Evidence map›Paper›PMID 42463943›Full record

Trial reportLeukemia2026

Dose-reduced (24 Gy) involved-site radiotherapy combined with rituximab in early-stage non-gastric mucosa-associated lymphoid tissue lymphoma: a prospective phase II trial.

Hailing Liu, Yuexin Cheng, Shu Liu, Xiaohui Zhang, Jie Ma, Jinbo Lu, Chunling Wang, Mei Sun, Xia Zhao, Lei Cao and 9 more

Abstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in Leukemia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

19 authors.

Hailing Liu *Department of Hematology, Jiangsu Province Hospital, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu, China.
Yuexin Cheng *Department of Hematology, the First People's Hospital of Yancheng, the Yancheng Clinical College of Xuzhou Medical University, Yancheng, Jiangsu, China.
Shu Liu *Department of Radiation Oncology, Jiangsu Province Hospital, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu, China.
Xiaohui ZhangDepartment of Hematology, the Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Jie MaDepartment of Hematology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Jinbo LuDepartment of Hematology, the First People's Hospital of Yancheng, the Yancheng Clinical College of Xuzhou Medical University, Yancheng, Jiangsu, China.
Chunling WangDepartment of Hematology, the Affiliated Huaian No.1 People's Hospital of Nanjing Medical University, Huaian, Jiangsu, China.
Mei SunDepartment of Hematology, Northern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou, Jiangsu, China.
Xia ZhaoDepartment of Lymphoma, the Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
Lei CaoDepartment of Hematology, Jiangsu Province Hospital, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu, China.
Xiaoyan QuDepartment of Hematology, Jiangsu Province Hospital, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu, China.
Sanmei WangDepartment of Hematology, Jiangsu Province Hospital, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu, China.
Haorui ShenDepartment of Hematology, Jiangsu Province Hospital, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu, China.
Tian TianDepartment of Hematology, Jiangsu Province Hospital, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu, China.
Yuxiao ZhaoDepartment of Hematology, Jiangsu Province Hospital, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu, China.
Chongyang DingDepartment of Nuclear Medicine, Jiangsu Province Hospital, the First Affiliated Hospital With Nanjing Medical University, Nanjing, Jiangsu, China.
Lixia ShengDepartment of Hematology, the First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang, China. slx800408@163.com.ORCID http://orcid.org/0000-0003-0631-7140
Kaiyang DingDepartment of Hematology, Anhui Provincial Hospital, the First Affiliated Hospital of USTC, Hefei, Anhui, China. dingkaiy@ustc.edu.cn.
Lei FanDepartment of Hematology, Jiangsu Province Hospital, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu, China. fanlei@jsph.org.cn.ORCID http://orcid.org/0000-0002-9368-4987

Funding

Natural Science Foundation of Jiangsu Province (Jiangsu Provincial Natural Science Foundation) BK20232039
6 · The paper itself

Abstract

While involved-site radiotherapy (ISRT) is the standard first-line treatment in localized non-gastric mucosa-associated lymphoid tissue (MALT) lymphoma, the cumulative risk of distant relapse poses a persistent clinical challenge. We conducted a prospective phase II trial evaluating rituximab with 24 Gy ISRT, aiming to reduce distant relapse and enhance long-term survival. By October 2025, 60 patients with early-stage non-gastric MALT lymphoma were enrolled. Among the per-protocol efficacy-evaluable cohort (n = 55), the combined immunoradiotherapy regimen achieved a complete response rate of 100%. At a median follow-up of 30.2 months, only one distant recurrence was observed (estimated 5-year distant recurrence: 1.9%). In the full analysis set, 2- and 4-year progression-free survival rates were 98.0% and 92.9%, respectively, improving to 100% and 94.4% in the per-protocol set. Treatment-related hematologic toxicity was frequent but manageable. Infections were reported in 23.3%, including one grade 4 respiratory infection that necessitated treatment discontinuation. Immunophenotypic profiling revealed that parotid, thyroid, or mediastinal involvement correlated with higher lymphocyte proportions (39.5% ± 16.4%, P = 0.012). Post-treatment immunologic changes featured near-complete B-cell depletion and a compensatory expansion of NK cells. Overall, the combined immunoradiotherapy regimen demonstrated durable disease control in localized non-gastric MALT lymphoma, with potential synergistic benefit from NK cell-mediated immune activation. Trial registration: Chinese Clinical Trials Registry, ChiCTR2000036318; registered on Aug 22, 2020 (prospective).

Indexed as

Antineoplastic Agents, ImmunologicalChemoradiotherapyLymphoma, B-Cell, Marginal ZoneRituximabAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoplasm StagingPrognosisProspective StudiesRadiotherapy DosageAntineoplastic Agents, ImmunologicalRituximab

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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.