Evidence map›Paper›PMID 25827831›Full record

ArticleBlood2015

How I treat Langerhans cell histiocytosis.

Carl E Allen, Stephan Ladisch, Kenneth L McClain

Registry-linked trialOpen access · bronzeAbstract readCase Reports
In one paragraph

Article in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06582745 (Targeted Approach to Langerhans Cell Histiocytosis), which is not on this map. Cited by 83 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 1 pooled it
11.9field-weighted citation impact, top 1% 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.

NCT06582745 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

Targeted Approach to Langerhans Cell Histiocytosis (LCH) Using MEK Inhibitor, Trametinib

TypeinterventionalSponsorCook Children's Health Care SystemRan2024 to 2039Enrolled75ConditionsLangerhans Cell HistiocytosisArmsTrametinib
3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 1 synthesis or guideline pooled it, 234 citations in OpenAlex.

  1. Isolated clival Langerhans cell histiocytosis in a pediatric patient: systematic review and illustrative case report.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Pooled it
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  14. Approach to the Patient: From Endocrinopathy to the Diagnosis of a Histiocytic Disorder.The Journal of clinical endocrinology and metabolism · 2025
    Review
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  16. Article
  17. Article
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  19. Review
  20. Article

23 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

3 authors at 2 institutions in 1 country.

Carl E AllenTexas Children's Cancer Center, Baylor College of Medicine, Houston, TX; and.
Stephan LadischCenter for Cancer and Immunology Research, Children's Research Institute, Children's National Medical Center, Washington, DC.ORCID http://orcid.org/0000-0003-2484-1456
Kenneth L McClainTexas Children's Cancer Center, Baylor College of Medicine, Houston, TX; and.
Baylor College of Medicine · USChildren's National · US

Funding

Tissue ResourceP50CA126752 · NCI · BAYLOR COLLEGE OF MEDICINE · PI Andrea Nicole Marcogliese · 2007 to 2026
$51.4M
Redefining Langerhans Cell Histiocytosis as a Myeloid Dysplasia and Identifying BR01CA154489 · NCI · BAYLOR COLLEGE OF MEDICINE · PI ALLEN, CARL E · 2011 to 2015
$1.6M
NCI NIH HHS P50 CA126752NCI NIH HHS P50CA126752NCI NIH HHS R01 CA154489
6 · The paper itself

Abstract

"Langerhans cell histiocytosis" (LCH) describes a spectrum of clinical presentations ranging from a single bone lesion or trivial skin rash to an explosive disseminated disease. Regardless of clinical severity, LCH lesions share the common histology of CD1a(+)/CD207(+) dendritic cells with characteristic morphology among an inflammatory infiltrate. Despite historical uncertainty defining LCH as inflammatory vs neoplastic and incomplete understanding of mechanisms of pathogenesis, clinical outcomes have improved markedly over the past decades through cooperative randomized clinical trials based on empiric therapeutic strategies. Significant advances include recognition of high- and low-risk clinical groups defined by hematopoietic and/or hepatic involvement, and of the importance of optimal intensity and of duration of chemotherapy. Nevertheless, mortality of high-risk patients, disease recurrence, lack of robustly tested salvage strategies, and significant disease morbidity of both high- and low-risk patients remain challenges. Recent discovery of recurrent somatic mutations in mitogen-activated protein kinase pathway genes at critical stages of myeloid hematopoietic differentiation in LCH patients supports redefinition of the disease as a myeloproliferative disorder and provides opportunities to develop novel approaches to diagnosis and therapy.

Indexed as

Adenine NucleotidesAdultArabinonucleosidesClofarabineCytarabineFemaleHistiocytosis, Langerhans-CellHumansInfantInfant, NewbornLung DiseasesMaleMiddle AgedRemission InductionSkin DiseasesThoracic Surgery, Video-AssistedAdenine NucleotidesArabinonucleosidesClofarabineCytarabine

Identifiers

PMID25827831
PMCPMC4492195
OpenAlexW2041650858

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.