes and favorable safety profiles, advocating for the use of this combination therapy as a potential frontline treatment option for PCNSL.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCentral Nervous System NeoplasmsAdultAgedAged, 80 and overBenzamidesFemaleHumansMaleMethotrexateMiddle AgedPiperidinesProspective StudiesPyrazinesPyridinesRituximabBenzamidesMethotrexateorelabrutinibPiperidinesPyrazinesPyridinesRituximab

Identifiers

PMID40301333
PMCPMC12041229

What OpenQuestion holds

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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.