Evidence map›Paper›PMID 37287047›Full record

SynthesisVirology journal2023

Zidovudine and Interferon Alfa based regimens for the treatment of adult T-cell leukemia/lymphoma (ATLL): a systematic review and meta-analysis.

Arman Shafiee, Niloofar Seighali, Nooshin Taherzadeh-Ghahfarokhi, Shayan Mardi, Sorour Shojaeian, Shahrzad Shadabi, Mahsa Hasani, Sabahat Haghi, Sayed-Hamidreza Mozhgani

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Virology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
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

9 authors at 2 institutions in 1 country.

Arman ShafieeDepartment of Psychiatry and Mental Health, Alborz University of Medical Sciences, Karaj, Iran.
Niloofar SeighaliStudent Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Nooshin Taherzadeh-GhahfarokhiStudent Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Shayan MardiStudent Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Sorour ShojaeianDepartment of Biochemistry, Medical Genetics, Nutrition, Alborz University of Medical Sciences, Karaj, Iran.
Shahrzad ShadabiStudent Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Mahsa HasaniDepartment of Microbiology, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Sabahat HaghiDepartment of Pediatrics, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Sayed-Hamidreza MozhganiDepartment of Microbiology, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran. hamidrezamozhgani@gmail.com.
Jahrom University of Medical Sciences · IRAlborz University of Medical Sciences

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundATLL (Adult T-Cell Leukemia/Lymphoma) is an aggressive hematological malignancy. This T-cell non-Hodgkin lymphoma, caused by the human T-cell leukemia virus type 1 (HTLV-1), is challenging to treat. There is no known treatment for ATLL as of yet. However, it is recommended to use Zidovudine and Interferon Alfa-based regimens (AZT/IFN), chemotherapy, and stem cell transplant. This study aims to review the outcome of patients with different subtypes of ATLL treated with Zidovudine and Interferon Alfa-based regimens.

methodsA systematic search was carried out for articles evaluating outcomes of ATLL treatment by AZT/IFN agents on human subjects from January 1, 2004, until July 1, 2022. Researchers assessed all studies regarding the topic, followed by extracting the data. A random-effects model was used in the meta-analyses.

resultsWe obtained fifteen articles on the AZT/IFN treatment of 1101 ATLL patients. The response rate of the AZT/IFN regimen yielded an OR of 67% [95% CI: 0.50; 0.80], a CR of 33% [95% CI: 0.24; 0.44], and a PR of 31% [95% CI: 0.24; 0.39] among individuals who received this regimen at any point during their treatment. Our subgroup analyses' findings demonstrated that patients who received front-line and combined AZT/IFN therapy responded better than those who received AZT/IFN alone. It is significant to note that patients with indolent subtypes of disease had considerably higher response rates than individuals with aggressive disease.

conclusionIFN/AZT combined with chemotherapy regimens is an effective treatment for ATLL patients, and its use in the early stages of the disease may result in a greater response rate.

Indexed as

Human T-lymphotropic virus 1Leukemia-Lymphoma, Adult T-CellLymphomaAdultHumansInterferon-alphaZidovudineInterferon-alphaZidovudineAdult T-Cell Leukemia/LymphomaAntiviral therapyHuman T-cell leukemia virus type 1Interferon AlfaZidovudine

Identifiers

PMID37287047
PMCPMC10249295
OpenAlexW4379769230

What Socratic holds

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LicenceCC BY
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.