Evidence map›Paper›PMID 21848522›Full record

Trial reportBritish journal of haematology2011

Clofarabine with high dose cytarabine and granulocyte colony-stimulating factor (G-CSF) priming for relapsed and refractory acute myeloid leukaemia.

Pamela S Becker, Hagop M Kantarjian, Frederick R Appelbaum, Stephen H Petersdorf, Barry Storer, Sherry Pierce, Jianqin Shan, Paul C Hendrie, John M Pagel, Andrei R Shustov and 4 more

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

Trial report in British journal of haematology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02686593 (Clofarabine, Cytarabine and Mitoxantrone), which is not on this map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
4.1field-weighted citation impact, top 6% 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.

NCT02686593 phase2completednot on this mapstarted 2016, after this paper: background citation

Clofarabine, Cytarabine and Mitoxantrone (CLAM) for Relapsed or Refractory AML

TypeinterventionalSponsorThe University of Hong KongRan2016 to 2018Enrolled50ConditionsAcute Myeloid LeukemiaArmsClofarabine, AraC, mitoxantrone (CLAM)
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 86 citations in OpenAlex.

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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 4 institutions in 1 country.

Pamela S BeckerDivision of Hematology and Medical Oncology, University of Washington, Seattle, WA 98109, USA. pbecker@u.washington.edu
Hagop M Kantarjian
Frederick R Appelbaum
Stephen H Petersdorf
Barry Storer
Sherry Pierce
Jianqin Shan
Paul C Hendrie
John M Pagel
Andrei R Shustov
Derek L Stirewalt
Stephan Faderl
Elizabeth Harrington
Elihu H Estey
Fred Hutch Cancer Center · USThe University of Texas MD Anderson Cancer Center · USUniversity of Washington Medical Center · USUniversity of Washington · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Marian Esvelt · 1985 to 2026
$296.4M
INSTITUTE FOR TRANSLATIONAL HEALTH SCIENCE (UL1): BPCAUL1RR025014 · NCRR · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2007 to 2011
$51.5M
Bone Marrow Transplantation for Hematologic Malignancies using Novel RadioimmunotR01CA138720 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI PRESS, OLIVER W. · 2010 to 2014
$1.9M
NCI NIH HHS P30 CA015704NCI NIH HHS R01 CA138720NCRR NIH HHS UL1 RR025014
6 · The paper itself

Abstract

This phase I/II study was conducted to determine the maximum tolerated dose, toxicity, and efficacy of clofarabine in combination with high dose cytarabine and granulocyte colony-stimulating factor (G-CSF) priming (GCLAC), in the treatment of patients with relapsed or refractory acute myeloid leukaemia (AML). Dose escalation of clofarabine occurred without dose-limiting toxicity, so most patients were treated at the maximum dose, 25 mg/m(2) per day with cytarabine 2 g/m(2) per day, each for 5 d, and G-CSF 5 μg/kg, beginning the day before chemotherapy and continuing daily until neutrophil recovery. The complete remission (CR) rate among the 46 evaluable patients was 46% (95% confidence interval [CI] 31-61%) and the CR + CR but with a platelet count <100 × 10(9)/l rate was 61% (95% CI 45-75%). Multivariate analysis showed that responses to GCLAC were independent of age, cytogenetic risk category, and number of prior salvage regimens. GCLAC is highly active in relapsed and refractory AML and warrants prospective comparison to other regimens, as well as study in untreated patients.

Indexed as

Salvage TherapyAdultAgedAntineoplastic Combined Chemotherapy ProtocolsChemical and Drug Induced Liver InjuryCytarabineFemaleGranulocyte Colony-Stimulating FactorHumansInfectionsKaplan-Meier EstimateLeukemia, Myeloid, AcuteMaleMaximum Tolerated DoseMiddle AgedProportional Hazards ModelsCytarabineGranulocyte Colony-Stimulating Factor

Identifiers

PMID21848522
PMCPMC4834701
OpenAlexW2098290171

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.