Evidence map›Paper›PMID 26492205›Full record

ArticleBritish journal of haematology2016

Minimal residual disease assessed by multi-parameter flow cytometry is highly prognostic in adult patients with acute lymphoblastic leukaemia.

Farhad Ravandi, Jeffrey L Jorgensen, Susan M O'Brien, Elias Jabbour, Deborah A Thomas, Gautam Borthakur, Rebecca Garris, Xuelin Huang, Guillermo Garcia-Manero, Jan A Burger and 12 more

Abstract read
In one paragraph

Article in British journal of haematology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing 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

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

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3 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

22 authors.

Farhad RavandiDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Jeffrey L JorgensenDepartments of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Susan M O'BrienDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Elias JabbourDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Deborah A ThomasDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Gautam BorthakurDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Rebecca GarrisDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Xuelin HuangDepartments of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Guillermo Garcia-ManeroDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Jan A BurgerDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Alessandra FerrajoliDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
William WierdaDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Tapan KadiaDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Nitin JainDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Sa A WangDepartments of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Sergei KonoplevDepartments of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Partow KebriaeiDepartments of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Richard E ChamplinDepartments of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Deborah McCueDepartments of Pharmacy, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Zeev EstrovDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Jorge E CortesDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Hagop M KantarjianDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
University of Texas M.D. Anderson Cancer SPORE-LeukemiaP50CA100632 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KONOPLEVA, MARINA Y · 2003 to 2023
$43.7M
NCI NIH HHS CA016672NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA100632
6 · The paper itself

Abstract

The prognostic value of minimal residual disease (MRD) assessed by multi-parameter flow cytometry (MFC) was investigated among 340 adult patients with B-cell acute lymphoblastic leukaemia (B-ALL) treated between 2004 and 2014 using regimens including the hyperCVAD (hyperfractionated cyclophosphamide, vincristine, doxorubicin, dexamethasone, methotrexate, cytarabine) backbone. Among them, 323 (95%) achieved complete remission (CR) and were included in this study. Median age was 52 years (range, 15-84). Median white blood cell count (WBC) was 9·35 × 10(9) /l (range, 0·4-658·1 ×1 0(9) /l). MRD by MFC was initially assessed with a sensitivity of 0·01%, using a 15-marker, 4-colour panel and subsequently a 6-colour panel on bone marrow specimens obtained at CR achievement and at approximately 3 month intervals thereafter. MRD negative status at CR was associated with improved disease-free survival (DFS) and overall survival (OS) (P = 0·004 and P = 0·03, respectively). Similarly, achieving MRD negative status at approximately 3 and 6 months was associated with improved DFS (P = 0·004 and P < 0·0001, respectively) and OS (P = 0·004 and P < 0·0001, respectively). Multivariate analysis including age, WBC at presentation, cytogenetics (standard versus high risk) and MRD status at CR, 3 and 6 months, indicated that MRD negative status at CR was an independent predictor of DFS (P < 0·05). Achievement of an MRD negative state assessed by MFC is an important predictor of DFS and OS in adult patients with ALL.

Indexed as

AdolescentAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsFemaleFlow CytometryHumansLeukocyte CountMaleMiddle AgedNeoplasm, ResidualPrecursor Cell Lymphoblastic Leukemia-LymphomaPrognosisProspective StudiesRemission Inductionacute leukaemiaflow cytometryminimal residual disease

Identifiers

PMID26492205
PMCPMC4826052

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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.