Evidence map›Paper›PMID 24778882›Full record

ArticleLeukemia research and treatment2014

Impact of minimal residual disease, detected by flow cytometry, on outcome of myeloablative hematopoietic cell transplantation for acute lymphoblastic leukemia.

Merav Bar, Brent L Wood, Jerald P Radich, Kristine C Doney, Ann E Woolfrey, Colleen Delaney, Frederick R Appelbaum, Ted A Gooley

Open access · hybridAbstract read
In one paragraph

Article in Leukemia research and treatment, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
10.3field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

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  17. MRD in adult Ph/BCR-ABL-negative ALL: how best to eradicate?Hematology. American Society of Hematology. Education Program · 2021
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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

8 authors at 1 institution in 1 country.

Merav BarDivision of Clinical Research, Fred Hutchinson Cancer Research Center, P.O. Box 19024, Seattle, WA 98109, USA ; Department of Medicine, University of Washington, Seattle, WA 98195, USA.
Brent L WoodDivision of Clinical Research, Fred Hutchinson Cancer Research Center, P.O. Box 19024, Seattle, WA 98109, USA ; Department of Pathology, University of Washington, Seattle, WA 98195, USA.
Jerald P RadichDivision of Clinical Research, Fred Hutchinson Cancer Research Center, P.O. Box 19024, Seattle, WA 98109, USA ; Department of Medicine, University of Washington, Seattle, WA 98195, USA.
Kristine C DoneyDivision of Clinical Research, Fred Hutchinson Cancer Research Center, P.O. Box 19024, Seattle, WA 98109, USA ; Department of Medicine, University of Washington, Seattle, WA 98195, USA.
Ann E WoolfreyDivision of Clinical Research, Fred Hutchinson Cancer Research Center, P.O. Box 19024, Seattle, WA 98109, USA ; Department of Pediatrics, University of Washington, Seattle, WA 98195, USA.
Colleen DelaneyDivision of Clinical Research, Fred Hutchinson Cancer Research Center, P.O. Box 19024, Seattle, WA 98109, USA ; Department of Pediatrics, University of Washington, Seattle, WA 98195, USA.ORCID 0000-0002-8211-7434
Frederick R AppelbaumDivision of Clinical Research, Fred Hutchinson Cancer Research Center, P.O. Box 19024, Seattle, WA 98109, USA ; Department of Medicine, University of Washington, Seattle, WA 98195, USA.
Ted A GooleyDivision of Clinical Research, Fred Hutchinson Cancer Research Center, P.O. Box 19024, Seattle, WA 98109, USA ; Department of Biostatistics, University of Washington, Seattle, WA 98195, USA.
University of Washington · US

Funding

VIRUS-MEDIATED MYELOSUPPRESSIONP01CA018029 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Geoffrey Roger HILL · 1985 to 2026
$128.4M
NCI NIH HHS P01 CA018029
6 · The paper itself

Abstract

In this retrospective study, we evaluated the impact of pre- and posttransplant minimal residual disease (MRD) detected by multiparametric flow cytometry (MFC) on outcome in 160 patients with ALL who underwent myeloablative allogeneic hematopoietic cell transplantation (HCT). MRD was defined as detection of abnormal B or T cells by MFC with no evidence of leukemia by morphology (<5% blasts in marrow) and no evidence of extramedullary disease. Among 153 patients who had pre-HCT flow data within 50 days before transplant, MRD pre-HCT increased the risk of relapse (hazard ratio (HR) = 3.64; 95% confidence interval (CI), 1.87-7.09; P = .0001) and mortality (HR = 2.39; 95% CI, 1.46-3.90, P = .0005). Three-year estimates of relapse were 17% and 38% and estimated 3-year OS was 68% and 40% for patients without and with MRD pre-HCT, respectively. 144 patients had at least one flow value post-HCT, and the risk of relapse among those with MRD was higher than that among those without MRD (HR = 7.47; 95% CI, 3.30-16.92, P < .0001). The risk of mortality was also increased (HR = 3.00; 95% CI, 1.44-6.28, P = .004). These data suggest that pre- or post-HCT MRD, as detected by MFC, is associated with an increased risk of relapse and death after myeloablative HCT for ALL.

Identifiers

PMID24778882
PMCPMC3981457
OpenAlexW2094245536

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.