Evidence map›Paper›PMID 22158386›Full record

Trial reportBone marrow transplantation2012

Allogeneic hematopoietic SCT in patients with AML following treosulfan/fludarabine conditioning.

J Casper, J Holowiecki, R Trenschel, H Wandt, K Schaefer-Eckart, T Ruutu, L Volin, H Einsele, G Stuhler, L Uharek and 12 more

2 registry-linked trialsAbstract readClinical Trial, Phase IIMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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.

NCT01063660 phase2completednot on this map

Clinical Phase II Trial to Evaluate the Safety and Efficacy of Treosulfan Based Conditioning Prior to Allogeneic Haematopoietic Stem Cell Transplantation in Patients With Acute Myeloid Leukaemia

TypeinterventionalSponsormedac GmbHRan2004 to 2007Enrolled75ConditionsAcute Myeloid LeukaemiaArmsTreosulfan
NCT07232953 phase2active not recruitingnot on this mapstarted 2022, after this paper: background citation

Prospective Phase II Study on Safety and Efficacy of Fludarabine Plus Treosulfan (14g) (FT14) Conditioning Regimen for Allogeneic Stem Cell Transplantation (Allo-SCT) in Acute Myeloid Leukemia (AML) Patients (≥40 <65years) (FT14-Trial)

TypeinterventionalSponsorAzienda Socio Sanitaria Territoriale degli Spedali Civili di BresciaRan2022 to 2027Enrolled82ConditionsAcute Myeloid Leukaemia (AML), Hematopoietic Stem Cell Transplant (HSCT)ArmsFludarabine + Treosulfan
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Treosulfan-based conditioning and hematopoietic cell transplantation for nonmalignant diseases: a prospective multicenter trial.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2014
    Trial
  5. Trial
  6. Article
  7. Article
  8. New age HCT conditioning regimens: what works and why?Hematology. American Society of Hematology. Education Program · 2025
    Review
  9. Article
  10. Article
  11. Novel conditioning and prophylaxis regimens for relapse prevention.Hematology. American Society of Hematology. Education Program · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

22 authors at 10 institutions in 4 countries.

J CasperDivision of Hematology and Oncology, University of Rostock, Rostock, Germany. casper.jochen@klinikum-oldenburg.de
J Holowiecki
R Trenschel
H Wandt
K Schaefer-Eckart
T Ruutu
L Volin
H Einsele
G Stuhler
L Uharek
I Blau
M Bornhaeuser
A R Zander
K Larsson
M Markiewicz
S Giebel
T Kruzel
H A Mylius
J Baumgart
U Pichlmeier
M Freund
D W Beelen
Medical University of Silesia · PLMedac (Germany) · DECharité - Universitätsmedizin Berlin · DEHelsinki University Hospital · FIUniversity of Duisburg-Essen · DEUniversity of Rostock · DEUniversity of Würzburg · DEKarolinska Institutet · SEUniversität Hamburg · DEUniversity Hospital Carl Gustav Carus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An alternative reduced-toxicity conditioning regimen for allogeneic transplantation, based on treosulfan and fludarabine, has recently been identified. The safety and efficacy of this new conditioning regimen has been investigated prospectively in patients with AML. A total number of 75 patients with AML in CR were treated with 3 × 14 g/m(2) treosulfan and 5 × 30 mg/m(2) fludarabine, followed by matched sibling or unrelated SCT. Patients were evaluated for engraftment, adverse events, GVHD, and for non-relapse mortality, relapse incidence, overall and disease-free survival (DFS). All patients showed primary engraftment of neutrophils after a median of 20 days. Non-hematological adverse events grade III-IV in severity included mainly infections (59%) and gastrointestinal symptoms (7%). Acute GVHD grade II-IV occurred in 21% and extensive chronic GVHD occurred in 16% of the patients. After a median follow-up of 715 days, the 2-year overall and DFS estimates were 61% and 55%, respectively. The 2-year incidences of relapse and non-relapse mortality reached 34% and 11%, respectively. In summary, our data confirm promising safety and efficacy of the treosulfan-based conditioning therapy in AML patients, ClinicalTrials.gov Identifier: NCT01063660.

Indexed as

AdultAntineoplastic Combined Chemotherapy ProtocolsBusulfanFemaleHematopoietic Stem Cell TransplantationHumansLeukemia, Myeloid, AcuteMaleMiddle AgedProspective StudiesTransplantation ConditioningTransplantation, HomologousVidarabineYoung AdultBusulfanfludarabinetreosulfanVidarabine

Identifiers

PMID22158386
OpenAlexW1969684548

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.