Evidence map›Paper›PMID 15385924›Full record

ArticleLeukemia2004

Treatment of relapsed acute myeloid leukemia after allogeneic bone marrow transplantation with chemotherapy followed by G-CSF-primed donor leukocyte infusion: a high incidence of isolated extramedullary relapse.

S-J Choi, J-H Lee, J-H Lee, S Kim, M Seol, Y-S Lee, J-S Lee, W-K Kim, H-S Chi, K-H Lee

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Leukemia, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

40 citing papers in PubMed, 110 citations in OpenAlex.

  1. Trial
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  4. Article
  5. Immunotherapy in leukaemia.Acta biochimica et biophysica Sinica · 2023
    Review
  6. Article
  7. Article
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  11. Article
  12. Review
  13. Article
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  15. Review
  16. The role of second transplants for leukemia.Best practice & research. Clinical haematology · 2016
    Review
  17. Review
  18. Article
  19. Article
  20. 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

10 authors at 3 institutions in 2 countries.

S-J ChoiDepartment of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. sjchoi3@amc.seoul.kr <sjchoi3@amc.seoul.kr>
J-H Lee
J-H Lee
S Kim
M Seol
Y-S Lee
J-S Lee
W-K Kim
H-S Chi
K-H Lee
Asan Medical Center · KRUlsan College · KRUniversity of Ulsan · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

For patients with acute myeloid leukemia (AML) relapsed after allogeneic bone marrow transplantation (BMT), donor leukocyte infusion (DLI) as sole therapy has very limited efficacy. We tested the effects of cytoreductive chemotherapy, followed immediately by G-CSF-primed DLI (chemotherapy followed by DLI, Chemo-DLI), in 16 AML patients who relapsed after allogeneic BMT. In all, 10 of these patients achieved complete remission (CR), four of whom remain alive in CR at a median follow-up of 1488 days after DLI. The 2-year overall survival (OS) for the entire cohort was 31%. The 1-year OS for patients with post-BMT remission of 6 months or longer was 55%, compared with 0% for patients with post-BMT remission of less than 6 months, making post-BMT remission duration the only significant prognostic factor for OS (P=0.015). These findings suggest that Chemo-DLI could induce durable remissions in a proportion of relapsed AML patients with relatively long post-BMT remission duration. All five patients who relapsed after achieving CR with Chemo-DLI relapsed at extramedullary sites in the presence of continuous bone marrow remission, suggesting uneven graft-versus-leukemia effects in different parts of the body. Although our data should be interpreted cautiously considering the limited number of patients, isolated extramedullary relapse seems to be common after Chemo-DLI.

Indexed as

Bone Marrow TransplantationTissue DonorsAcute DiseaseAdolescentAdultGraft vs Host DiseaseGranulocyte Colony-Stimulating FactorHumansIncidenceLeukemia, MyeloidLeukocyte TransfusionMiddle AgedNeoplasm Recurrence, LocalRemission InductionSurvival RateTransplantation, HomologousGranulocyte Colony-Stimulating Factor

Identifiers

PMID15385924
OpenAlexW2055033291

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.