Evidence map›Paper›PMID 19880498›Full record

Trial reportBlood2010

Gene expression classifiers for relapse-free survival and minimal residual disease improve risk classification and outcome prediction in pediatric B-precursor acute lymphoblastic leukemia.

Huining Kang, I-Ming Chen, Carla S Wilson, Edward J Bedrick, Richard C Harvey, Susan R Atlas, Meenakshi Devidas, Charles G Mullighan, Xuefei Wang, Maurice Murphy and 12 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00005603 (ALinC 17), which is not on this map. Cited by 123 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
123citing papers in PubMed, 3 pooled it
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.

NCT00005603 phase3completednot on this map

ALinC 17: Protocol for Patients With Newly Diagnosed High Risk Acute Lymphoblastic Leukemia (ALL) - Evaluation of the Augmented BFM Regimen: A Phase III Study

TypeinterventionalSponsorChildren's Oncology GroupRan2000Enrolled276ConditionsLeukemiaArmsasparaginase, cyclophosphamide, cytarabine, daunorubicin hydrochloride, dexamethasone
3 · Its place in the literature

Who cites it

123 citing papers in PubMed, 3 syntheses or guidelines pooled it, 198 citations in OpenAlex.

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  5. Downregulation of paraoxonase 3 contributes to aggressive human hepatocellular carcinoma progression and associates with poor prognosis.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2016
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63 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 9 institutions in 1 country.

Huining KangUniversity of New Mexico Cancer Center and Departments of Pathology, Internal Medicine, Mathematics and Statistics, and Physics and Astronomy, University of New Mexico, Albuquerque, NM 87131, USA.
I-Ming Chen
Carla S Wilson
Edward J Bedrick
Richard C Harvey
Susan R Atlas
Meenakshi Devidas
Charles G Mullighan
Xuefei Wang
Maurice Murphy
Kerem Ar
Walker Wharton
Michael J Borowitz
W Paul Bowman
Deepa Bhojwani
William L Carroll
Bruce M Camitta
Gregory H Reaman
Malcolm A Smith
James R Downing
Stephen P Hunger
Cheryl L Willman
University of New Mexico · USUNM Comprehensive Cancer CenterArcadia · USNew Mexico Cancer Center · USChildren's Oncology Group · USNew York University · USSt. Jude Children's Research Hospital · USNational Cancer Institute · USUniversity of Colorado Denver · US

Funding

COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
WOMEN'S CANCERS RESEARCH PROGRAMP30CA118100 · NCI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI Yolanda Sanchez · 2005 to 2026
$57.1M
Leukemia Signatures for Risk Classification &TargetingU01CA114762 · NCI · UNIVERSITY OF NEW MEXICO · PI WILLMAN, CHERYL LYNN · 2005 to 2009
$7.1M
MOLECULAR SIGNATURES FOR OUTCOME PREDICTION AND THERAPEUTIC TARGETING IN ALLU01CA157937 · NCI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI HUNGER, STEPHEN PATRICK, WILLMAN, CHERYL LYNN · 2011 to 2015
$2.9M
NCI NIH HHS NCI P30 CA118100NCI NIH HHS NCI U01 CA114762NCI NIH HHS NCI U10 CA98543NCI NIH HHS P30 CA118100NCI NIH HHS U01 CA114762NCI NIH HHS U01 CA157937NCI NIH HHS U10 CA098543
6 · The paper itself

Abstract

To determine whether gene expression profiling could improve outcome prediction in children with acute lymphoblastic leukemia (ALL) at high risk for relapse, we profiled pretreatment leukemic cells in 207 uniformly treated children with high-risk B-precursor ALL. A 38-gene expression classifier predictive of relapse-free survival (RFS) could distinguish 2 groups with differing relapse risks: low (4-year RFS, 81%, n = 109) versus high (4-year RFS, 50%, n = 98; P < .001). In multivariate analysis, the gene expression classifier (P = .001) and flow cytometric measures of minimal residual disease (MRD; P = .001) each provided independent prognostic information. Together, they could be used to classify children with high-risk ALL into low- (87% RFS), intermediate- (62% RFS), or high- (29% RFS) risk groups (P < .001). A 21-gene expression classifier predictive of end-induction MRD effectively substituted for flow MRD, yielding a combined classifier that could distinguish these 3 risk groups at diagnosis (P < .001). These classifiers were further validated on an independent high-risk ALL cohort (P = .006) and retainedindependent prognostic significance (P < .001) in the presence of other recently described poor prognostic factors (IKAROS/IKZF1 deletions, JAK mutations, and kinase expression signatures). Thus, gene expression classifiers improve ALL risk classification and allow prospective identification of children who respond or fail current treatment regimens. These trials were registered at http://clinicaltrials.gov under NCT00005603.

Indexed as

AdolescentChildChild, PreschoolFemaleFlow CytometryGene Expression Regulation, LeukemicGenetic TestingHumansIkaros Transcription FactorInfantJanus KinasesKaplan-Meier EstimateMaleNeoplasm, ResidualOligonucleotide Array Sequence AnalysisPrecursor B-Cell Lymphoblastic Leukemia-LymphomaIkaros Transcription FactorIKZF1 protein, humanJanus Kinases

Identifiers

PMID19880498
PMCPMC2826761
OpenAlexW4243761960

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.