Evidence map›Paper›PMID 24097631›Full record

Trial reportHaematologica2014

Intensive induction is effective in selected octogenarian acute myeloid leukemia patients: prognostic significance of karyotype and selected molecular markers used in the European LeukemiaNet classification.

Meir Wetzler, Krzysztof Mrózek, Jessica Kohlschmidt, Hervé Dombret, Hartmut Döhner, Sylvain Pilorge, Utz Krug, Andrew J Carroll, Richard A Larson, Guido Marcucci and 3 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Haematologica, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Optimizing management of acute leukemia in community centers and when to refer.Hematology. American Society of Hematology. Education Program · 2020
    Review
  10. Article
  11. Article
  12. Review
  13. Definition of Unfit for Standard Acute Myeloid Leukemia Therapy.Current hematologic malignancy reports · 2016
    Review
  14. Article
  15. Review
  16. Elderly acute myeloid leukemia: assessing risk.Current hematologic malignancy reports · 2015
    Review
  17. Article
  18. Review
  19. Article
  20. Acute myeloid leukemia and myelodysplastic syndromes in older adults.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2014
    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

13 authors at 10 institutions in 3 countries.

Meir Wetzlermeir.wetzler@roswellpark.org.
Krzysztof Mrózek
Jessica Kohlschmidt
Hervé Dombret
Hartmut Döhner
Sylvain Pilorge
Utz Krug
Andrew J Carroll
Richard A Larson
Guido Marcucci
Wolfgang Hiddemann
Thomas Büchner
Clara D Bloomfield
The Ohio State University · USUniversity of Münster · DEAlliance for Clinical Trials in Oncology · USAssistance Publique – Hôpitaux de Paris · FRInstitut Gustave Roussy · FRLudwig-Maximilians-Universität München · DERoswell Park Comprehensive Cancer Center · USUniversität Ulm · DEUniversity of Alabama at Birmingham · USUniversity of Chicago · US

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
SPORE Leukemia Tissue BankP50CA140158 · NCI · OHIO STATE UNIVERSITY · PI BLOOMFIELD, CLARA D · 2009 to 2013
$11.2M
Cancer and Leukemia Group B - Leukemia Correlative SciencesU10CA101140 · NCI · OHIO STATE UNIVERSITY · PI MARCUCCI, GUIDO · 2003 to 2013
$10.3M
Cancer and Leukemia Group B - The Ohio State UniversityU10CA077658 · NCI · OHIO STATE UNIVERSITY · PI BLOOMFIELD, CLARA D · 1998 to 2013
$6.0M
NCI NIH HHS CA101140NCI NIH HHS CA140158NCI NIH HHS CA16058NCI NIH HHS CA77658NCI NIH HHS P30 CA016058NCI NIH HHS P50 CA140158NCI NIH HHS U10 CA077658NCI NIH HHS U10 CA101140
6 · The paper itself

Abstract

We investigated whether octogenarian patients with acute myeloid leukemia enrolled onto Cooperative Group clinical trials and treated with intensive induction therapy could be cured, and whether karyotype and selected molecular markers had any prognostic significance in these patients. Among 138 patients with cytogenetic information, normal karyotype was the most common (47.1%) followed by complex karyotype (14.5%) and sole +8 (9.4%). Among these patients, the relapse-free survival rate at 1 year was 37% and 13% at 3 years, and the respective overall survival rates were 24% and 8%. Whereas the 90 patients who survived beyond 30 days had the same relapse-free survival rates, their 1-year and 3-year overall survival rates were 36% and 11%, respectively. Of the 66 patients surviving beyond 30 days who could be classified into European LeukemiaNet genetic groups, those in the intermediate-I group had better overall survival than patients in the adverse group (P=0.01). Among patients with cytogenetically normal acute myeloid leukemia who were tested for the European LeukemiaNet-associated molecular alterations, FLT3-internal tandem duplication and NPM1 mutations, it was found that FLT3-internal tandem duplication (detected in 29% of patients) did not associate with overall survival (P=0.31), whereas NPM1 mutations (30%) were associated with a significantly longer overall survival (P=0.002). We conclude that intensive induction is effective and indicated in selected octogenarians with acute myeloid leukemia, that their overall survival varies among the European LeukemiaNet genetic groups and that NPM1 mutations may be of prognostic significance among octogenarian patients with cytogenetically normal acute myeloid leukemia.

Indexed as

Biomarkers, TumorLeukemia, Myeloid, AcuteMutationAbnormal KaryotypeAgedDisease-Free SurvivalFemalefms-Like Tyrosine Kinase 3HumansNuclear ProteinsNucleophosminSurvival RateBiomarkers, TumorFLT3 protein, humanfms-Like Tyrosine Kinase 3NPM1 protein, humanNuclear ProteinsNucleophosmin

Identifiers

PMID24097631
PMCPMC3912961
OpenAlexW2045790596

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.