Evidence map›Paper›PMID 40418267›Full record

ArticleClinical and experimental medicine2025

Predicting the risk of ibrutinib in combination with R-ICE in patients with relapsed or refractory DLBCL using explainable machine learning algorithms.

Ni Zhu, Rong-Bin Shen, Jun-Fa Chen, Jian-You Gu, Si-Chun Xiang, Yu Zhang, Li-Li Qian, Qing Guo, Sha-Na Chen, Jian-Ping Shen and 2 more

Abstract read
In one paragraph

Article in Clinical and experimental medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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 synthesis or guideline pooled it.

  1. Pooled it
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

12 authors.

Ni Zhu *Department of Hematology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310006, Zhejiang, China.
Rong-Bin Shen *Department of Hematology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310006, Zhejiang, China.
Jun-Fa ChenDepartment of Hematology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310006, Zhejiang, China.
Jian-You GuDepartment of Hematology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310006, Zhejiang, China.
Si-Chun XiangLishui Central Hospital, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui, China.
Yu ZhangDepartment of Hematology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310006, Zhejiang, China.
Li-Li QianDepartment of Hematology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310006, Zhejiang, China.
Qing GuoDepartment of Hematology, Inner Mongolia International Mongolian Hospital, Hohhot, China.
Sha-Na ChenDepartment of Hematology, Inner Mongolia International Mongolian Hospital, Hohhot, China.
Jian-Ping ShenDepartment of Hematology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310006, Zhejiang, China.
Jun Yan *Laboratory of Chemistry and Physics, Hangzhou Center for Disease Control and Prevention, Hangzhou (Hangzhou Health Supervision Institution), Hangzhou, 310021, Zhejiang, China. janjun@hzcdc.com.cn.
Jing-Jing Xiang *Department of Hematology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310006, Zhejiang, China. xiangjing071026@163.com.

Funding

This work was supported by Special project for the modernization of traditional Chinese medicine in Zhejiang province No.2020ZX007Zhejiang Provincial Natural Science Foundation No. LTGY23H270004Zhejiang Provincial Natural Science Foundation No.LTGY23H290001Zhejiang Traditional Medicine and Technology Program for Young Scholars No.2021ZQ030Zhejiang Traditional Medicine and Technology Program for Young Scholars No.2022ZQ034
6 · The paper itself

Abstract

Relapsed or refractory diffuse large B-cell lymphoma (DLBCL) poses significant therapeutic challenges due to heterogeneous patient outcomes. This study aimed to evaluate the efficacy of the ibrutinib plus R-ICE regimen and to leverage explainable machine learning models (ML) for predicting treatment risks and outcomes. Retrospective data from 28 patients treated between March 2019 and July 2022 were analyzed. Machine learning models, including CoxBoost + StepCox, were developed and validated using bootstrap methods. Synthetic minority over-sampling combined with propensity score matching (SMOTE-PSM) addressed class imbalances. Prognostic performance was compared against the Cox proportional hazards model using decision curve and calibration analysis, as well as time-dependent ROC curves. The CoxBoost + StepCox model achieved an average C-index of 0.955 for overall survival (OS) and progression-free survival (PFS). Key prognostic indicators included elevated lactate dehydrogenase (LDH), initial treatment response, time to relapse > 12 months, and CD5 + expression. Calibration curves showed a C-index of 0.932 for OS and 0.972 for PFS in the training set. CD5 + was most predictive for OS and LDH for PFS. Machine learning models demonstrated high accuracy and clinical utility, indicating potential for data-driven treatment decisions in DLBCL.

Indexed as

AdenineAntineoplastic Combined Chemotherapy ProtocolsLymphoma, Large B-Cell, DiffuseMachine LearningAdultAgedAged, 80 and overCyclophosphamideFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalPiperidinesPrognosisRetrospective StudiesAdenineCyclophosphamideibrutinibPiperidinesRituximabDiffuse large B-cell lymphomaIbrutinibICE chemotherapyMachine learningRituximab

Identifiers

PMID40418267
PMCPMC12106145

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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.