Evidence map›Paper›PMID 40344463›Full record

SynthesisEuropean journal of haematology2025

Prognostic Factors and Effect Modifiers in Patients With Relapse or Refractory Diffuse Large B-Cell Lymphoma After Two Lines of Therapy: A Systematic Literature and Expert Clinical Review.

Bastian von Tresckow, Pau Abrisqueta, Irene Zamanillo, Ángel Serna, Yuting Kuang, Jennifer Uyei, Mohsin Shah, Laura Walsh, Eileen Thorley, Krystal Cantos and 10 more

Abstract readSystematic Review
In one paragraph

Synthesis in European journal of haematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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.

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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  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

20 authors.

Bastian von TresckowDepartment of Hematology and Stem Cell Transplantation, West German Cancer Center and German Cancer Consortium (DKTK Partner Site Essen), University Hospital Essen, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0003-1410-4487
Pau AbrisquetaDepartment of Hematology, Vall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology, Barcelona, Spain.
Irene ZamanilloHematology Department, University Hospital 12 de Octubre, Madrid, Spain.
Ángel SernaDepartment of Hematology, Vall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology, Barcelona, Spain.
Yuting KuangIQVIA Inc., Durham, North Carolina, USA.
Jennifer UyeiIQVIA Inc., Durham, North Carolina, USA.
Mohsin ShahIQVIA Inc., Durham, North Carolina, USA.
Laura WalshIQVIA Inc., Durham, North Carolina, USA.
Eileen ThorleyIQVIA Inc., Durham, North Carolina, USA.
Krystal CantosIQVIA Inc., Durham, North Carolina, USA.
Emaan RashidiIQVIA Inc., Durham, North Carolina, USA.
Christian HamppRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Jessica J JalbertRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Alexi N ArchambaultRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Yingxin XuRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Shivani AggarwalRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Srikanth AmbatiRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Hesham MohamedRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Qiufei MaRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Ana Jiménez-UbietoHematology Department, University Hospital 12 de Octubre, Madrid, Spain.

Funding

Regeneron Pharmaceuticals Inc.
6 · The paper itself

Abstract

objectivesThe objective of this systematic literature review (SLR) combined with expert clinical review was to identify and rank prognostic factors and effect measure modifiers (EMMs) systematically and comprehensively in patients with relapsed or refractory (R/R) diffuse large B-cell lymphoma (DLBCL) who initiate treatment after ≥ 2 prior lines of therapy (LoTs; 3L+ R/R DLBCL).

methodsWe performed an SLR of studies published between 2016 and 2021 and extracted study characteristics, prognostic factors, and EMMs. This was followed by clinical review and ranking of findings by subject matter experts using questionnaires, follow-up interviews, and quantitative ranking.

resultsAcross 46 included studies, the SLR identified 36 prognostic factors significantly associated with ≥ 1 clinical outcome. Based on subject matter expert ranking of the SLR-derived list, the five most important prognostic variables in descending order are: early chemo-immunotherapy failure, Eastern Cooperative Oncology Group performance status, refractory to last LoT, number of prior LoTs, and double- or triple-hit lymphoma.

conclusionsThis SLR and expert clinical review is the first to provide a comprehensive assessment of prognostic factors for 3L+ R/R DLBCL. No statistically significant EMMs were identified. This robust multi-method approach can assist in selecting prognostic variables for comparative analyses between real-world studies and clinical trials.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsLymphoma, Large B-Cell, DiffuseDrug Resistance, NeoplasmHumansPrognosisRecurrenceTreatment Outcomecomparative effectiveness researchdiffuse large B‐cell lymphomasystematic review

Identifiers

PMID40344463
PMCPMC12224567

What Socratic holds

Textmetadata
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.