Evidence map›Paper›PMID 25748682›Full record

ArticleLeukemia2015

Monitoring minimal residual disease in children with high-risk relapses of acute lymphoblastic leukemia: prognostic relevance of early and late assessment.

C Eckert, N Hagedorn, L Sramkova, G Mann, R Panzer-Grümayer, C Peters, J-P Bourquin, T Klingebiel, A Borkhardt, G Cario and 6 more

Registry-linked trialAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Leukemia, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03000335 (Evaluation of ProALL microRNAs in Blood Specimen for Prediction of Acute Lymphoblastic Leukemia Relapse Risk), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
8.6field-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.

NCT03000335 unknown statusnot on this mapstarted 2016, after this paper: background citation

Evaluation of ProALL microRNAs in Blood Specimen for Prediction of Acute Lymphoblastic Leukemia Relapse Risk

TypeobservationalSponsorCurewize Health Ltd.Ran2016 to 2021Enrolled65ConditionsB-cell Acute Lymphoblastic Leukemia
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 68 citations in OpenAlex.

  1. Trial
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  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Circulating Tumor DNA in Pediatric Cancer.Frontiers in molecular biosciences · 2022
    Review
  10. Blinatumomab to improve the outcome of children with relapsed B-cell acute lymphoblastic leukemia.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. [Clinical application of minimal residual disease detection in childhood acute leukemia].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2018
    Review
  17. Review
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  19. Review
  20. 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

16 authors at 8 institutions in 4 countries.

C EckertDepartment of Pediatric Oncology/Hematology, Charité Universitätsmedizin Berlin, Berlin, Germany.
N HagedornDepartment of Pediatric Oncology/Hematology, Charité Universitätsmedizin Berlin, Berlin, Germany.
L Sramkova1] Department of Pediatric Hematology and Oncology, Charles University, 2nd Medical School and University Hospital Motol, Prague, Czech Republic [2] CLIP - Childhood Leukemia Investigation Prague, Prague, Czech Republic.
G MannSt Anna Children's Research Institute and Children's Hospital, Medical University of Vienna, Vienna, Austria.
R Panzer-GrümayerSt Anna Children's Research Institute and Children's Hospital, Medical University of Vienna, Vienna, Austria.
C PetersSt Anna Children's Research Institute and Children's Hospital, Medical University of Vienna, Vienna, Austria.ORCID 0000000303698515
J-P BourquinDepartment of Pediatric Oncology, University Children's Hospital, Zurich, Switzerland.
T KlingebielHospital for Children and Adolescents, Goethe-University Hospital Frankfurt, Frankfurt, Germany.
A BorkhardtDepartment of Pediatric Oncology, Hematology and Clinical Immunology, Heinrich Heine University, Duesseldorf, Germany.ORCID 0000000261214737
G CarioDepartment of Pediatrics, University of Schleswig-Holstein, Kiel, Germany.
J AltenDepartment of Pediatrics, University of Schleswig-Holstein, Kiel, Germany.
G EscherichDepartment of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
K AstrahantseffDepartment of Pediatric Oncology/Hematology, Charité Universitätsmedizin Berlin, Berlin, Germany.
K SeegerDepartment of Pediatric Oncology/Hematology, Charité Universitätsmedizin Berlin, Berlin, Germany.
G HenzeDepartment of Pediatric Oncology/Hematology, Charité Universitätsmedizin Berlin, Berlin, Germany.
A von StackelbergDepartment of Pediatric Oncology/Hematology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Charité - Universitätsmedizin Berlin · DESt Anna Children's Hospital · ATChristian-Albrechts-Universität zu Kiel · DECharles University · CZGoethe University Frankfurt · DEHeinrich Heine University Düsseldorf · DEUniversität Hamburg · DEUniversity Children's Hospital Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prognosis for children with high-risk relapsed acute lymphoblastic leukemia (ALL) is poor. Here, we assessed the prognostic importance of response during induction and consolidation treatment prior to hematopoietic stem cell transplantation (HSCT) aiming to evaluate the best time to assess minimal residual disease (MRD) for intervention strategies and in future trials in high-risk ALL relapse patients. Included patients (n=125) were treated uniformly according to the ALL-REZ BFM (Berlin-Frankfurt-Münster) 2002 relapse trial (median follow-up time=4.8 years). Patients with MRD ⩾10(-3) after induction treatment (76/119, 64%) or immediately preceding HSCT (19/71, 27%) had a significantly worse probability of disease-free survival 10 years after relapse treatment begin, with 26% (±6%) or 23% (±7%), respectively, compared with 58% (±8%) or 48% (±7%) for patients with MRD <10(-3). Conventional intensive consolidation treatment reduced MRD to <10(-3) before HSCT in 63% of patients, whereas MRD remained high or increased in the rest of this patient group. Our data support that MRD after induction treatment can be used to quantify the activity of different induction treatment strategies in phase II trials. MRD persistence at ⩾10(-3) before HSCT reflects a disease highly resistant to conventional intensive chemotherapy and requiring prospective controlled investigation of new treatment strategies and drugs.

Indexed as

Monitoring, PhysiologicAdolescentAntineoplastic Combined Chemotherapy ProtocolsChildFemaleFollow-Up StudiesHematopoietic Stem Cell TransplantationHumansInduction ChemotherapyMaleNeoplasm Recurrence, LocalNeoplasm, ResidualNeoplasm StagingPrecursor Cell Lymphoblastic Leukemia-LymphomaPrognosisProspective Studies

Identifiers

PMID25748682
OpenAlexW2021784842

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Registered trials

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.