Evidence map›Paper›PMID 22649108›Full record

Trial reportBlood2012

Residual disease detected by multidimensional flow cytometry signifies high relapse risk in patients with de novo acute myeloid leukemia: a report from Children's Oncology Group.

Michael R Loken, Todd A Alonzo, Laura Pardo, Robert B Gerbing, Susana C Raimondi, Betsy A Hirsch, Phoenix A Ho, Janet Franklin, Todd M Cooper, Alan S Gamis and 1 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 135 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
135citing papers in PubMed, 2 pooled it
13.4field-weighted citation impact, top 1% 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
NCT04953780 phase1active not recruitingnot on this mapstarted 2021, after this paper: background citation

2157GCCC: a Phase I Trial of Calaspargase Pegol-mknl in Combination with High Dose Cytarabine and Idarubicin in Adult Patients with Newly Diagnosed Acute Myeloid Leukemia

TypeinterventionalSponsorWest Virginia UniversityRan2021 to 2025Enrolled6ConditionsAcute Myeloid LeukemiaArmsCalaspargase pegol-mknl
3 · Its place in the literature

Who cites it

135 citing papers in PubMed, 2 syntheses or guidelines pooled it, 291 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Hematopoietic Stem Cell Transplantation Outcomes for High-Risk AML: A Report From the Children's Oncology Group.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Trial
  4. Gemtuzumab Ozogamicin Improves Event-Free Survival and Reduces Relapse in PediatricJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
    Trial
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  20. Measurable Residual Disease.Methods in molecular biology (Clifton, N.J.) · 2027
    Article

75 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 9 institutions in 2 countries.

Michael R LokenHematologics Inc, Seattle, WA, USA.
Todd A Alonzo
Laura Pardo
Robert B Gerbing
Susana C Raimondi
Betsy A Hirsch
Phoenix A Ho
Janet Franklin
Todd M Cooper
Alan S Gamis
Soheil Meshinchi
Children's Oncology Group · USAmgen (United States) · USChildren's Healthcare of Atlanta · USChildren's Mercy Hospital · USFundación para la Investigación, Docencia y Prevención del Cáncer · ARSt. Jude Children's Research Hospital · USUniversity of Minnesota · USUniversity of Southern California · USUniversity of Washington · US

Funding

COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
Children's Oncology Group Statistics &Data Center GrantU10CA098413 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI DEVIDAS, MEENAKSHI · 2003 to 2013
$67.5M
Support for Human Specimen Banking in NCI-Supported Cancer Clinical TrialsU24CA114766 · NCI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI RAMIREZ MILAN, NILSA DEL CARMEN · 2005 to 2014
$14.5M
Biology/prognostic implications of Flt3 mutations in AMLR01CA114563 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI MESHINCHI, SOHEIL · 2005 to 2016
$4.4M
Accurate Prediction of Acute Myeloid Leukemia RelapseR21CA104964 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI MESHINCHI, SOHEIL · 2004 to 2005
$311k
NCI NIH HHS R01 CA114563NCI NIH HHS R01-CA114563NCI NIH HHS R21 CA104964NCI NIH HHS R21 CA 104964-02NCI NIH HHS U10 CA098413NCI NIH HHS U10 CA098543NCI NIH HHS U10-CA98413NCI NIH HHS U10-CA98543NCI NIH HHS U24 CA114766NCI NIH HHS U24-CA114766
6 · The paper itself

Abstract

Early response to induction chemotherapy is a predictor of outcome in acute myeloid leukemia (AML). We determined the prevalence and significance of postinduction residual disease (RD) by multidimensional flow cytometry (MDF) in children treated on Children's Oncology Group AML protocol AAML03P1. Postinduction marrow specimens at the end of induction (EOI) 1 or 2 or at the end of therapy from 249 patients were prospectively evaluated by MDF for RD, and presence of RD was correlated with disease characteristics and clinical outcome. Of the 188 patients in morphologic complete remission at EOI1, 46 (24%) had MDF-detectable disease. Those with and without RD at the EOI1 had a 3-year relapse risk of 60% and 29%, respectively (P < .001); the corresponding relapse-free survival was 30% and 65% (P < .001). Presence of RD at the EOI2 and end of therapy was similarly predictive of poor outcome. RD was detected in 28% of standard-risk patients in complete remission and was highly associated with poor relapse-free survival (P = .008). In a multivariate analysis, including cytogenetic and molecular risk factors, RD was an independent predictor of relapse (P < .001). MDF identifies patients at risk of relapse and poor outcome and can be incorporated into clinical trials for risk-based therapy allocation. This study was registered at www.clinicaltrials.gov as NCT00070174.

Indexed as

AdolescentAdultAntineoplastic Combined Chemotherapy ProtocolsChildChild, PreschoolFemaleFlow CytometryHumansInfantLeukemia, Myeloid, AcuteMaleNeoplasm Recurrence, LocalNeoplasm, ResidualPrevalencePrognosisRisk Factors

Identifiers

PMID22649108
PMCPMC3429302
OpenAlexW1992453745

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.