Evidence map›Paper›PMID 26389833›Full record

Trial reportBone marrow transplantation2016

Impact of MRD and TKI on allogeneic hematopoietic cell transplantation for Ph+ALL: a study from the adult ALL WG of the JSHCT.

S Nishiwaki, K Imai, S Mizuta, H Kanamori, K Ohashi, T Fukuda, Y Onishi, S Takahashi, N Uchida, T Eto and 7 more

Abstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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.

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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
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  9. Review
  10. Review
  11. Article
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  15. Article
  16. Article
  17. Article
  18. MRD in ALL: Optimization and Innovations.Current hematologic malignancy reports · 2022
    Review
  19. Review
  20. Observational
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

17 authors at 14 institutions in 1 country.

S NishiwakiDepartment of Hematology and Oncology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
K ImaiDepartment of Hematology, Sapporo Hokuyu Hospital, Sappro, Japan.
S MizutaDepartment of Hematology, Fujita Health University Hospital, Toyoake, Japan.
H KanamoriDepartment of Hematology, Kanagawa Cancer Center, Yokohama, Japan.
K OhashiDivision of Hematology, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.
T FukudaDivision of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
Y OnishiDepartment of Hematology and Rheumatology, Tohoku University Hospital, Sendai, Japan.
S TakahashiDivision of Molecular Therapy, Institute of Medical Science, The Advanced Clinical Research Center, University of Tokyo, Tokyo, Japan.
N UchidaDepartment of Hematology, Toranomon Hospital, Tokyo, Japan.
T EtoDepartment of Hematology, Hamanomachi Hospital, Fukuoka, Japan.
H NakamaeDepartment of Hematology, Osaka City University Hospital, Osaka, Japan.
T YujiriThird Department of Internal of Medicine, Yamaguchi University School of Medicine, Ube, Japan.
S MoriDepartment of Hematology and Oncology, St. Luke's International Hospital, Tokyo, Japan.
T Nagamura-InoueDepartment of Cell Processing and Transfusion, Institute of Medical Science, University of Tokyo, Tokyo, Japan.
R SuzukiDepartment of HSCT Data Management and Biostatistics, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Y AtsutaDepartment of HSCT Data Management and Biostatistics, Nagoya University Graduate School of Medicine, Nagoya, Japan.
J TanakaDepartment of Hematology, Tokyo Women's Medical University, Tokyo, Japan.
Nagoya University · JPThe University of Tokyo · JPFujita Health University Hospital · JPHamanomachi Hospital · JPKanagawa Cancer CenterOsaka City University Hospital · JPSapporo Hokuyu Hospital · JPSt. Luke's International Hospital · JPTohoku University Hospital · JPTokyo Metropolitan Komagome Hospital · JPTokyo Women's Medical University · JPToranomon Hospital · JPToyohashi Municipal Hospital · JPYamaguchi University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To assess the impact of minimal residual disease (MRD) and tyrosine kinase inhibitor (TKI) administration on allogeneic hematopoietic cell transplantation (allo-HCT) for Ph-positive ALL (Ph+ALL), we retrospectively analyzed data from a registry database for 432 adult Ph+ALL patients in first CR (CR1) who received pre-transplant TKI administration. Negative MRD (MRD(-)) at allo-HCT was achieved in 277 patients. OS in patients transplanted in MRD(-) was significantly better than that in patients transplanted in MRD(+) (MRD(-): 67% vs MRD(+): 55% at 4 years; P=0.001). MRD(-) at allo-HCT was a significant risk factor for survival along with age at allo-HCT in multivariate analyses. Incidence of relapse in patients transplanted in MRD(-) was significantly lower than that in patients transplanted in MRD(+) (MRD(-): 19% vs MRD(+): 29% at 4 years; P=0.006). In multivariate analyses, MRD(+) at allo-HCT was a significant risk factor for relapse. A post-transplant TKI was administered to 103 patients. In subanalyses regarding the effect of post-transplant TKI administration, post-transplant TKI administration was a significant risk factor for relapse in multivariate analyses (P<0.0001). MRD status at allo-HCT is one of the most important predictive factors for Ph+ALL patients transplanted in CR1.

Indexed as

Hematopoietic Stem Cell TransplantationPhiladelphia ChromosomeRegistriesAdolescentAdultAgedAllograftsFemaleHumansJapanMaleMiddle AgedNeoplasm, ResidualPrecursor Cell Lymphoblastic Leukemia-LymphomaProtein Kinase InhibitorsProtein Kinase Inhibitors

Identifiers

PMID26389833
OpenAlexW2269223862

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.