Evidence map›Paper›PMID 21681921›Full record

Trial reportPediatric blood & cancer2011

Soluble interleukin-2 receptor α activation in a Children's Oncology Group randomized trial of interleukin-2 therapy for pediatric acute myeloid leukemia.

Beverly J Lange, Richard K Yang, Jacek Gan, Jaquelyn A Hank, Eric L Sievers, Todd A Alonzo, Robert B Gerbing, Paul M Sondel

Abstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Pediatric blood & cancer, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Collaborative Efforts Driving Progress in Pediatric Acute Myeloid Leukemia.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2015
    Review
  5. NK cell-based immunotherapies in Pediatric Oncology.Journal of pediatric hematology/oncology · 2015
    Review
  6. Article
  7. 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

8 authors at 5 institutions in 2 countries.

Beverly J LangeThe Children's Hospital of Philadelphia, Philadelphia, PA, USA. lange@email.chop.edu
Richard K Yang
Jacek Gan
Jaquelyn A Hank
Eric L Sievers
Todd A Alonzo
Robert B Gerbing
Paul M Sondel
University of Wisconsin–Madison · USArcadia · USChildren's Hospital of Philadelphia · USChildren's Oncology Group · USSeagen (United States) · US

Funding

COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
Children's Oncology Group Statistics &Data Center GrantU10CA098413 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI DEVIDAS, MEENAKSHI · 2003 to 2013
$67.5M
CHILDRENS CANCER STUDY GROUP CHAIRMAN'S GRANTU10CA013539 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI REAMAN, GREGORY H · 1985 to 2002
$43.1M
INSTITUTIONAL CTSA (UW-MADISON): CLINICAL TRIALSUL1RR025011 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2007 to 2011
$29.5M
INTEGRATED TRAINING FOR PHYSICIAN-SCIENTISTST32GM008692 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI BURKARD, MARK E · 1998 to 2020
$10.3M
THE IMMUNOBIOLOGY OF HUMAN ANTILEUKEMIC LYMPHOCYTESR01CA032685 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI SONDEL, PAUL M · 1985 to 2014
$4.3M
T-Cell Independent Antitumor Mechanisms of CD40 LigationR01CA087025 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI SONDEL, PAUL M · 2002 to 2012
$2.4M
NCI NIH HHS CA 032685NCI NIH HHS CA 087025NCI NIH HHS CA 13539NCI NIH HHS CA 98543NCI NIH HHS R01 CA032685NCI NIH HHS R01 CA087025NCI NIH HHS U10 CA013539NCI NIH HHS U10 CA098413NCI NIH HHS U10 CA098543NCRR NIH HHS UL1 RR025011NIGMS NIH HHS T32 GM008692
6 · The paper itself

Abstract

purposeTo assess associations of soluble IL-2 receptor alpha (sIL-2rα) concentration with outcomes in pediatric acute myeloid leukemia (AML) in a phase 3 trial of IL-2 therapy. PROCEDURES: We randomized 289 children with AML in first remission after intensive chemotherapy to receive IL-2 infused on days 0-3 and 8-17 (IL-2 group) or no further therapy (AML control group). We measured sequential serum sIL-2rα concentrations in both groups before, during and after therapy in both groups and in reference controls without AML.

resultsBefore treatment, mean sIL-2rα concentrations were similar in the IL-2 group and AML controls, but significantly higher than in reference controls. Both AML groups experienced reduction in sIL-2rα concentration after chemotherapy. Thereafter in the IL-2 group, mean sIL-2rα concentration increased from 2,669 pg/ml before IL-2 to 15,534 pg/ml on day 4 (P < 0.001) and 10,585 pg/ml on day 18 (P < 0.001). In the control group sIL-2rα concentration did not change after 28 days of follow-up. Five-year disease-free survival (DFS) was 51% in the IL-2 group and 58% in the controls (P = 0.489) and overall survival was 70% and 73%, respectively (P = 0.727).

conclusionSIL-2rα concentration was elevated in AML at diagnosis and tended to normalize after chemotherapy. IL-2 infusion significantly increased sIL-2rα concentration, but did not improve DFS or survival in pediatric AML. Furthermore, sIL-2rα concentration was not predictive of outcome before, during or after treatment for AML.

Indexed as

AdolescentChildChild, PreschoolDose-Response Relationship, DrugDrug MonitoringFemaleHumansInfantInterleukin-2Interleukin-2 Receptor alpha SubunitLeukemia, Myeloid, AcuteMalePrognosisSolubilitySurvival AnalysisIL2RA protein, humanInterleukin-2Interleukin-2 Receptor alpha Subunit

Identifiers

PMID21681921
PMCPMC3172052
OpenAlexW2066372844

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.