Evidence map›Paper›PMID 18239620›Full record

Trial reportLeukemia2008

Minimal residual disease-directed risk stratification using real-time quantitative PCR analysis of immunoglobulin and T-cell receptor gene rearrangements in the international multicenter trial AIEOP-BFM ALL 2000 for childhood acute lymphoblastic leukemia.

T Flohr, A Schrauder, G Cazzaniga, R Panzer-Grümayer, V van der Velden, S Fischer, M Stanulla, G Basso, F K Niggli, B W Schäfer and 11 more

2 registry-linked trialsAbstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Leukemia, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 148 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
148citing papers in PubMed, 1 pooled it
42.1field-weighted citation impact, top 1% 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.

NCT00430118 phase3completednot on this map

ALL-BFM 2000 Multi-Center Study for the Treatment of Children and Adolescents With Acute Lymphoblastic Leukemia

TypeinterventionalSponsorUniversity Hospital Schleswig-HolsteinRan2000 to 2012Enrolled4,559ConditionsLeukemiaArmsasparaginase, cyclophosphamide, cytarabine, daunorubicin hydrochloride, dexamethasone
NCT01117441 phase3completednot on this mapstarted 2010, after this paper: background citation

International Collaborative Treatment Protocol For Children And Adolescents With Acute Lymphoblastic Leukemia

TypeinterventionalSponsorUniversity Hospital Schleswig-HolsteinRan2010 to 2021Enrolled6,136ConditionsLeukemiaArmsPEG-L-asparaginase, cyclophosphamide, cytarabine, daunorubicin hydrochloride, dexamethasone
3 · Its place in the literature

Who cites it

148 citing papers in PubMed, 1 synthesis or guideline pooled it, 357 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Article
  20. Article

88 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 10 institutions in 6 countries.

T FlohrDepartment of Pediatrics, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
A Schrauder
G Cazzaniga
R Panzer-Grümayer
V van der Velden
S Fischer
M Stanulla
G Basso
F K Niggli
B W Schäfer
R Sutton
R Koehler
M Zimmermann
M G Valsecchi
H Gadner
G Masera
M Schrappe
J J M van Dongen
A Biondi
C R Bartram
International BFM Study Group (I-BFM-SG)
University of Milano-Bicocca · ITSt Anna Children's Hospital · ATErasmus MC · NLHeidelberg University · DEMedizinische Hochschule Hannover · DEUniversity Children's Hospital Zurich · CHUniversity of Lübeck · DEChildren's Cancer Institute Australia · AUUniversity Hospital Schleswig-Holstein · DEUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Detection of minimal residual disease (MRD) is the most sensitive method to evaluate treatment response and one of the strongest predictors of outcome in childhood acute lymphoblastic leukemia (ALL). The 10-year update on the I-BFM-SG MRD study 91 demonstrates stable results (event-free survival), that is, standard risk group (MRD-SR) 93%, intermediate risk group (MRD-IR) 74%, and high risk group (MRD-HR) 16%. In multicenter trial AIEOP-BFM ALL 2000, patients were stratified by MRD detection using quantitative PCR after induction (TP1) and consolidation treatment (TP2). From 1 July 2000 to 31 October 2004, PCR target identification was performed in 3341 patients: 2365 (71%) patients had two or more sensitive targets (< or =10(-4)), 671 (20%) patients revealed only one sensitive target, 217 (6%) patients had targets with lower sensitivity, and 88 (3%) patients had no targets. MRD-based risk group assignment was feasible in 2594 (78%) patients: 40% were classified as MRD-SR (two sensitive targets, MRD negativity at both time points), 8% as MRD-HR (MRD > or =10(-3) at TP2), and 52% as MRD-IR. The remaining 823 patients were stratified according to clinical risk features: HR (n=108) and IR (n=715). In conclusion, MRD-PCR-based stratification using stringent criteria is feasible in almost 80% of patients in an international multicenter trial.

Indexed as

Gene RearrangementNeoplasm, ResidualAdolescentChildChild, PreschoolGene Rearrangement, T-LymphocyteGenes, ImmunoglobulinHumansInfantPolymerase Chain ReactionPrecursor Cell Lymphoblastic Leukemia-LymphomaRisk Assessment

Identifiers

PMID18239620
OpenAlexW2100025372

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.