Evidence map›Paper›PMID 22460947›Full record

Trial reportAnnals of hematology2012

Intensive consolidation therapy compared with standard consolidation and maintenance therapy for adults with acute myeloid leukaemia aged between 46 and 60 years: final results of the randomized phase III study (AML 8B) of the European Organization for Research and Treatment of Cancer (EORTC) and the Gruppo Italiano Malattie Ematologiche Maligne dell'Adulto (GIMEMA) Leukemia Cooperative Groups.

Marysia Hengeveld, Stefan Suciu, Matthias Karrasch, Giorgina Specchia, Jean-Pierre Marie, Petra Muus, Maria C Petti, Bruno Rotoli, Sergio Amadori, Guiseppe Fioritoni and 9 more

Open access · hybridAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of hematology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Outcomes of HIDAC 18 g Versus IDAC 9 g in Consolidation Therapy of Acute Myeloid Leukemia: A Retrospective Study.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2022
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Observational
  8. Review
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  10. Review
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

19 authors at 12 institutions in 5 countries.

Marysia HengeveldRadboud University Nijmegen Medical Center, The Netherlands. M.Hengeveld@crcn.umcn.nl
Stefan Suciu
Matthias Karrasch
Giorgina Specchia
Jean-Pierre Marie
Petra Muus
Maria C Petti
Bruno Rotoli
Sergio Amadori
Guiseppe Fioritoni
Pietro Leoni
Enrica Morra
Joseph Thaler
Luigi Resegotti
Paola Fazi
Marco Vignetti
Franco Mandelli
Robert Zittoun
Theo de Witte
Radboud University Nijmegen · NLEuropean Organisation for Research and Treatment of Cancer · BEFondazione Gimema Onlus · ITHôtel-Dieu de Paris · FRSapienza University of Rome · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITAzienda USL di Pescara · ITFondazione Ricerca Molinette · ITInnsbruck Medical University · ATOspedali Riuniti di Ancona · ITSt. Eugenio Hospital · ITUniversity of Naples Federico II · IT

Funding

EORTC HEADQUARTERSU10CA011488 · NCI · EUROPEAN ORG/RES/TREATMENT/CANCER · PI LACOMBE, DENIS · 1985 to 2015
$6.6M
NCI NIH HHS 2U10 CA11488-16NCI NIH HHS 2U10 CA11488-17NCI NIH HHS 2U10 CA11488-18NCI NIH HHS 2U10 CA11488-19NCI NIH HHS 2U10 CA11488-20NCI NIH HHS 2U10 CA11488-21NCI NIH HHS 2U10 CA11488-22NCI NIH HHS 2U10 CA11488-23NCI NIH HHS 2U10 CA11488-24NCI NIH HHS 2U10 CA11488-25NCI NIH HHS 2U10 CA11488-26NCI NIH HHS 2U10 CA11488-27NCI NIH HHS 2U10 CA11488-28NCI NIH HHS 2U10 CA11488-29NCI NIH HHS 2U10 CA11488-30NCI NIH HHS 2U10 CA11488-31NCI NIH HHS 2U10 CA11488-32NCI NIH HHS 2U10 CA11488-33NCI NIH HHS 2U10 CA11488-34NCI NIH HHS 2U10 CA11488-35NCI NIH HHS 2U10 CA11488-36NCI NIH HHS 2U10 CA11488-37NCI NIH HHS 2U10 CA11488-38NCI NIH HHS 2U10 CA11488-39NCI NIH HHS 2U10 CA11488-40NCI NIH HHS U10 CA011488
6 · The paper itself

Abstract

The most effective post-remission treatment to maintain complete remission (CR) in adults aged between 46 and 60 years with acute myeloid leukaemia (AML) is uncertain. Previously untreated patients with AML in CR after induction chemotherapy with daunorubicin and cytarabine were randomized between two intensive courses of consolidation therapy containing high-dose cytarabine, combined with amsacrine or daunorubicin and a standard consolidation and maintenance therapy containing standard dose cytarabine and daunorubicin. One hundred fifty-eight CR patients were assigned to the intensive group and 157 patients to the standard group. After a median follow-up of 7.5 years, the 4-year survival rate was 32 % in the intensive group versus 34 % in the standard group (P = 0.29). In the intensive group, the 4-year relapse incidence was lower than in the standard group: 55 and 75 %, respectively (P = 0.0003), whereas treatment-related mortality incidence was higher: 22 versus 3 % (P < 0.0001). Two intensive consolidation courses containing high-dose cytarabine as post-remission treatment in patients with AML aged between 46 and 60 years old did not translate in better long-term outcome despite a 20 % lower relapse incidence. Better supportive care and prevention of treatment-related complications may improve the overall survival after intensified post-remission therapy in this age group.

Indexed as

AdolescentAdultAge FactorsAntineoplastic Combined Chemotherapy ProtocolsConsolidation ChemotherapyEuropeFemaleHematologyHumansInduction ChemotherapyInternational CooperationItalyLeukemia, Myeloid, AcuteMaintenance ChemotherapyMaleMedical Oncology

Identifiers

PMID22460947
PMCPMC3345117
OpenAlexW2118428391

What OpenQuestion holds

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LicenceCC BY
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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.