Evidence map›Paper›PMID 18669463›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2008

Chemoimmunotherapy reinduction with epratuzumab in children with acute lymphoblastic leukemia in marrow relapse: a Children's Oncology Group Pilot Study.

Elizabeth A Raetz, Mitchell S Cairo, Michael J Borowitz, Susan M Blaney, Mark D Krailo, Tarek A Leil, Joel M Reid, David M Goldenberg, William A Wegener, William L Carroll and 2 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed
17.7field-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.

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

80 citing papers in PubMed, 210 citations in OpenAlex.

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  10. Reinduction platform for children with first marrow relapse of acute lymphoblastic Leukemia: A Children's Oncology Group Study[corrected].Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2008
    Trial
  11. Article
  12. Review
  13. Dual targeting of CD19 and CD22 against B-ALL using a novel high-sensitivity aCD22 CAR.Molecular therapy : the journal of the American Society of Gene Therapy · 2023
    Article
  14. Review
  15. Review
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  20. Moving immunotherapy into the front line in ALL.Hematology. American Society of Hematology. Education Program · 2019
    Review

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

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

12 authors at 4 institutions in 1 country.

Elizabeth A RaetzDepartment of Pediatrics, New York University, School of Medicine, Hassenfeld Children's Center for Cancer and Blood Disorders, New York, NY 10016, USA. elizabeth.raetz@nyumc.org
Mitchell S Cairo
Michael J Borowitz
Susan M Blaney
Mark D Krailo
Tarek A Leil
Joel M Reid
David M Goldenberg
William A Wegener
William L Carroll
Peter C Adamson
Children's Oncology Group Pilot Study
Children's Oncology Group · USImmunomedics (United States) · USChildren's Hospital of Philadelphia · USMayo Clinic in Florida · US

Funding

COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA98543
6 · The paper itself

Abstract

purposeTo determine the tolerability and serum concentration of epratuzumab, a humanized monoclonal antibody targeting CD22, administered alone and in combination with reinduction chemotherapy in children with relapsed acute lymphoblastic leukemia (ALL), and to preliminarily assess tumor targeting and efficacy. PATIENTS AND

methodsTherapy consisted of a single-agent phase (epratuzumab 360 mg/m(2)/dose intravenously twice weekly x four doses), followed by four weekly doses of epratuzumab in combination with standard reinduction chemotherapy. Morphologic and minimal residual disease (MRD) responses were determined at the end of this 6-week period. Serum concentrations of epratuzumab were determined before and 30 minutes after infusions, and CD22 targeting efficiency was determined by quantifying changes in CD22 expression after epratuzumab administration.

resultsFifteen patients (12 fully assessable for toxicity) with first or later CD22-positive ALL marrow relapse enrolled on the feasibility portion of this study from December 2005 to June 2006. Two dose-limiting toxicities occurred: one grade 4 seizure of unclear etiology and one asymptomatic grade 3 ALT elevation. In all but one patient, surface CD22 was not detected by flow cytometry on peripheral blood leukemic blasts within 24 hours of drug administration, indicating effective targeting of leukemic cells by epratuzumab. Nine patients achieved a complete remission after chemoimmunotherapy, seven of whom were MRD negative.

conclusionTreatment with epratuzumab plus standard reinduction chemotherapy is feasible and acceptably tolerated in children with relapsed CD22-positive ALL. CD22 targeting was efficient, and the majority of patients achieved favorable early responses.

Indexed as

AdolescentAdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBone MarrowChildChild, PreschoolDrug Administration ScheduleFeasibility StudiesFemaleHumansInfusions, IntravenousMalePilot ProjectsPrecursor Cell Lymphoblastic Leukemia-LymphomaAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCD22 protein, humanepratuzumabSialic Acid Binding Ig-like Lectin 2

Identifiers

PMID18669463
PMCPMC2654811
OpenAlexW2066064966

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.