Evidence map›Paper›PMID 25749041›Full record

Trial reportOncotarget2015

Efficacy and safety of decitabine in combination with G-CSF, low-dose cytarabine and aclarubicin in newly diagnosed elderly patients with acute myeloid leukemia.

Jianyong Li, Yaoyu Chen, Yu Zhu, Jianfeng Zhou, Yanli Xu, Yan Li, Kang Yu, Ling Pan, Jianmin Wang, Jiahua Ding and 15 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Oncotarget, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

25 authors.

Jianyong LiFirst Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.
Yaoyu ChenFirst Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.
Yu ZhuFirst Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.
Jianfeng ZhouTongji Hospital affiliated to Tongji medical college of Huazhong University of Science and Technology, Wuhan, China.
Yanli XuNanjing Hospital Affiliated to Nanjing Medical University, Nanjing, China.
Yan LiFirst Affiliated Hospital of China Medical University, Shenyang, China.
Kang YuFirst Affiliated Hospital of Wenzhou Medical College, Wenzhou, China.
Ling PanWest China Hospital of Sichuan University, Chengdu, China.
Jianmin WangChanghai Hospital, Secondary Military Medical University, Shanghai, China.
Jiahua DingZhongda Hospital, Southeast University, Nanjing, China.
Jian GuClinic Medical College of Yangzhou University, Yangzhou, China.
Shanhua ZhouZhongshan Hospital, Fudan University, Shanghai, China.
Jinning ShiJiangning Hospital, Nanjing, China.
Ming HongFirst Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.
Ji XuFirst Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.
Liangqin PanFirst Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.
Limin DuanFirst Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.
Run ZhangFirst Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.
Sujiang ZhangFirst Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.
Huayuan ZhuFirst Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.
Hua LuFirst Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.
Peng LiuFirst Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.
Hongxia QiuFirst Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.
Hanxin WuFirst Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.
Sixuan QianFirst Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis prospective phase II, open label, study was designed to assess the efficacy and safety of D-CAG induction treatment for elderly patients with newly diagnosed AML. EXPERIMENTAL

designAll patients in this study were treated with decitabine of 15 mg/m2 for 5 days and G-CSF for priming, in combination with cytarabine of 10-mg/m2 q12h for 7 days and aclarubicin of 10 mg/day for 4 days (D-CAG).

resultsAmong 85 evaluable patients, overall response rate (ORR) and complete remission (CR) were 82.4% and 64.7%, respectively, after 1 cycle of therapy. The ORR in patients aged <70 years was 83.0% and 81.6% in patients aged ≥70 years. There was a significantly longer median overall survival (OS) in patients with response (16 months) than in those without response (7 months, p< 0.0001). The OS for patients aged ≥70 years and 60-69 years was 10 months and 12 months, respectively (p=0.4994). The two-year OS probability was 19.2% and the twenty-month survival rate was 33.8%. Induction mortality of D-CAG treated elderly patients with AML is 4.4%.

conclusionD-CAG regimen was well tolerated and showed a promising clinic efficacy in elderly patients with AML (≥70 years).

Indexed as

AclarubicinAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsAzacitidineCytarabineDecitabineFemaleGranulocyte Colony-Stimulating FactorHumansLeukemia, Myeloid, AcuteMaleProspective StudiesSurvival AnalysisTreatment OutcomeAclarubicinAzacitidineCytarabineDecitabineGranulocyte Colony-Stimulating FactorAMLD-CAGelderly patients

Identifiers

PMID25749041
PMCPMC4467448

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.