Evidence map›Paper›PMID 25527562›Full record

ArticleHaematologica2015

Tyrosine kinase inhibitors improve long-term outcome of allogeneic hematopoietic stem cell transplantation for adult patients with Philadelphia chromosome positive acute lymphoblastic leukemia.

Eolia Brissot, Myriam Labopin, Marielle M Beckers, Gérard Socié, Alessandro Rambaldi, Liisa Volin, Jürgen Finke, Stig Lenhoff, Nicolaus Kröger, Gert J Ossenkoppele and 11 more

Abstract read
In one paragraph

Article in Haematologica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

80 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Article
  8. How I treat Ph+ acute lymphoblastic leukemia.Future oncology (London, England) · 2025
    Review
  9. Article
  10. Review
  11. Article
  12. Article
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  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Maintenance strategies for relapse prevention and treatment.Hematology. American Society of Hematology. Education Program · 2024
    Review
  20. Article

20 more citing papers are in PubMed but not listed here.

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

21 authors.

Eolia BrissotUniversité Pierre et Marie Curie, Paris, France INSERM, UMRs 938, Paris, France Service d'Hématologie Clinique et de Thérapie Cellulaire, Hôpital Saint Antoine, APHP, Paris, France CHRU Hôtel-Dieu, Nantes, France.
Myriam LabopinUniversité Pierre et Marie Curie, Paris, France INSERM, UMRs 938, Paris, France Service d'Hématologie Clinique et de Thérapie Cellulaire, Hôpital Saint Antoine, APHP, Paris, France.
Marielle M BeckersUniversity Hospital Leuven, Leuven, Belgium.
Gérard SociéHôpital Saint Louis, Paris, France.
Alessandro RambaldiAzienda Ospedaliera Papa Giovanni XXIII, Bergamo, Italy.
Liisa VolinHelsinki University Central Hospital, Finland.
Jürgen FinkeUniversity of Freiburg Medical Center, Germany.
Stig LenhoffLund University Hospital, Sweden.
Nicolaus KrögerUniversity Hospital Hamburg-Eppendorf, Hamburg, Germany.
Gert J OssenkoppeleVU University Medical Center, Amsterdam, The Netherlands.
Charles F CraddockQueen Elizabeth Hospital, Birmingham, UK.
Ibrahim Yakoub-AghaCHRU Lille, France.
Günhan GürmanAnkara University, Faculty of Medicine, Ankara, Turkey.
Nigel H RussellNottingham University Hospital, Nottingham, UK.
Mahmoud AljurfKing Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Michael N PotterThe Royal Marsden NHS Foundation Trust, London, UK.
Armon NaglerChaim Sheba Medical Center, Tel Hasomer, Israel.
Oliver OttmannGoethe-University Frankfurt, Germany.
Jan J CornelissenErasmus Medical Center-Daniel den Hoed Cancer Center, Rotterdam, The Netherlands.
Jordi EsteveHospital Clinic Institut d'investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.
Mohamad MohtyUniversité Pierre et Marie Curie, Paris, France INSERM, UMRs 938, Paris, France Service d'Hématologie Clinique et de Thérapie Cellulaire, Hôpital Saint Antoine, APHP, Paris, France mohamad.mohty@inserm.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to determine the impact of tyrosine kinase inhibitors given pre- and post-allogeneic stem cell transplantation on long-term outcome of patients allografted for Philadelphia chromosome-positive acute lymphoblastic leukemia. This retrospective analysis from the EBMT Acute Leukemia Working Party included 473 de novo Philadelphia chromosome-positive acute lymphoblastic leukemia patients in first complete remission who underwent an allogeneic stem cell transplantation using a human leukocyte antigen-identical sibling or human leukocyte antigen-matched unrelated donor between 2000 and 2010. Three hundred and ninety patients received tyrosine kinase inhibitors before transplant, 329 at induction and 274 at consolidation. Kaplan-Meier estimates of leukemia-free survival, overall survival, cumulative incidences of relapse incidence, and non-relapse mortality at five years were 38%, 46%, 36% and 26%, respectively. In multivariate analysis, tyrosine-kinase inhibitors given before allogeneic stem cell transplantation was associated with a better overall survival (HR=0.68; P=0.04) and was associated with lower relapse incidence (HR=0.5; P=0.01). In the post-transplant period, multivariate analysis identified prophylactic tyrosine-kinase inhibitor administration to be a significant factor for improved leukemia-free survival (HR=0.44; P=0.002) and overall survival (HR=0.42; P=0.004), and a lower relapse incidence (HR=0.40; P=0.01). Over the past decade, administration of tyrosine kinase inhibitors before allogeneic stem cell transplantation has significantly improved the long-term allogeneic stem cell transplantation outcome of adult Philadelphia chromosome-positive acute lymphoblastic leukemia. Prospective studies will be of great interest to further confirm the potential benefit of the prophylactic use of tyrosine kinase inhibitors in the post-transplant setting.

Indexed as

Hematopoietic Stem Cell TransplantationAdolescentAdultAgedAntineoplastic AgentsFemaleHistocompatibility TestingHumansMaleMiddle AgedPrecursor Cell Lymphoblastic Leukemia-LymphomaPrognosisProtein Kinase InhibitorsRemission InductionRetrospective StudiesSiblingsAntineoplastic AgentsProtein Kinase Inhibitors

Identifiers

PMID25527562
PMCPMC4349279

What OpenQuestion holds

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Registered trials

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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.