Evidence map›Paper›PMID 22378848›Full record

Trial reportBlood2012

Correlation of CD33 expression level with disease characteristics and response to gemtuzumab ozogamicin containing chemotherapy in childhood AML.

Jessica A Pollard, Todd A Alonzo, Michael Loken, Robert B Gerbing, Phoenix A Ho, Irwin D Bernstein, Susana C Raimondi, Betsy Hirsch, Janet Franklin, Roland B Walter and 2 more

2 registry-linked trialsOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 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 73 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% 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.

NCT00070174 phase2completednot on this map

Treatment of Newly Diagnosed Childhood Acute Myeloid Leukemia (AML) Using Intensive MRC-Based Therapy and Gemtuzumab Ozogamicin (GMTZ): A COG Pilot Study

TypeinterventionalSponsorChildren's Oncology GroupRan2003 to 2013Enrolled350ConditionsLeukemiaArmsasparaginase, busulfan, cyclophosphamide, cyclosporine, cytarabine
NCT00372593 phase3completednot on this map

A Phase III Randomized Trial of Gemtuzumab Ozogamicin (Mylotarg) Combined With Conventional Chemotherapy for De Novo Acute Myeloid Leukemia (AML) in Children, Adolescents, and Young Adults

TypeinterventionalSponsorChildren's Oncology GroupRan2006 to 2020Enrolled1,070ConditionsLeukemiaArmsasparaginase, cytarabine, daunorubicin hydrochloride, etoposide, gemtuzumab ozogamicin
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 1 synthesis or guideline pooled it, 110 citations in OpenAlex.

  1. Pooled it
  2. Gemtuzumab Ozogamicin Improves Event-Free Survival and Reduces Relapse in PediatricJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
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  6. Gemtuzumab Ozogamicin Reduces Relapse Risk in FLT3/ITD Acute Myeloid Leukemia: A Report from the Children's Oncology Group.Clinical cancer research : an official journal of the American Association for Cancer Research · 2016
    Trial
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  9. Article
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  11. Review
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  16. Nanoscale restructuring of the immune synapse with an engager enhances NK cell function.Proceedings of the National Academy of Sciences of the United States of America · 2025
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13 more citing papers are in PubMed but not listed here.

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

12 authors at 6 institutions in 1 country.

Jessica A PollardFred Hutchinson Cancer Research Center, Seattle, WA, USA. jessica.pollard@seattlechildrens.org
Todd A Alonzo
Michael Loken
Robert B Gerbing
Phoenix A Ho
Irwin D Bernstein
Susana C Raimondi
Betsy Hirsch
Janet Franklin
Roland B Walter
Alan Gamis
Soheil Meshinchi
Children's Oncology Group · USUniversity of Washington · USAmgen (United States) · USArcadia · USFred Hutch Cancer Center · USSt. Jude Children's Research Hospital · US

Funding

COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Marian Esvelt · 1985 to 2026
$296.4M
CAREER DEVELOPMENT IN PEDIATRIC AND MEDICAL ONCOLOGYK12CA076930 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI DAVIDSON, NANCY ELLEN, MESHINCHI, SOHEIL · 1997 to 2025
$13.1M
Biology/prognostic implications of Flt3 mutations in AMLR01CA114563 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI MESHINCHI, SOHEIL · 2005 to 2016
$4.4M
NCI NIH HHS 5K12CA076930-08NCI NIH HHS K12 CA076930NCI NIH HHS P30 CA015704NCI NIH HHS R01 CA114563NCI NIH HHS R21 CA10262NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA98543
6 · The paper itself

Abstract

CD33 is expressed on the majority of acute myeloid leukemia (AML) leukemic blasts and is the target for gemtuzumab ozogamicin (GO), a toxin-conjugated anti-CD33 mAb. In the present study, we quantified the CD33 mean fluorescent intensity of leukemic blasts prospectively in 619 de novo pediatric AML patients enrolled in Children's Oncology Group GO-containing clinical trials and determined its correlation with disease characteristics and clinical outcome. CD33 expression varied more than 2-log fold; a median mean fluorescent intensity of 129 (range, 3-1550.07) was observed. Patients were divided into 4 quartiles, quartiles 1-4 (Q1-4) based on expression and disease characteristics and clinical response defined across quartiles. High CD33 expression was associated with high-risk FLT3/ITD mutations (P < .001) and was inversely associated with low-risk disease (P < .001). Complete remission (CR) rates were similar, but patients in Q4 had significantly lower overall survival (57% ± 16% vs 77% ± 7%, P = .002) and disease-free survival from CR (44% ± 16% vs 62% ± 8%, P = .022). In a multivariate model, high CD33 expression remained a significant predictor of overall survival (P = .011) and disease-free survival (P = .038) from CR. Our findings suggest that CD33 expression is heterogeneous within de novo pediatric AML. High expression is associated with adverse disease features and is an independent predictor of inferior outcome. The correlation between CD33 expression and GO response is under investigation. These studies are registered at www.clinicaltrials.gov as NCT00070174 and NCT00372593.

Indexed as

AminoglycosidesAntibodies, Monoclonal, HumanizedAntigens, CDAntigens, Differentiation, MyelomonocyticAntineoplastic AgentsChildChild, PreschoolDrug MonitoringFemaleGemtuzumabHumansInfantLeukemia, Myeloid, AcuteMaleProportional Hazards ModelsProspective StudiesAminoglycosidesAntibodies, Monoclonal, HumanizedAntigens, CDAntigens, Differentiation, MyelomonocyticAntineoplastic AgentsCD33 protein, humanGemtuzumabSialic Acid Binding Ig-like Lectin 3

Identifiers

PMID22378848
PMCPMC3335378
OpenAlexW2028153263

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.