Evidence map›Paper›PMID 30520026›Full record

Trial reportBritish journal of haematology2019

Phase I/II study of dasatinib and exploratory genomic analysis in relapsed or refractory non-Hodgkin lymphoma.

Jayadev M Umakanthan, Javeed Iqbal, Connie L Batlevi, Alyssa Bouska, Lynette M Smith, Valerie Shostrom, Heather Nutsch, Basem M William, R Gregory Bociek, Matthew Lunning and 4 more

Open access · bronzeAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in British journal of haematology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
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

23 citing papers in PubMed, 25 citations in OpenAlex.

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  9. Early phase clinical trials in oncology: Realising the potential of seamless designs.European journal of cancer (Oxford, England : 1990) · 2023
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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

14 authors at 3 institutions in 1 country.

Jayadev M UmakanthanDivision of Oncology & Hematology, University of Nebraska Medical Center, Omaha, NE, USA.ORCID 0000-0002-8746-4240
Javeed IqbalDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE, USA.
Connie L BatleviLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
Alyssa BouskaDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE, USA.
Lynette M SmithDepartment of Biostatistics, University of Nebraska Medical Center, Omaha, NE, USA.
Valerie ShostromDepartment of Biostatistics, University of Nebraska Medical Center, Omaha, NE, USA.
Heather NutschDivision of Oncology & Hematology, University of Nebraska Medical Center, Omaha, NE, USA.
Basem M WilliamDepartment of Internal Medicine, The Ohio State University Comprehensive Cancer Center (OSUCCC-James), The Ohio State University, Columbus, OH, USA.
R Gregory BociekDivision of Oncology & Hematology, University of Nebraska Medical Center, Omaha, NE, USA.
Matthew LunningDivision of Oncology & Hematology, University of Nebraska Medical Center, Omaha, NE, USA.
Philip BiermanDivision of Oncology & Hematology, University of Nebraska Medical Center, Omaha, NE, USA.
Anas YounesLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
James O ArmitageDivision of Oncology & Hematology, University of Nebraska Medical Center, Omaha, NE, USA.
Julie M VoseDivision of Oncology & Hematology, University of Nebraska Medical Center, Omaha, NE, USA.
University of Nebraska Medical Center · USMemorial Sloan Kettering Cancer Center · USThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · US

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

Relapsed or refractory non-Hodgkin lymphomas (NHLs) often carry poor prognosis and pose management challenges. We evaluated the safety and efficacy of dasatinib, a broad-spectrum multi-kinase inhibitor in relapsed/refractory NHL with correlative genomic analysis in a Phase I/II trial. The study included 33 patients with various sub-types of NHL who had received at least one prior therapy. The most common sub-types were diffuse large B-cell lymphoma (24%), follicular lymphoma, grade 1/2 (21%) and peripheral T-cell lymphoma not otherwise specified (PTCL-NOS; 21%). Most patients were heavily pre-treated, including 42% with more than four prior therapies, 67% with rituximab exposure and 24% with prior autologous transplant. In this cohort, dasatinib showed modest activity in evaluable patients with an objective response rate of 29% (7/24) and clinical benefit rate of 71% (17/24). In 32 patients with outcome data, median progression-free survival was 3 months and median overall survival was 22·4 months. There were two patients with sustained complete responses, both with PTCL-NOS histology. The side effect profile was consistent with prior studies, with pleural effusion being the most common non-haematological toxicity. Exploratory genomic analysis showed two cases of PTCL-NOS with sustained response had a common mutation in LRRK2 and high prevalence of FOXO1 mutation in relapsed/refractory follicular lymphoma.

Indexed as

Lymphoma, Non-HodgkinAdultAgedAged, 80 and overDasatinibDisease-Free SurvivalFemaleForkhead Box Protein O1GenomicsHumansLeucine-Rich Repeat Serine-Threonine Protein Kinase-2MaleMiddle AgedNeoplasm ProteinsRecurrenceSurvival RateDasatinibForkhead Box Protein O1FOXO1 protein, humanLeucine-Rich Repeat Serine-Threonine Protein Kinase-2LRRK2 protein, humanNeoplasm Proteinsdasatinibmutation analysisNHLphase 2 studyrelapsed/refractory lymphoma

Identifiers

PMID30520026
PMCPMC8281362
OpenAlexW2904205732

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.