Evidence map›Paper›PMID 21456022›Full record

ArticleCancer2011

Phase 1 study of arsenic trioxide, high-dose cytarabine, and idarubicin to down-regulate constitutive signal transducer and activator of transcription 3 activity in patients aged <60 years with acute myeloid leukemia.

Meir Wetzler, Chris Andrews, Laurie A Ford, Sheila Tighe, Maurice Barcos, Sheila N J Sait, Annemarie W Block, Norma J Nowak, Maria R Baer, Eunice S Wang and 1 more

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

Article in Cancer, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04953780 (2157GCCC), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.2field-weighted citation impact, top 23% 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.

NCT04953780 phase1active not recruitingnot on this mapstarted 2021, after this paper: background citation

2157GCCC: a Phase I Trial of Calaspargase Pegol-mknl in Combination with High Dose Cytarabine and Idarubicin in Adult Patients with Newly Diagnosed Acute Myeloid Leukemia

TypeinterventionalSponsorWest Virginia UniversityRan2021 to 2025Enrolled6ConditionsAcute Myeloid LeukemiaArmsCalaspargase pegol-mknl
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Early versus late preemptive allogeneic hematopoietic cell transplantation for relapsed or refractory acute myeloid leukemia.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2014
    Article
  9. Article
  10. Article
  11. Review
  12. Article
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

11 authors at 1 institution in 1 country.

Meir WetzlerLeukemia Section, Department of Medicine, Roswell Park Cancer Institute, Buffalo, New York 14263, USA. meir.wetzler@roswellpark.org
Chris Andrews
Laurie A Ford
Sheila Tighe
Maurice Barcos
Sheila N J Sait
Annemarie W Block
Norma J Nowak
Maria R Baer
Eunice S Wang
Heinz Baumann
Roswell Park Comprehensive Cancer Center · US

Funding

Two-Spirit Films in Indigenous Cancer HealthP30CA016056 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI MARK G FRATTINI · 1985 to 2026
$116.6M
Arsenic Trioxide Down-Regulates STAT3 Activity in AMLR21CA099238 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI WETZLER, MEIR · 2003 to 2004
$777k
NCI NIH HHS CA16056NCI NIH HHS CA99238NCI NIH HHS P30 CA016056NCI NIH HHS R21 CA099238
6 · The paper itself

Abstract

backgroundConstitutive activation of signal transducer and activator of transcription-3 (STAT3) was detected in blasts from approximately 50% of patients with acute myeloid leukemia (AML) and was correlated with an adverse outcome. In vitro treatment of AML blasts with arsenic trioxide (ATO) down-regulated STAT3 activity within 6 hours associated with a reduced viability within 48 hours.

methodsA phase 1 clinical trial to evaluate the biologically effective dose and/or the maximally tolerated dose (MTD) of ATO in vivo in conjunction with high-dose cytarabine (Hidac) and idarubicin (Ida) in patients with AML aged <60 years was conducted. Data were compared with 117 historic AML patients who had received treatment with Hidac/Ida.

resultsIn total, 61 patients were enrolled onto 11 different dose levels (from 0.01 to 0.65 mg/kg ideal body weight). The MTD was 0.5 mg/kg. Compared with historic controls, patients who received ATO/Hidac/Ida, although they had similar pretreatment characteristics, had better overall survival (P = .039).

conclusionsATO priming may have improved the outcome of patients aged <60 years with AML who received Hidac/Ida. The current data suggested that ATO may enhance the effect of chemotherapy. The authors concluded that further studies of this novel combination are warranted.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsArsenicalsArsenic TrioxideCytarabineDown-RegulationFemaleHumansIdarubicinLeukemia, Myeloid, AcuteMaleMiddle AgedOxidesSTAT3 Transcription FactorArsenicalsArsenic TrioxideCytarabineIdarubicinOxidesSTAT3 Transcription Factor

Identifiers

PMID21456022
PMCPMC3129468
OpenAlexW1889405356

What OpenQuestion holds

Textmetadata
LicenceTDM
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.