Evidence map›Paper›PMID 24763401›Full record

Trial reportHaematologica2014

The prognostic significance of early treatment response in pediatric relapsed acute myeloid leukemia: results of the international study Relapsed AML 2001/01.

Ursula Creutzig, Martin Zimmermann, Michael N Dworzak, Brenda Gibson, Rienk Tamminga, Jonas Abrahamsson, Shau-Yin Ha, Henrik Hasle, Alexey Maschan, Yves Bertrand and 9 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
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 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

23 citing papers in PubMed, 48 citations in OpenAlex.

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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

19 authors at 15 institutions in 14 countries.

Ursula CreutzigBFM-AML Group, Hannover, c/o Pediatric Hematology/Oncology, Hannover Medical High School, Germany ursula@creutzig.de.
Martin ZimmermannBFM-AML Group, Hannover, c/o Pediatric Hematology/Oncology, Hannover Medical High School, Germany.
Michael N DworzakBFM-AML Group, St. Anna Children's Hospital and Children's Cancer Research Institute, Department of Pediatrics, Medical University of Vienna, Austria.
Brenda GibsonUK NCRI Childhood Leukaemia Group, Department of Paediatric Haematology, Royal Hospital for Sick Children, Glasgow, Scotland, UK.
Rienk TammingaPediatric Oncology/Hematology, Beatrix Children's Hospital/UMCG, Groningen, The Netherlands Dutch Childhood Oncology Group, The Hague, The Netherlands.
Jonas AbrahamssonNOPHO, Department of Pediatrics, Queen Silvia's Children's Hospital, Göteborg, Sweden.
Shau-Yin HaHong Kong Paediatric Haematology & Oncology Study Group, c/o Department of Paediatrics & Adolescent Medicine, Queen Mary Hospital, Hong Kong, China.
Henrik HasleNOPHO; Department of Pediatrics, Aarhus University Hospital Skejby, Denmark.
Alexey MaschanResearch Center for Pediatric Hematology, Oncology and Immunology, Moscow, Russia.
Yves BertrandFRALLE/CLCG, c/o Institut d'Hématologie et d'Oncologie Pédiatrique, Lyon, France.
Guy LevergerFRALLE/CLCG; c/o Unité d'Onco-Hématologie Pédiatrique, Hôpital d'Enfants Armand Trousseau, Paris, France.
Christine von NeuhoffBFM-AML Group, Hannover, c/o Pediatric Hematology/Oncology, Hannover Medical High School, Germany.
Bassem RazzoukSt. Jude's Children Research Hospital, Memphis, TN, USA, c/o Children's Center For Cancer and Blood Diseases, Peyton Manning Children's Hospital at St. Vincent, Indianapolis, IN, USA.
Carmelo RizzariAIEOP, c/o Department of Pediatrics, Hospital S. Gerardo, Monza, Italy.
Petr SmisekCPH, c/o Department of Pediatric Hematology and Oncology, 2nd Faculty of Medicine and University Hospital Motol, Charles University Prague, Czech Republic.
Owen P SmithUK CCLG; c/o Department of Haematology & Oncology, Our Lady's Children's Hospital, Dublin, Ireland.
Batia StarkCenter of Pediatric Hematology/Oncology, Schneider Children's Medical Center of Israel, Petah Tikva, Israel.
Dirk ReinhardtBFM-AML Group, Hannover, c/o Pediatric Hematology/Oncology, Hannover Medical High School, Germany.
Gertjan L KaspersPediatric Oncology/Hematology, VU University Medical Center, Amsterdam, The Netherlands Dutch Childhood Oncology Group, The Hague, The Netherlands.
Medizinische Hochschule Hannover · DEStichting Kinderoncologie Nederland · NLAarhus University Hospital · DKAzienda Ospedaliera San Gerardo · ITCharles University · CZDrottning Silvias barn- och ungdomssjukhus · SEHôpital Armand-Trousseau · FRInstitut d’Hématologie et d’Oncologie Pédiatrique · FRNational Medical Research Center for Hematology · RUOur Lady's Hospital · IEPeyton Manning Children’s Hospital at St.Vincent · USQueen Mary Hospital · CNRoyal Hospital for Children · GBSchneider Children's Medical Center · ILSt Anna Children's Hospital · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prognostic significance of early response to treatment has not been reported in relapsed pediatric acute myeloid leukemia. In order to identify an early and easily applicable prognostic factor allowing subsequent treatment modifications, we assessed leukemic blast counts in the bone marrow by morphology on days 15 and 28 after first reinduction in 338 patients of the international Relapsed-AML2001/01 trial. Both day 15 and day 28 status was classified as good (≤20% leukemic blasts) in 77% of patients. The correlation between day 15 and 28 blast percentages was significant, but not strong (Spearman correlation coefficient = 0.49, P<0.001). Survival probability decreased in a stepwise fashion along with rising blast counts at day 28. Patients with bone marrow blast counts at this time-point of ≤5%, 6-10%, 11-20% and >20% had 4-year probabilities of survival of 52%±3% versus 36%±10% versus 21%±9% versus 14%±4%, respectively, P<0.0001; this trend was not seen for day 15 results. Multivariate analysis showed that early treatment response at day 28 had the strongest prognostic significance, superseding even time to relapse (< or ≥12 months). In conclusion, an early response to treatment, measured on day 28, is a strong and independent prognostic factor potentially useful for treatment stratification in pediatric relapsed acute myeloid leukemia. This study was registered with ISRCTN code: 94206677.

Indexed as

AdolescentAntibiotics, AntineoplasticAntineoplastic Combined Chemotherapy ProtocolsBone Marrow CellsChildChild, PreschoolDaunorubicinDrug MonitoringFemaleHumansLeukemia, Myeloid, AcuteMalePrognosisRecurrenceRemission InductionSurvival AnalysisAntibiotics, AntineoplasticDaunorubicin

Identifiers

PMID24763401
PMCPMC4562536
OpenAlexW2114541117

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.