Evidence map›Paper›PMID 26001791›Full record

Trial reportHaematologica2015

Minimal residual disease analysis by eight-color flow cytometry in relapsed childhood acute lymphoblastic leukemia.

Leonid Karawajew, Michael Dworzak, Richard Ratei, Peter Rhein, Giuseppe Gaipa, Barbara Buldini, Giuseppe Basso, Ondrej Hrusak, Wolf-Dieter Ludwig, Günter Henze and 4 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Haematologica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00114348 (ALL-REZ BFM 2002), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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.

NCT00114348 phase4completednot on this map

ALL-REZ BFM 2002: Protocol for the Treatment of Children With Relapsed Acute Lymphoblastic Leukemia

TypeinterventionalSponsorCharite University, Berlin, GermanyRan2003 to 2012Enrolled338ConditionsLymphoblastic Leukemia, Acute, Lymphoma, Non-HodgkinArmsR-Blocks, Protocol II-Ida
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 75 citations in OpenAlex.

  1. Trial
  2. Trial
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  6. Article
  7. Review
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  11. Article
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  13. Article
  14. [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
  15. Article
  16. Multiparametric Whole Blood Dissection: A one-shot comprehensive picture of the human hematopoietic system.Cytometry. Part A : the journal of the International Society for Analytical Cytology · 2017
    Article
  17. Clinical Relevance of Multicolour Flow Cytometry in Plasma Cell Disorders.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2017
    Review
  18. Bioluminescence Imaging Enhances Analysis of Drug Responses in a Patient-Derived Xenograft Model of Pediatric ALL.Clinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Article
  19. Article
  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

14 authors at 5 institutions in 3 countries.

Leonid KarawajewDepartment of Pediatric Oncology/Hematology, Charité Universitätsmedizin, Berlin, Germany leonid.karawajew@charite.de.
Michael DworzakSt. Anna Children's Hospital and Children's Cancer Research Institute, Department of Pediatrics, Medical University of Vienna, Austria.
Richard RateiRobert-Roessle-Clinic in the HELIOS Klinikum Berlin, Germany.
Peter RheinDepartment of Pediatric Oncology/Hematology, Charité Universitätsmedizin, Berlin, Germany.
Giuseppe GaipaTettamanti Research Center, Department of Pediatrics, University of Milano-Bicocca, Ospedale San Gerardo, Monza, Italy.
Barbara BuldiniLaboratory of Pediatric Onco-Hematology, Department of Pediatrics, University Hospital of Padova, Italy.
Giuseppe BassoLaboratory of Pediatric Onco-Hematology, Department of Pediatrics, University Hospital of Padova, Italy.
Ondrej HrusakDepartment of Pediatric Hematology and Oncology, Charles University 2 Faculty of Medicine and University Hospital Motol, Prague, Czech Republic.
Wolf-Dieter LudwigRobert-Roessle-Clinic in the HELIOS Klinikum Berlin, Germany.
Günter HenzeDepartment of Pediatric Oncology/Hematology, Charité Universitätsmedizin, Berlin, Germany.
Karl SeegerDepartment of Pediatric Oncology/Hematology, Charité Universitätsmedizin, Berlin, Germany.
Arend von StackelbergDepartment of Pediatric Oncology/Hematology, Charité Universitätsmedizin, Berlin, Germany.
Ester MejstrikovaDepartment of Pediatric Hematology and Oncology, Charles University 2 Faculty of Medicine and University Hospital Motol, Prague, Czech Republic.
Cornelia EckertDepartment of Pediatric Oncology/Hematology, Charité Universitätsmedizin, Berlin, Germany.
Charité - Universitätsmedizin Berlin · DEHelios Hospital Berlin-Buch · DEUniversity of Padua · ITMedical University of Vienna · ATUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiparametric flow cytometry is an alternative approach to the polymerase chain reaction method for evaluating minimal residual disease in treatment protocols for primary acute lymphoblastic leukemia. Given considerable differences between primary and relapsed acute lymphoblastic leukemia treatment regimens, flow cytometric assessment of minimal residual disease in relapsed leukemia requires an independent comprehensive investigation. In the present study we addressed evaluation of minimal residual disease by flow cytometry in the clinical trial for childhood relapsed acute lymphoblastic leukemia using eight-color flow cytometry. The major challenge of the study was to reliably identify low amounts of residual leukemic cells against the complex background of regeneration, characteristic of follow-up samples during relapse treatment. In a prospective study of 263 follow-up bone marrow samples from 122 patients with B-cell precursor acute lymphoblastic leukemia, we tested various B-cell markers, adapted the antibody panel to the treatment protocol, and evaluated its performance by a blinded parallel comparison with the polymerase chain reaction data. The resulting eight-color single-tube panel showed a consistently high overall concordance (P<0.001) and, under optimal conditions, sensitivity similar to that of the reference polymerase chain reaction method. Overall, evaluation of minimal residual disease by flow cytometry can be successfully integrated into the clinical management of relapsed childhood acute lymphoblastic leukemia either as complementary to the polymerase chain reaction or as an independent risk stratification tool. ALL-REZ BFM 2002 clinical trial information: NCT00114348.

Indexed as

Antigens, CDAntineoplastic AgentsBiomarkers, TumorB-LymphocytesBone MarrowChild, PreschoolDNA NucleotidylexotransferaseFlow CytometryGene ExpressionHumansImmunophenotypingInfantNeoplasm, ResidualPolymerase Chain ReactionPrecursor B-Cell Lymphoblastic Leukemia-LymphomaProto-Oncogene Proteins c-bcl-2Antigens, CDAntineoplastic AgentsBCL2 protein, humanBiomarkers, TumorDNA NucleotidylexotransferaseProto-Oncogene Proteins c-bcl-2

Identifiers

PMID26001791
PMCPMC4486228
OpenAlexW1895093349

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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.