Evidence map›Paper›PMID 19743516›Full record

Trial reportPediatric blood & cancer2009

Treatment of children with acute promyelocytic leukemia: results of the first North American Intergroup trial INT0129.

John Gregory, Haesook Kim, Todd Alonzo, Rob Gerbing, William Woods, Howard Weinstein, Lois Shepherd, Charles Schiffer, Frederick Appelbaum, Cheryl Willman and 4 more

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatric blood & cancer, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Effects of Anionic Liposome Delivery of All-Biomimetics (Basel, Switzerland) · 2024
    Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Collaborative Efforts Driving Progress in Pediatric Acute Myeloid Leukemia.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2015
    Review
  14. Review
  15. Acute Promyelocytic Leukemia (APL): Comparison Between Children and Adults.Mediterranean journal of hematology and infectious diseases · 2014
    Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Biology, risk stratification, and therapy of pediatric acute leukemias: an update.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2011
    Review
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

14 authors at 12 institutions in 3 countries.

John GregoryMorristown Memorial Hospital, Morristown, New Jersey 07962, USA. john.gregoryjr@atlantichealth.org
Haesook Kim
Todd Alonzo
Rob Gerbing
William Woods
Howard Weinstein
Lois Shepherd
Charles Schiffer
Frederick Appelbaum
Cheryl Willman
Peter Wiernik
Jacob Rowe
Martin Tallman
James Feusner
Harvard University · USChildren's Healthcare of Atlanta · USChildren's Oncology Group · USMorristown Medical Center · USNew York Medical College · USNorthwestern Medicine · USQueen's University · CARambam Health Care Campus · ILUniversity of New Mexico · USUniversity of Southern California · USUniversity of Washington · USWayne State University · US

Funding

COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
ECOG Specimen BankingU24CA114737 · NCI · FRONTIER SCI &TECHNOLOGY RSCH FDN, INC · PI COMIS, ROBERT L · 2005 to 2014
$9.3M
NCI NIH HHS U10 CA098543NCI NIH HHS U24 CA114737
6 · The paper itself

Abstract

backgroundThis report focuses on the children enrolled on the first North American Intergroup study of APL (INT0129). This study was designed to compare the rates of CR, disease-free survival (DFS), overall survival (OS) and toxicity of therapy with all-trans-retinoic acid (ATRA) for remission induction and/or maintenance compared to conventional chemotherapy in patients with previously untreated APL. PROCEDURE: Fifty-three patients who were documented to have the t(15;17) translocation were able to be evaluated for toxicity of treatment, outcome of induction, and survival.

resultsThe overall CR rate was 81%. The estimated 5-year DFS from time of CR was 41% for all patients. The estimated 5-year OS for all patients from entry into the study was 69%. The 5-year DFS from time of CR for patients who were randomized to ATRA for induction or maintenance or both was 48% compared to 0% for patients who never received ATRA (P < 0.0001).

conclusionsThe most important finding of our study is that a significant DFS advantage exists for children with APL who received ATRA during induction or maintenance or both compared to children who received no ATRA. Furthermore, remissions in these children appear durable as the OS rates are stable at 10 years.

Indexed as

AdolescentChildChild, PreschoolCytarabineDaunorubicinFemaleHumansInfantLeukemia, Promyelocytic, AcuteMaleRemission InductionSurvival AnalysisTreatment OutcomeTretinoinCytarabineDaunorubicinTretinoin

Identifiers

PMID19743516
PMCPMC3508725
OpenAlexW2051897756

What OpenQuestion holds

Textmetadata
LicenceTDM
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.