Evidence map›Paper›PMID 40853376›Full record

ArticleAnnals of hematology2025

Outcomes of primary CNS lymphoma treated with combined immunochemotherapy with whole-brain radiotherapy.

Ya Hwee Tan, Ryan Mao Heng Lim, Jing Yuan Tan, Boon Yee Lim, Nur Ayuni Binte, Muhammad Taib, Choon Kiat Ong, Chee Leong Cheng, Kheng Wei Yeoh, Soon Thye Lim and 1 more

Abstract read
In one paragraph

Article in Annals of hematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

11 authors.

Ya Hwee TanDivision of Medical Oncology, National Cancer Centre Singapore, 30 Hospital Boulevard, 168583, Singapore, Singapore.
Ryan Mao Heng LimDivision of Medical Oncology, National Cancer Centre Singapore, 30 Hospital Boulevard, 168583, Singapore, Singapore.
Jing Yuan TanDepartment of Haematology, Singapore General Hospital, Singapore, Singapore.
Boon Yee LimCancer Discovery Hub, National Cancer Centre Singapore, Singapore, Singapore.
Nur Ayuni BinteDivision of Medical Oncology, National Cancer Centre Singapore, 30 Hospital Boulevard, 168583, Singapore, Singapore.
Muhammad TaibLymphoma Translational Research Laboratory, Division of Cellular and Molecular Research, National Cancer Centre Singapore, Singapore, Singapore.
Choon Kiat OngLymphoma Translational Research Laboratory, Division of Cellular and Molecular Research, National Cancer Centre Singapore, Singapore, Singapore.
Chee Leong ChengDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Kheng Wei YeohDivision of Radiation Oncology, National Cancer Centre, Singapore, Singapore.
Soon Thye LimDivision of Medical Oncology, National Cancer Centre Singapore, 30 Hospital Boulevard, 168583, Singapore, Singapore.
Jason Yongsheng ChanDivision of Medical Oncology, National Cancer Centre Singapore, 30 Hospital Boulevard, 168583, Singapore, Singapore. jason.chan.y.s@singhealth.com.sg.

Funding

Singapore Ministry of Health's National Medical Research Council Large Collaborative Grant OFLCG-23May0039Singapore Ministry of Health's National Medical Research Council Research Transition Award TA21jun-0005Singapore Ministry of Health's National Medical Research Council TETRAD II Collaborative Centre Grant CG21APR2002SingHealth Duke-NUS AM/ACP-Designated Philanthropic Fund Grant Award 08/FY2023/EX/27-A65
6 · The paper itself

Abstract

purposeGiven that most PCNSL cases are diagnosed at a late age, they may be unsuitable for consolidation therapy with autologous stem cell transplantation (HDC-ASCT). We thus examine the outcomes of PCNSL in a multiethnic Asian population treated with HD-MTX-based chemotherapy and consolidation WBRT, so as to benchmark current treatment outcomes.

methodsWe conducted a retrospective study involving patients (n = 129) diagnosed with PCNSL at the National Cancer Centre Singapore from 2000 to 2019. The median follow-up duration was 47.0 months. Survival analyses were performed using the Kaplan-Meier method and Cox proportional models.

resultsThe cohort consisted of 76 male and 53 female patients with a median age of 60 years. 85 patients received HD-MTX-based induction therapy as per DeAngelis, while 44 were treated with the Shah protocol. In univariate analyses, male sex, ECOG scores ≥ 1, non-germinal center subtype, use of DeAngelis protocol, and methotrexate dose < 3 g/m

conclusionOur study demonstrates that contemporary HD-MTX-based chemoimmunotherapy induction regimens achieve good disease responses in PCNSL. We also highlight significant prognostic factors and a potential role for immunotherapy in PCNSL.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCentral Nervous System NeoplasmsChemoradiotherapyCranial IrradiationImmunotherapyAdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMethotrexateMiddle AgedRetrospective StudiesTreatment OutcomeMethotrexateGene expression analysisMethotrexatePrimary CNS lymphomaPrognosticationRituximab

Identifiers

PMID40853376
PMCPMC12552391

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.