Evidence map›Paper›PMID 40991874›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2025

Five-Year Outcomes of the POLARIX Study Comparing Pola-R-CHP and R-CHOP in Patients With Diffuse Large B-Cell Lymphoma.

Franck Morschhauser, Gilles Salles, Laurie H Sehn, Alex F Herrera, Jonathan W Friedberg, Marek Trněný, Georg Lenz, Jeff P Sharman, Charles Herbaux, John M Burke and 27 more

Erratum issued Registry-linked trialAbstract readMulticenter StudyComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03274492 (A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial Comparing the Efficacy and Safety of Polatuzumab Vedotin in Combination With Rituximab and CHP), which is not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 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.

NCT03274492 phase3completednot on this map

A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial Comparing the Efficacy and Safety of Polatuzumab Vedotin in Combination With Rituximab and CHP (R-CHP) Versus Rituximab and CHOP (R-CHOP) in Previously Untreated Patients With Diffuse Large B-Cell Lymphoma

TypeinterventionalSponsorHoffmann-La RocheRan2017 to 2026Enrolled1,000ConditionsDiffuse Large B-Cell LymphomaArmsPolatuzumab Vedotin, Rituximab, Cyclophosphamide, Doxorubicin, Vincristine
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Molecular Insights and Novel Therapies for Lymphoproliferative Disorders.International journal of molecular sciences · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

37 authors.

Franck MorschhauserUniversity of Lille, Lille, France.ORCID 0000-0002-3714-9824
Gilles SallesMemorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-9541-8666
Laurie H SehnBC Cancer Centre for Lymphoid Cancer and the University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0003-1860-9765
Alex F HerreraCity of Hope, Duarte, CA.ORCID 0000-0002-9665-7415
Jonathan W FriedbergWilmot Cancer Institute, University of Rochester, Rochester, NY.
Marek TrněnýCharles University, Prague, Czech Republic.ORCID 0000-0002-6952-6073
Georg LenzUniversity Hospital Münster, Department of Medicine A-Haematology and Oncology, Münster, Germany.
Jeff P SharmanWillamette Valley Cancer Institute and Research Center, Florence, OR.ORCID 0000-0001-5611-6115
Charles HerbauxUniversity of Montpellier, Montpellier, France.ORCID 0000-0003-4910-476X
John M BurkeRocky Mountain Cancer Centers/US Oncology, Aurora, CO.
Matthew MatasarRutgers Cancer Institute, New Brunswick, NJ.ORCID 0000-0002-4581-3721
Graham P CollinsOxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID 0000-0002-8803-4234
Neha Mehta-ShahDivision of Medical Oncology, Department of Medicine, Washington University School of Medicine, St Louis, MO.
Lucie ObericDepartment of Hematology, Cancer University Institute of Toulouse Oncopole, Toulouse, France.ORCID 0000-0002-0039-1983
Adrien ChauchetDepartment of Hematology, Besançon University Hospital, Besançon, France.
Wojciech JurczakMaria Skłodowska-Curie National Research Institute of Oncology, Kraków, Poland.
Yuqin SongPeking University Cancer Hospital, Beijing, China.
Antonio PintoHematology-Oncology and Stem Cell Transplantation Unit, Istituto Nazionale Tumori-IRCCS-Fondazione 'G. Pascale', Naples, Italy.
Shinya RaiDepartment of Hematology and Rheumatology, Kindai University, Faculty of Medicine, Osaka-Sayama City, Japan.ORCID 0000-0003-3929-9751
Koji IzutsuNational Cancer Center Hospital, Tokyo, Japan.ORCID 0000-0001-9129-8057
Richard GreilMedical Department III, Paracelsus Medical University Salzburg, Salzburg Cancer Research Institute-Center for Clinical Cancer and Immunology Trials, Cancer Cluster Salzburg, Salzburg, Austria.ORCID 0000-0002-4462-3694
Larysa MykhalskaFeofaniya Clinical Hospital, Kyiv, Ukraine.
Juan M Bergua-BurguésServicio de Hematologia y Hemoterapia, Hospital San Pedro de Alcántara, Cáceres, Spain.ORCID 0000-0001-8229-1208
Matthew C CheungOdette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Ho-Jin ShinDivision of Hematology-Oncology, Department of Internal Medicine, Research Institute of Medical Science, Pusan National University Hospital, Pusan National University School of Medicine, Busan, South Korea.
Greg HapgoodPrincess Alexandra Hospital, University of Queensland, Brisbane, QLD, Australia.ORCID 0000-0002-7980-8496
Eduardo MunhozHospital Erasto Gaertner, Curitiba, Brazil.
Pau AbrisquetaDepartment of Hematology, Vall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology, Barcelona, Spain.ORCID 0000-0001-9625-7422
Jyh-Pyng GauTaipei Veterans General Hospital, Taipei, Taiwan.
Yanwen JiangGenentech, Inc, South San Francisco, CA.
Bruce McCallGenentech, Inc, South San Francisco, CA.
Saibah ChohanHoffmann-La Roche Ltd, Mississauga, ON, Canada.
Matthew SugidonoGenentech, Inc, South San Francisco, CA.ORCID 0000-0003-4883-8921
Mark YanHoffmann-La Roche Ltd, Mississauga, ON, Canada.
Connie Lee BatleviGenentech, Inc, South San Francisco, CA.ORCID 0000-0002-9036-9463
Hervé TillyCentre Henri-Becquerel and University of Rouen, Rouen, France.ORCID 0000-0001-7022-5246
Christopher R FlowersM.D. Anderson Cancer Center, Houston, TX.ORCID 0000-0002-9524-3990

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

In the POLARIX study (ClinicalTrials.gov identifier: NCT03274492), polatuzumab vedotin plus rituximab, cyclophosphamide, doxorubicin, and prednisone (Pola-R-CHP) showed a significant progression-free survival (PFS) benefit versus rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) in patients with previously untreated intermediate- or high-risk diffuse large B-cell lymphoma (DLBCL; median follow-up: 28 months). In this 5-year update, sustained PFS benefits favoring Pola-R-CHP were observed. In the global intention-to-treat population (N = 879; median follow-up: 64.1 months), Pola-R-CHP demonstrated a significant PFS benefit over R-CHOP (hazard ratio [HR], 0.77 [95% CI, 0.62 to 0.97]), with 5-year PFS rates of 64.9% (95% CI, 59.8 to 70.0) and 59.1% (95% CI, 53.9 to 64.3), respectively. Although not statistically significant, overall survival analysis showed a HR of 0.85 (95% CI, 0.63 to 1.15) at the 5-year data cut compared with 0.94 (95% CI, 0.67 to 1.33) at the 2-year data cut. In the expanded population, 46 and 62 patients had lymphoma-related deaths in the Pola-R-CHP and R-CHOP arms, respectively. Exploratory analyses showed favorable 5-year survival rates with Pola-R-CHP in high-risk subgroups, including activated B-cell DLBCL and International Prognostic Index score 3-5. Long-term tolerability was similar between treatment arms. Findings confirm Pola-R-CHP represents a standard of care for frontline treatment of DLBCL.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsLymphoma, Large B-Cell, DiffuseAdultAgedAged, 80 and overAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCyclophosphamideDoxorubicinFemaleHumansImmunoconjugatesMaleMiddle AgedPrednisoneProgression-Free SurvivalAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCyclophosphamideDoxorubicinImmunoconjugatespolatuzumab vedotinPrednisoneR-CHOP protocolRituximabVincristine

Identifiers

PMID40991874
PMCPMC12680271

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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.