Evidence map›Paper›PMID 19304957›Full record

ArticleBlood2009

Prevalence and prognostic implications of CEBPA mutations in pediatric acute myeloid leukemia (AML): a report from the Children's Oncology Group.

Phoenix A Ho, Todd A Alonzo, Robert B Gerbing, Jessica Pollard, Derek L Stirewalt, Craig Hurwitz, Nyla A Heerema, Betsy Hirsch, Susana C Raimondi, Beverly Lange and 3 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Blood, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00070174 (Treatment of Newly Diagnosed Childhood Acute Myeloid Leukemia), which is not on this map. Cited by 83 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 3 pooled it
9.8field-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.

NCT00070174 phase2completednot on this map

Treatment of Newly Diagnosed Childhood Acute Myeloid Leukemia (AML) Using Intensive MRC-Based Therapy and Gemtuzumab Ozogamicin (GMTZ): A COG Pilot Study

TypeinterventionalSponsorChildren's Oncology GroupRan2003 to 2013Enrolled350ConditionsLeukemiaArmsasparaginase, busulfan, cyclophosphamide, cyclosporine, cytarabine
3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 3 syntheses or guidelines pooled it, 216 citations in OpenAlex.

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  17. Using genomics to refine pediatric AML risk stratification.Hematology. American Society of Hematology. Education Program · 2025
    Review
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23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 10 institutions in 1 country.

Phoenix A HoClinical Research Division, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N., Seattle, WA 98109, USA. pho@fhcrc.org
Todd A Alonzo
Robert B Gerbing
Jessica Pollard
Derek L Stirewalt
Craig Hurwitz
Nyla A Heerema
Betsy Hirsch
Susana C Raimondi
Beverly Lange
Janet L Franklin
Jerald P Radich
Soheil Meshinchi
Fred Hutch Cancer Center · USChildren's Oncology Group · USArcadia · USChildren's Hospital of Los Angeles · USChildren's Hospital of Philadelphia · USMaine Medical Center · USSt. Jude Children's Research Hospital · USThe Ohio State University · USUniversity of Minnesota · USUniversity of Washington · US

Funding

COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
PEDIATRIC ONCOLOGY RESEARCH TRAINING PROGRAMT32CA009351 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Elizabeth R Lawlor, SOHEIL MESHINCHI · 1985 to 2026
$7.0M
Biology/prognostic implications of Flt3 mutations in AMLR01CA114563 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI MESHINCHI, SOHEIL · 2005 to 2016
$4.4M
NCI NIH HHS R01 CA114563NCI NIH HHS R01 CA114563-01NCI NIH HHS R21 CA10262-01NCI NIH HHS T32 CA009351NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA98543
6 · The paper itself

Abstract

CEBPA mutations have been associated with improved outcome in adult acute myeloid leukemia (AML). We evaluated the prevalence and prognostic significance of CEBPA mutations in 847 children with AML treated on 3 consecutive pediatric trials. Two types of CEBPA mutations-N-terminal truncating mutations and in-frame bZip-domain mutations-were detected in 38 (4.5%) of 847 patients tested; 31 (82%) of 38 patients with mutations harbored both mutation types. Mutation status was correlated with laboratory and clinical characteristics and clinical outcome. CEBPA mutations were significantly more common in older patients, patients with FAB M1 or M2, and patients with normal karyotype. Mutations did not occur in patients with either favorable or unfavorable cytogenetics. Actuarial event-free survival at 5 years was 70% versus 38% (P = .015) with a cumulative incidence of relapse from complete remission of 13% versus 44% (P = .007) for those with and without CEBPA mutations. The presence of CEBPA mutations was an independent prognostic factor for improved outcome (HR = 0.24, P = .047). As CEBPA mutations are associated with lower relapse rate and improved survival, CEBPA mutation analysis needs to be incorporated into initial screening for risk identification and therapy allocation at diagnosis.

Indexed as

Acute DiseaseAdolescentCCAAT-Enhancer-Binding ProteinsChildChild, PreschoolClinical Trials as TopicDisease-Free SurvivalDNA Mutational AnalysisDNA, NeoplasmFemaleHumansInfantKaplan-Meier EstimateLeukemia, MyeloidMaleNeoplasm ProteinsCCAAT-Enhancer-Binding ProteinsCEBPA protein, humanDNA, NeoplasmNeoplasm Proteins

Identifiers

PMID19304957
PMCPMC2943755
OpenAlexW2153711368

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.