Evidence map›Paper›PMID 25240816›Full record

ArticleBiology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation2014

Improved FLT3 internal tandem duplication PCR assay predicts outcome after allogeneic transplant for acute myeloid leukemia.

Michael R Grunwald, Li-Hui Tseng, Ming-Tseh Lin, Keith W Pratz, James R Eshleman, Mark J Levis, Christopher D Gocke

Open access · hybridAbstract read
In one paragraph

Article in Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed, 35 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

7 authors at 3 institutions in 2 countries.

Michael R GrunwaldDepartment of Hematologic Oncology and Blood Disorders, Levine Cancer Institute, Carolinas HealthCare System, Charlotte, North Carolina.
Li-Hui TsengDepartment of Medical Genetics, National Taiwan University Hospital, Taipei, Taiwan; Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Ming-Tseh LinDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Keith W PratzDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.
James R EshlemanDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Mark J LevisDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.
Christopher D GockeDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Oncology, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland. Electronic address: cgocke1@jhmi.edu.
Johns Hopkins University · USJohns Hopkins Medicine · USLevine Cancer Institute · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
University of Texas M.D. Anderson Cancer SPORE-LeukemiaP50CA100632 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KONOPLEVA, MARINA Y · 2003 to 2023
$43.7M
ONCOLOGY: CHEMOTHERAPY, IMMUNOLOGY, BIOLOGYT32CA009071 · NCI · JOHNS HOPKINS UNIVERSITY · PI Mary Y Armanios, Nilofer S. Azad · 1985 to 2026
$12.8M
A Method for Rapid Long-range Direct HaplotypingR21HG004315 · NHGRI · JOHNS HOPKINS UNIVERSITY · PI GOCKE, CHRISTOPHER D · 2007 to 2008
$451k
Assaying the Combinatorial TranscriptomeR21HG005745 · NHGRI · JOHNS HOPKINS UNIVERSITY · PI GOCKE, CHRISTOPHER D · 2010 to 2011
$447k
NCI NIH HHS 2T32CA009071-32NCI NIH HHS P30 CA006973NCI NIH HHS P50 CA100632NCI NIH HHS T32 CA009071NHGRI NIH HHS R21 HG004315NHGRI NIH HHS R21HG004315NHGRI NIH HHS R21 HG005745NHGRI NIH HHS R21HG005745
6 · The paper itself

Abstract

Patients with acute myeloid leukemia (AML) who harbor internal tandem duplication (ITD) mutations of the FMS-like tyrosine kinase 3 (FLT3) gene carry a poor prognosis. Although allogeneic transplantation may improve outcomes, relapse occurs frequently. The FLT3/ITD mutation has been deemed an unsuitable minimal residual disease (MRD) marker because it is unstable and because the standard assay for the mutation is relatively insensitive. The FLT3 mutation is undetectable by PCR at pre- or post-transplant time points in many FLT3/ITD AML patients who subsequently relapse after transplant. We report the application of a new technique, tandem duplication PCR (TD-PCR), for detecting MRD in FLT3/ITD AML patients. Between October 2004 and January 2012, 54 FLT3/ITD AML patients in remission underwent transplantation at our institution. Of 37 patients with available day 60 marrow samples, 28 (76%) were assessable for MRD detection. In seven of 28 patients (25%), the FLT3/ITD mutation was detectable by TD-PCR but not by standard PCR on day 60. Six of 7 patients (86%) with MRD by TD-PCR have relapsed to date compared with only 2 of 21 patients (10%) who were negative for MRD (P = .0003). The ability to detect MRD by this sensitive technique may provide an opportunity for early clinical intervention.

Indexed as

Mutagenesis, InsertionalStem Cell TransplantationAdultAllograftsDNA Mutational AnalysisFemalefms-Like Tyrosine Kinase 3HumansLeukemia, Myeloid, AcuteMaleMiddle AgedNeoplasm, ResidualPolymerase Chain ReactionPredictive Value of TestsRecurrenceFLT3 protein, humanfms-Like Tyrosine Kinase 3Acute myeloid leukemia (AML)Bone marrow transplantFLT3Internal tandem duplication (ITD)Minimal residual disease (MRD)Tandem duplication PCR (TD-PCR)

Identifiers

PMID25240816
PMCPMC4253693
OpenAlexW2007632767

What OpenQuestion holds

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LicenceTDM
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.