Evidence map›Paper›PMID 24488048›Full record

ArticleBone marrow transplantation2014

Azacitidine salvage therapy for relapse of myeloid malignancies following allogeneic hematopoietic SCT.

B Tessoulin, J Delaunay, P Chevallier, M Loirat, S Ayari, P Peterlin, S Le Gouill, T Gastinne, P Moreau, M Mohty and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Bone marrow transplantation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 58 citations in OpenAlex.

  1. Trial
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  11. Biology of Disease Relapse in Myeloid Disease: Implication for Strategies to Prevent and Treat Disease Relapse After Stem-Cell Transplantation.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
    Review
  12. Review
  13. Treatment of AML Relapse After Allo-HCT.Frontiers in oncology · 2021
    Review
  14. Article
  15. Review
  16. Checkpoint inhibitors in AML: are we there yet?British journal of haematology · 2020
    Review
  17. Review
  18. Review
  19. Review
  20. Decitabine for relapsed acute lymphoblastic leukemia after allogeneic hematopoietic stem cell transplantation.Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban · 2017
    Article
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

11 authors at 4 institutions in 1 country.

B Tessoulin1] Centre Hospitalier et Universitaire (CHU) de Nantes, Hématologie Clinique, Nantes, France [2] INSERM CRCNA, UMR 892, Nantes, France.
J Delaunay1] Centre Hospitalier et Universitaire (CHU) de Nantes, Hématologie Clinique, Nantes, France [2] INSERM CRCNA, UMR 892, Nantes, France [3] Centre d'Investigation Clinique en Cancérologie (CI2C), Nantes, France.
P Chevallier1] Centre Hospitalier et Universitaire (CHU) de Nantes, Hématologie Clinique, Nantes, France [2] INSERM CRCNA, UMR 892, Nantes, France [3] Centre d'Investigation Clinique en Cancérologie (CI2C), Nantes, France.
M LoiratCentre Hospitalier et Universitaire (CHU) de Nantes, Hématologie Clinique, Nantes, France.
S AyariCentre Hospitalier et Universitaire (CHU) de Nantes, Hématologie Clinique, Nantes, France.
P PeterlinCentre Hospitalier et Universitaire (CHU) de Nantes, Hématologie Clinique, Nantes, France.
S Le Gouill1] Centre Hospitalier et Universitaire (CHU) de Nantes, Hématologie Clinique, Nantes, France [2] INSERM CRCNA, UMR 892, Nantes, France [3] Centre d'Investigation Clinique en Cancérologie (CI2C), Nantes, France [4] Université de Nantes, Nantes, France.
T Gastinne1] Centre Hospitalier et Universitaire (CHU) de Nantes, Hématologie Clinique, Nantes, France [2] Centre d'Investigation Clinique en Cancérologie (CI2C), Nantes, France.
P Moreau1] Centre Hospitalier et Universitaire (CHU) de Nantes, Hématologie Clinique, Nantes, France [2] INSERM CRCNA, UMR 892, Nantes, France [3] Centre d'Investigation Clinique en Cancérologie (CI2C), Nantes, France [4] Université de Nantes, Nantes, France.
M Mohty1] Centre Hospitalier et Universitaire (CHU) de Nantes, Hématologie Clinique, Nantes, France [2] INSERM CRCNA, UMR 892, Nantes, France [3] Centre d'Investigation Clinique en Cancérologie (CI2C), Nantes, France [4] Université de Nantes, Nantes, France.
T Guillaume1] Centre Hospitalier et Universitaire (CHU) de Nantes, Hématologie Clinique, Nantes, France [2] INSERM CRCNA, UMR 892, Nantes, France [3] Centre d'Investigation Clinique en Cancérologie (CI2C), Nantes, France.
Centre de Recherche en Cancérologie et Immunologie Intégrée Nantes Angers · FRCentre Hospitalier Universitaire de Nantes · FRCentre d'Investigation Clinique de Nantes · FRNantes Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with hematopoietic malignancies relapsing after allogeneic hematopoietic SCT (allo-HSCT) have a poor prognosis. We retrospectively analyzed the patients who received azacitidine in our center in the course of treatment of their post-transplant relapse. We identified 31 patients. Relapse occurred at a median of 3.7 (1.7-37.6) months following allo-HSCT. Patients received a median number of three cycles (1-12) of azacitidine (7 days, 75 mg/m(2) daily). Thirty-nine percent of patients had either a monosomal karyotype or a complex karyotype. Eleven patients (35%) received at least one DLI. Eleven patients responded to azacitidine, with four patients achieving a CR (13%). Median time to best response was 92 (35-247) days, with a median duration of 209 (64-751) days. One-year estimated survival rate was 14%. In conclusion, azacitidine may reinduce durable remissions in very few patients with AML or myelodysplastic syndrome. The toxicity related to azacitidine was high, although it may be difficult to distinguish between treatment-related side effects, namely due to cytopenia and toxicity due to the relapse or disease progression itself. Early administration of azacitidine after transplant followed by DLI should be considered as a pre-emptive therapy for potential relapse in patients with minimal residual disease or high-risk myeloid malignancies.

Indexed as

AdolescentAdultAgedAzacitidineFemaleHematologic NeoplasmsHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedNeoplasm Recurrence, LocalPrognosisRetrospective StudiesSalvage TherapyTransplantation, HomologousYoung AdultAzacitidine

Identifiers

PMID24488048
OpenAlexW2032685836

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.