Evidence map›Paper›PMID 23314834›Full record

Trial reportLeukemia2013

Azacitidine and donor lymphocyte infusions as first salvage therapy for relapse of AML or MDS after allogeneic stem cell transplantation.

T Schroeder, A Czibere, U Platzbecker, G Bug, L Uharek, T Luft, A Giagounidis, F Zohren, I Bruns, C Wolschke and 6 more

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

Trial report in Leukemia, 2013. 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 117 papers.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed
14.4field-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.

NCT02472691 phase2completednot on this mapstarted 2015, after this paper: background citation

Phase-II Trial to Assess the Efficacy and Safety of Lenalidomide in Addition to 5-Azacitidine and Donor Lymphocyte Infusions (DLI) for the Treatment of Patients With MDS, CMML or AML Who Relapse After Allogeneic Stem Cell Transplantation

TypeinterventionalSponsorHeinrich-Heine University, DuesseldorfRan2015 to 2020Enrolled50ConditionsLeukemia, Myeloid, Acute, Myelodysplastic Syndromes, Leukemia, Myelomonocytic, ChronicArmsLenalidomide, Azacitidine, Donor Lymphocyte Infusions
NCT04482621 phase2suspendednot on this mapstarted 2020, after this paper: background citation

Decitabine for COVID-19 Pneumonia-ARDS Treatment: DART Trial

TypeinterventionalSponsorJohns Hopkins UniversityRan2020 to 2026Enrolled33ConditionsCOVID-19ArmsDecitabine, Placebo Saline
3 · Its place in the literature

Who cites it

117 citing papers in PubMed, 220 citations in OpenAlex.

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  13. Allogeneic Transplant for CMML.Current hematologic malignancy reports · 2025
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57 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

16 authors at 7 institutions in 1 country.

T SchroederMedical Faculty, Department of Hematology, Oncology and Clinical Immunology, University of Duesseldorf, Medical Faculty, Duesseldorf, Germany. thomas.schroeder@med.uni-duesseldorf.de
A Czibere
U Platzbecker
G Bug
L Uharek
T Luft
A Giagounidis
F Zohren
I Bruns
C Wolschke
K Rieger
R Fenk
U Germing
R Haas
N Kröger
G Kobbe
Heinrich Heine University Düsseldorf · DECharité - Universitätsmedizin Berlin · DEUniversität Hamburg · DEGoethe University Frankfurt · DEHeidelberg University · DESt.-Johannes-Hospital Dortmund · DEUniversity Hospital Carl Gustav Carus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The combination of azacitidine and donor lymphocyte infusions (DLI) as first salvage therapy for relapse after allogeneic transplantation (allo-HSCT) was studied in 30 patients with acute myeloid leukemia (AML; n=28) or myelodysplastic syndromes (MDS; n=2) within a prospective single-arm multicenter phase-II trial. Treatment schedule contained up to eight cycles azacitidine (100 mg/m(2)/day, days 1-5, every 28 days) followed by DLI (from 1-5 × 10(6) to 1-5 × 10(8) CD3(+)cells/kg) after every second azacitidine cycle. A median of three courses azacitidine (range 1-8) were administered, and 22 patients (73%) received DLI. Overall response rate was 30%, including seven complete remissions (CRs, 23%) and two partial remissions (7%). Five patients remain in CR for a median of 777 days (range 461-888). Patients with MDS or AML with myelodysplasia-related changes were more likely to respond (P=0.011), and a lower blast count (P=0.039) as well as high-risk cytogenetics (P=0.035) correlated with the likelihood to achieve CR. Incidence of acute and chronic graft-versus-host disease was 37% and 17%, respectively. Neutropenia and thrombocytopenia grade III/IV occurred during 65% and 63% of treatment cycles, while infections were the most common grade III/IV non-hematological toxicity. Azacitidine and DLI as salvage therapy is safe, induces long-term remissions and may become an alternative for patients with AML or MDS relapsing after allo-HSCT.

Indexed as

Cell TransplantationSalvage TherapyStem Cell TransplantationAdultAgedAntimetabolites, AntineoplasticAzacitidineCombined Modality TherapyFemaleHumansLeukemia, Myeloid, AcuteLymphocytesMaleMiddle AgedMyelodysplastic SyndromesRecurrenceAntimetabolites, AntineoplasticAzacitidine

Identifiers

PMID23314834
OpenAlexW2004498221

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.