Evidence map›Paper›PMID 18716133›Full record

Trial reportBlood2008

An 86-probe-set gene-expression signature predicts survival in cytogenetically normal acute myeloid leukemia.

Klaus H Metzeler, Manuela Hummel, Clara D Bloomfield, Karsten Spiekermann, Jan Braess, Maria-Cristina Sauerland, Achim Heinecke, Michael Radmacher, Guido Marcucci, Susan P Whitman and 12 more

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Blood, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 261 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
261citing papers in PubMed, 1 pooled it
9.9field-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

261 citing papers in PubMed, 1 synthesis or guideline pooled it, 445 citations in OpenAlex.

  1. Pooled it
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  19. The role of SLC22A4 in Acute Myeloid Leukaemia.Mediterranean journal of hematology and infectious diseases · 2025
    Article
  20. A review on trends in development and translation of omics signatures in cancer.Computational and structural biotechnology journal · 2024
    Review

201 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

22 authors at 7 institutions in 2 countries.

Klaus H MetzelerLaboratory of Leukemia Diagnostics, Department of Internal Medicine III, Ludwig-Maximilians-Universität, Campus Grosshadern, Germany.
Manuela Hummel
Clara D Bloomfield
Karsten Spiekermann
Jan Braess
Maria-Cristina Sauerland
Achim Heinecke
Michael Radmacher
Guido Marcucci
Susan P Whitman
Kati Maharry
Peter Paschka
Richard A Larson
Wolfgang E Berdel
Thomas Büchner
Bernhard Wörmann
Ulrich Mansmann
Wolfgang Hiddemann
Stefan K Bohlander
Christian Buske
Cancer and Leukemia Group B
German AML Cooperative Group
The Ohio State University · USHelmholtz Zentrum München · DEUniversity of Münster · DEZimmer Biomet (Germany) · DEKlinikum Braunschweig · DELeukemia Research Foundation · USUniversity of Chicago · US

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
Cancer and Leukemia Group B Human Specimen RepositoriesU24CA114725 · NCI · UNIVERSITY OF CHICAGO · PI BERTAGNOLLI, MONICA M · 2005 to 2014
$11.1M
Cancer and Leukemia Group B - Leukemia Correlative SciencesU10CA101140 · NCI · OHIO STATE UNIVERSITY · PI MARCUCCI, GUIDO · 2003 to 2013
$10.3M
Cancer and Leukemia Group B - The Ohio State UniversityU10CA077658 · NCI · OHIO STATE UNIVERSITY · PI BLOOMFIELD, CLARA D · 1998 to 2013
$6.0M
NCI NIH HHS CA016058NCI NIH HHS CA077658NCI NIH HHS CA101140NCI NIH HHS CA114725NCI NIH HHS P30 CA016058NCI NIH HHS U10 CA077658NCI NIH HHS U10 CA101140NCI NIH HHS U24 CA114725
6 · The paper itself

Abstract

Patients with cytogenetically normal acute myeloid leukemia (CN-AML) show heterogeneous treatment outcomes. We used gene-expression profiling to develop a gene signature that predicts overall survival (OS) in CN-AML. Based on data from 163 patients treated in the German AMLCG 1999 trial and analyzed on oligonucleotide microarrays, we used supervised principal component analysis to identify 86 probe sets (representing 66 different genes), which correlated with OS, and defined a prognostic score based on this signature. When applied to an independent cohort of 79 CN-AML patients, this continuous score remained a significant predictor for OS (hazard ratio [HR], 1.85; P = .002), event-free survival (HR = 1.73; P = .001), and relapse-free survival (HR = 1.76; P = .025). It kept its prognostic value in multivariate analyses adjusting for age, FLT3 ITD, and NPM1 status. In a validation cohort of 64 CN-AML patients treated on CALGB study 9621, the score also predicted OS (HR = 4.11; P < .001), event-free survival (HR = 2.90; P < .001), and relapse-free survival (HR = 3.14, P < .001) and retained its significance in a multivariate model for OS. In summary, we present a novel gene-expression signature that offers additional prognostic information for patients with CN-AML.

Indexed as

DNA ProbesAdolescentAdultAgedAged, 80 and overDisease-Free SurvivalFemalefms-Like Tyrosine Kinase 3Gene Expression ProfilingHumansLeukemia, Myeloid, AcuteMaleMiddle AgedNeoplasm ProteinsNuclear ProteinsNucleophosminDNA ProbesFLT3 protein, humanfms-Like Tyrosine Kinase 3Neoplasm ProteinsNPM1 protein, humanNuclear ProteinsNucleophosmin

Identifiers

PMID18716133
PMCPMC2954679
OpenAlexW2022335352

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.