Evidence map›Paper›PMID 19962759›Full record

Trial reportLeukemia research2010

Clinical activity of sequential flavopiridol, cytosine arabinoside, and mitoxantrone for adults with newly diagnosed, poor-risk acute myelogenous leukemia.

Judith E Karp, Amanda Blackford, B Douglas Smith, Katrina Alino, Amy Hatfield Seung, Javier Bolaños-Meade, Jacqueline M Greer, Hetty E Carraway, Steven D Gore, Richard J Jones and 4 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Leukemia research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

44 citing papers in PubMed, 69 citations in OpenAlex.

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  13. Cutting Edge Molecular Therapy for Acute Myeloid Leukemia.International journal of molecular sciences · 2020
    Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. The rocky road to personalized medicine in acute myeloid leukaemia.Journal of cellular and molecular medicine · 2018
    Review
  20. CDK9 inhibitors in acute myeloid leukemia.Journal of experimental & clinical cancer research : CR · 2018
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Judith E KarpSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD 21231-1000, USA. jkarp2@jhmi.edu
Amanda Blackford
B Douglas Smith
Katrina Alino
Amy Hatfield Seung
Javier Bolaños-Meade
Jacqueline M Greer
Hetty E Carraway
Steven D Gore
Richard J Jones
Mark J Levis
Michael A McDevitt
L Austin Doyle
John J Wright
Sidney Kimmel Comprehensive Cancer Center · USNational Cancer Institute · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
ZINC AND CA EDTA THERAPY OF PLUMBISMM01RR000052 · NCRR · JOHNS HOPKINS UNIVERSITY · PI BELCHER, HAROLYN MILLICENT EDITH · 1985 to 2007
$37.3M
PHASE I TRIALS OF ANTICANCER AGENTSU01CA070095 · NCI · JOHNS HOPKINS UNIVERSITY · PI CARDUCCI, MICHAEL A · 1995 to 2013
$8.6M
PHASE I TRIALS OF ANTICANCER AGENTSU01CA069854 · NCI · UNIVERSITY OF MARYLAND BALTIMORE · PI EDELMAN, MARTIN J · 1995 to 2002
$1.1M
NCI NIH HHS P30 CA006973NCI NIH HHS P30 CA06973-44NCI NIH HHS U01 CA069854NCI NIH HHS U01 CA070095NCI NIH HHS U01 CA70095NCRR NIH HHS M01 RR000052NCRR NIH HHS M01-RR0052
6 · The paper itself

Abstract

Flavopiridol, a cyclin-dependent kinase inhibitor, is cytotoxic to leukemic blasts. In a Phase II study, flavopiridol 50 mg/m(2) was given by 1-h infusion daily x 3 beginning day 1 followed by 2 g/m(2)/72 h ara-C beginning day 6 and 40 mg/m(2) mitoxantrone on day 9 (FLAM) to 45 adults with newly diagnosed acute myelogenous leukemia (AML) with multiple poor-risk features. Thirty patients (67%) achieved complete remission (CR) and 4 (9%) died. Twelve (40%) received myeloablative allogeneic bone marrow transplant (BMT) in first CR. Median OS and DFS are not reached (67% alive 12.5-31 months, 58% in CR 11.4-30 months), with median follow-up 22 months. Sixteen received FLAM in CR, with median OS and DFS 9 and 13.1 months, and 36% alive at 21-31 months. Short OS and DFS correlated with adverse cytogenetics, regardless of age or treatment in CR. The addition of allogeneic BMT in CR translates into long OS and DFS in the majority of eligible patients.

Indexed as

AdultAgedAllopurinolAntineoplastic Combined Chemotherapy ProtocolsBone Marrow TransplantationCombined Modality TherapyCytarabineDisease-Free SurvivalFemaleFlavonoidsFollow-Up StudiesHeart DiseasesHumansHyperkalemiaKaplan-Meier EstimateLeukemia, Myeloid, AcuteAllopurinolalvocidibCytarabineFlavonoidsMitoxantronePiperidinesPolyaminesSevelamer

Identifiers

PMID19962759
PMCPMC2875369
OpenAlexW2066812263

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.