Evidence map›Paper›PMID 25599163›Full record

Trial reportBone marrow transplantation2015

Treatment strategies in patients with AML or high-risk myelodysplastic syndrome relapsed after Allo-SCT.

T Sauer, G Silling, C Groth, F Rosenow, U Krug, D Görlich, G Evers, J Albring, R Besoke, R M Mesters and 5 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Trial
  2. CC-486 Maintenance after Stem Cell Transplantation in Patients with Acute Myeloid Leukemia or Myelodysplastic Syndromes.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018
    Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Treatment of AML Relapse After Allo-HCT.Frontiers in oncology · 2021
    Review
  10. Review
  11. Review
  12. 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

15 authors.

T SauerDepartment of Internal Medicine A, Hematology and Oncology, University of Muenster, Muenster, Germany.
G SillingDepartment of Internal Medicine A, Hematology and Oncology, University of Muenster, Muenster, Germany.
C GrothDepartment of Internal Medicine A, Hematology and Oncology, University of Muenster, Muenster, Germany.
F RosenowDepartment of Internal Medicine A, Hematology and Oncology, University of Muenster, Muenster, Germany.
U KrugDepartment of Internal Medicine A, Hematology and Oncology, University of Muenster, Muenster, Germany.
D GörlichInstitute of Biostatistics and Clinical Research, University of Muenster, Muenster, Germany.
G EversDepartment of Internal Medicine A, Hematology and Oncology, University of Muenster, Muenster, Germany.
J AlbringDepartment of Internal Medicine A, Hematology and Oncology, University of Muenster, Muenster, Germany.
R BesokeInstitute of Human Genetics, University of Muenster, Muenster, Germany.
R M MestersDepartment of Internal Medicine A, Hematology and Oncology, University of Muenster, Muenster, Germany.
C Müller-Tidow1] Department of Internal Medicine A, Hematology and Oncology, University of Muenster, Muenster, Germany [2] Department of Medicine IV, Hematology and Oncology, University of Halle, Halle, Germany.
T KesslerDepartment of Internal Medicine A, Hematology and Oncology, University of Muenster, Muenster, Germany.
T BüchnerDepartment of Internal Medicine A, Hematology and Oncology, University of Muenster, Muenster, Germany.
W E BerdelDepartment of Internal Medicine A, Hematology and Oncology, University of Muenster, Muenster, Germany.
M StelljesDepartment of Internal Medicine A, Hematology and Oncology, University of Muenster, Muenster, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-relapse mortality after Allo-SCT has significantly decreased over the last years. Nevertheless, relapse remains a major cause for post SCT mortality in patients with AML and high-risk myelodysplastic syndrome (MDS). In this retrospective single-center analysis, we have analyzed the treatment outcomes of 108 patients with AML or MDS, who relapsed after Allo-SCT. Seventy of these patients (65%) were treated with salvage therapies containing chemotherapy alone, allogeneic cell-based treatment or the combination of both. Thirty-eight patients (35%) received palliative treatment. Median OS after diagnosis of relapse was 130 days. Compared with patients who received chemotherapy alone, response to salvage therapy was significantly improved in patients treated with a combination of chemo- and allogeneic cell-based therapy (CR rate 57% vs 13%, P=0.002). Among risk factors concerning pretreatment characteristics, disease status before first Allo-SCT, and details of transplantation, only the time interval from Allo-SCT to relapse was an independent predictor of response to salvage therapy and OS. These data confirmed that time to relapse after transplantation is an important prognostic factor. Up to now, only patients eligible for treatment regimens containing allogeneic cell-based interventions achieved relevant response rates.

Indexed as

Hematopoietic Stem Cell TransplantationSalvage TherapyAdolescentAdultAgedAllograftsDisease-Free SurvivalFemaleHumansLeukemia, Myeloid, AcuteMaleMiddle AgedMyelodysplastic SyndromesRecurrenceRetrospective StudiesSurvival Rate

Identifiers

PMID25599163

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.