Evidence map›Paper›PMID 22639053›Full record

Trial reportInternational journal of hematology2012

Randomized comparison of fixed-schedule versus response-oriented individualized induction therapy and use of ubenimex during and after consolidation therapy for elderly patients with acute myeloid leukemia: the JALSG GML200 Study.

Atsushi Wakita, Shigeki Ohtake, Satoru Takada, Fumiharu Yagasaki, Hirokazu Komatsu, Yasushi Miyazaki, Kohmei Kubo, Yukihiko Kimura, Akihiro Takeshita, Yoko Adachi and 8 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International journal of hematology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Review
  4. KBE009: A Bestatin-Like Inhibitor of theLife (Basel, Switzerland) · 2021
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Acute myeloid leukemia in older adults.International journal of hematology · 2012
    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

18 authors at 15 institutions in 1 country.

Atsushi WakitaDivision of Hematology and Oncology, Nagoya City West Medical Center, 1-1 Hirate-cho 1-chome, Kita-ku, Nagoya, Japan. a.wakita.94@west-med.jp
Shigeki Ohtake
Satoru Takada
Fumiharu Yagasaki
Hirokazu Komatsu
Yasushi Miyazaki
Kohmei Kubo
Yukihiko Kimura
Akihiro Takeshita
Yoko Adachi
Hitoshi Kiyoi
Takuhiro Yamaguchi
Minoru Yoshida
Kazunori Ohnishi
Shuichi Miyawaki
Tomoki Naoe
Ryuzo Ueda
Ryuzo Ohno
Hamamatsu University School of Medicine · JPNagoya City University · JPNagoya University · JPAichi Cancer Center · JPAomori Prefectural Central Hospital · JPGunma Saiseikai Maebashi Hospital · JPKanazawa University · JPKobe Central Hospital · JPNagasaki University · JPNagoya Medical Center · JPSaitama Medical University · JPTeikyo University · JPTohoku University · JPTokyo Medical University · JPTokyo Metropolitan Ohtsuka Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We conducted a multicenter prospective randomized study to compare a fixed-scheduled induction therapy with a response-oriented individualized induction therapy for elderly patients with acute myeloid leukemia (AML). Newly diagnosed AML patients, aged between 65 and 80, were randomly assigned to receive fixed or individualized induction. Both groups received daunorubicin (DNR) 40 mg/m(2) for 3 days and behenoyl cytarabine (BHAC) 200 mg/m(2) for 8 days. In the individualized group, bone marrow biopsy was done on days 8 and 10, and according to the cellularity and blast ratio, the patients received additional DNR and BHAC for two to four more days. All patients achieving complete remission (CR) were randomized a second time to determine whether they would receive ubenimex. CR was obtained in 60.1 % of the fixed group and 63.6 % of the individualized group. Predicted 4-year relapse-free survival (RFS) was 9 % for the fixed group and 18 % for the individualized group. There were no statistically significant differences in CR and RFS between the fixed and individualized groups. In the ubenimex group, prolonged RFS was observed. Notably, gender was a prognostic factor in this study, as 102 female patients had a significantly higher CR rate (72.5 vs. 54.3 %, p = 0.0048) and better OS (24 vs. 14 % at 4 years, p = 0.018), compared with 140 male patients.

Indexed as

Consolidation ChemotherapyInduction ChemotherapyAgedAged, 80 and overAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansLeucineLeukemia, Myeloid, AcuteMaleSurvival AnalysisTreatment OutcomeAntineoplastic AgentsLeucineubenimex

Identifiers

PMID22639053
OpenAlexW1968711407

What OpenQuestion holds

Textmetadata
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.