Evidence map›Paper›PMID 26701142›Full record

ArticleAmerican journal of hematology2016

Pediatric-inspired therapy compared to allografting for Philadelphia chromosome-negative adult ALL in first complete remission.

Matthew D Seftel, Donna Neuberg, Mei-Jie Zhang, Hai-Lin Wang, Karen Kuhn Ballen, Julie Bergeron, Stephen Couban, César O Freytes, Mehdi Hamadani, Mohamed A Kharfan-Dabaja and 11 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in American journal of hematology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 pooled it
9.6field-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.

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

41 citing papers in PubMed, 3 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Article
  9. Acute lymphoblastic leukemia in young adults: which up-front treatment?.Hematology. American Society of Hematology. Education Program · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Optimal approach to T-cell ALL.Hematology. American Society of Hematology. Education Program · 2022
    Review
  15. Article
  16. Review
  17. Article
  18. 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

21 authors at 12 institutions in 2 countries.

Matthew D SeftelDepartment of Medical Oncology and Haematology, CancerCare Manitoba, Winnipeg, Manitoba, Canada.
Donna NeubergDepartment of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, Massachutsetts.
Mei-Jie ZhangCenter for International Blood and Marrow Transplant Research (CIBMTR®), Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Hai-Lin WangCenter for International Blood and Marrow Transplant Research (CIBMTR®), Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Karen Kuhn BallenDepartment of Hematology/Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Julie BergeronDepartment of Hematology, Hôpital Maisonneuve-Rosemont, Montréal, Quebec, Canada.
Stephen CoubanDivision of Haematology, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, Nova Scotia, Canada.
César O FreytesSouth Texas Veterans Health Care System and University of Texas Health Science Center San Antonio, San Antonio, Texas.
Mehdi HamadaniCenter for International Blood and Marrow Transplant Research (CIBMTR®), Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Mohamed A Kharfan-DabajaDepartment of Blood and Marrow Transplantation, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.
Hillard M LazarusDepartment of Medicine, Seidman Cancer Center, University Hospitals Case Medical Center, Cleveland, Ohio.
Taiga NishihoriDepartment of Blood and Marrow Transplantation, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.
Kristjan PaulsonDepartment of Medical Oncology and Haematology, CancerCare Manitoba, Winnipeg, Manitoba, Canada.
Wael SaberCenter for International Blood and Marrow Transplant Research (CIBMTR®), Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Stephen E SallanDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Robert SoifferDepartment of Medical Oncology/Hematologic Malignancies, Dana-Farber Cancer Institute, Boston, Massachusetts.
Martin S TallmanDepartment of Medicine, Leukemia Service, Memorial Sloan Kettering Cancer Center, New York, New York.
Ann E WoolfreyDepartment of Pediatric Hematopoietic Cell Transplant, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Daniel J DeAngeloDepartment of Medical Oncology/Hematologic Malignancies, Dana-Farber Cancer Institute, Boston, Massachusetts.
Daniel J WeisdorfDivision of Hematology, Oncology and Transplantation, Department of Medicine, University of Minnesota Medical Center, Minneapolis, Minnesota.
Acute Leukemia Committee of the CIBMTR and the Dana Farber ALL Consortium
Dana-Farber Cancer Institute · USMedical College of Wisconsin · USCancerCare Manitoba · CAMoffitt Cancer Center · USDalhousie University · CAFred Hutch Cancer Center · USHôpital Maisonneuve-Rosemont · CAMassachusetts General Hospital · USMemorial Sloan Kettering Cancer Center · USThe University of Texas Health Science Center at San Antonio · USUniversity Hospitals Case Medical Center · USUniversity of Minnesota Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
Easy-to-read Informed Consent for HCT Clinical TrialsU10HL069294 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI HOROWITZ, MARY MARESCA · 2011 to 2016
$43.8M
Zebrafish Screens for Genetic Modifiers and Human Application in T-ALLP01CA068484 · NCI · DANA-FARBER CANCER INSTITUTE · PI ARMSTRONG, SCOTT A · 1995 to 2010
$31.9M
TRAINING IN CANCER BIOLOGY &TRANSPLANTATIONT32CA009515 · NCI · UNIVERSITY OF WASHINGTON · PI NANCY ELLEN DAVIDSON, Effie W Petersdorf · 1985 to 2026
$16.2M
NCI NIH HHS P01 CA068484NCI NIH HHS P30 CA008748NCI NIH HHS T32 CA009515NCI NIH HHS U24 CA076518NCI NIH HHS U24-CA076518NHLBI NIH HHS 5U10HL069294NHLBI NIH HHS U10 HL069294PHS HHS HHSH250201200016C
6 · The paper itself

Abstract

For adults with Philadelphia chromosome-negative (Ph-) acute lymphoblastic leukemia (ALL) in first complete remission (CR1), allogeneic hematopoietic cell transplantation (HCT) is an established curative strategy. However, pediatric-inspired chemotherapy may also offer durable leukemia-free survival in the absence of HCT. We compared 422 HCT recipients aged 18-50 years with Ph-ALL in CR1 reported to the CIBMTR with an age-matched concurrent cohort of 108 Ph- ALL CR1 patients who received a Dana-Farber Consortium pediatric-inspired non-HCT regimen. At 4 years of follow-up, incidence of relapse after HCT was 24% (95% CI 19-28) versus 23% (95% CI 15-32) for the non-HCT (chemo) cohort (P=0.97). Treatment-related mortality (TRM) was higher in the HCT cohort [HCT 37% (95% CI 31-42) versus chemo 6% (95% CI 3-12), P<0.0001]. DFS in the HCT cohort was 40% (95% CI 35-45) versus 71% (95% CI 60-79) for chemo, P<0.0001. Similarly, OS favored chemo [HCT 45% (95% CI 40-50)] versus chemo 73% [(95% CI 63-81), P<0.0001]. In multivariable analysis, the sole factor predictive of shorter OS was the administration of HCT [hazard ratio 3.12 (1.99-4.90), P<0.0001]. For younger adults with Ph- ALL, pediatric-inspired chemotherapy had lower TRM, no increase in relapse, and superior overall survival compared to HCT. Am. J. Hematol. 91:322-329, 2016. © 2015 Wiley Periodicals, Inc.

Indexed as

AdolescentAdultAntineoplastic Combined Chemotherapy ProtocolsBone Marrow TransplantationDisease-Free SurvivalDose-Response Relationship, DrugFemaleHematopoietic Stem Cell TransplantationHumansLeukemia, Myeloid, Chronic, Atypical, BCR-ABL NegativeMaleMiddle AgedMultivariate AnalysisRemission InductionTransplantation, HomologousYoung Adult

Identifiers

PMID26701142
PMCPMC4764423
OpenAlexW2286519782

What OpenQuestion holds

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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.