Evidence map›Paper›PMID 26755712›Full record

Trial reportBlood2016

Benefit of high-dose daunorubicin in AML induction extends across cytogenetic and molecular groups.

Marlise R Luskin, Ju-Whei Lee, Hugo F Fernandez, Omar Abdel-Wahab, John M Bennett, Rhett P Ketterling, Hillard M Lazarus, Ross L Levine, Mark R Litzow, Elisabeth M Paietta and 6 more

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

Trial report in Blood, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00049517 (A Phase III Trial in Adult Acute Myeloid Leukemia), which is not on this map. Cited by 68 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 1 pooled it
14.6field-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.

NCT00049517 phase3completednot on this map

A Phase III Trial in Adult Acute Myeloid Leukemia: Daunorubicin Dose-Intensification Prior to Risk-Allocated Autologous Stem Cell Transplantation

TypeinterventionalSponsorEastern Cooperative Oncology GroupRan2002 to 2019Enrolled657ConditionsLeukemiaArmssargramostim, busulfan, cyclophosphamide, cytarabine, gemtuzumab ozogamicin (GO)
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 1 synthesis or guideline pooled it, 127 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Maternal and Fetal Outcomes in Pregnant Women with Acute Leukemia.International journal of women's health · 2026
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8 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

16 authors at 10 institutions in 2 countries.

Marlise R LuskinDivision of Hematology and Oncology, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA;
Ju-Whei LeeEastern Cooperative Oncology Group-American College of Radiology Imaging Network Biostatistics Center, Dana-Farber Cancer Institute, Boston, MA;
Hugo F FernandezDepartment of Blood and Marrow Transplantation, Moffitt Cancer Center, Tampa, FL;
Omar Abdel-WahabHuman Oncology and Pathogenesis Program, and Leukemia Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY;
John M BennettDepartment of Pathology, University of Rochester, Rochester, NY;
Rhett P KetterlingDivision of Hematopathology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN;
Hillard M LazarusSeidman Cancer Center, Case Western Reserve University, Cleveland, OH;
Ross L LevineHuman Oncology and Pathogenesis Program, and Leukemia Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY;
Mark R LitzowDepartment of Hematology, Mayo Clinic, Rochester, MN;
Elisabeth M PaiettaDepartment of Oncology, Montefiore Medical Center, Bronx, NY; and.
Jay P PatelHuman Oncology and Pathogenesis Program, and.
Janis RacevskisDepartment of Oncology, Montefiore Medical Center, Bronx, NY; and.
Jacob M RoweRambam Medical Center, Haifa, Israel.
Martin S TallmanLeukemia Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY;
Zhuoxin SunEastern Cooperative Oncology Group-American College of Radiology Imaging Network Biostatistics Center, Dana-Farber Cancer Institute, Boston, MA;
Selina M LugerDivision of Hematology and Oncology, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA;
Memorial Sloan Kettering Cancer Center · USMayo Clinic in Arizona · USMontefiore Medical Center · USUniversity of Pennsylvania · USCase Western Reserve University · USDana-Farber Cancer Institute · USEastern Cooperative Oncology Group · USMoffitt Cancer Center · USRambam Health Care Campus · ILUniversity of Rochester · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Project-006U10CA180820 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer · 2014 to 2026
$167.6M
ECOG OPERATIONS OFFICE (IBCSG)U10CA021115 · NCI · UNIVERSITY OF WISCONSIN MADISON · PI COMIS, ROBERT L · 1985 to 2013
$132.6M
Statistics CoreU10CA180794 · NCI · DANA-FARBER CANCER INST · PI PAUL J CATALANO · 2014 to 2026
$111.2M
ECOG-ACRIN Biospecimen Bank to Support NCTNU24CA196172 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI STANLEY R. HAMILTON, Scott D Jewell · 2015 to 2026
$41.1M
Montefiore Academic Community NCORP ProgramUG1CA189859 · NCI · MONTEFIORE MEDICAL CENTER (BRONX, NY) · PI Balazs Halmos, Della Makower · 2014 to 2026
$10.8M
Naional Cancer Institute, Naitonal Clinical Trials Network U10 Lead Academic SiteU10CA180790 · NCI · MAYO CLINIC ROCHESTER · PI ALBERTS, STEVEN R, BOUGHEY, JUDY CAROLINE · 2014 to 2018
$6.6M
NCTN Lead Academic Participating Site at Dana-Farber/Partners Cancer CareU10CA180867 · NCI · DANA-FARBER CANCER INST · PI BURSTEIN, HAROLD JOHN, KIBEL, ADAM S · 2014 to 2018
$6.2M
Network Lead Academic Participating Site: Memorial Sloan-Kettering Cancer CenterU10CA180791 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI AGHAJANIAN, CAROL, MORRIS, MICHAEL J · 2014 to 2018
$4.6M
NCI NIH HHS CA180583NCI NIH HHS CA180790NCI NIH HHS CA180791NCI NIH HHS CA180794NCI NIH HHS CA180820NCI NIH HHS CA180867NCI NIH HHS CA189859NCI NIH HHS P30 CA008748NCI NIH HHS U10 CA021115NCI NIH HHS U10 CA180790NCI NIH HHS U10 CA180791NCI NIH HHS U10 CA180794NCI NIH HHS U10 CA180820NCI NIH HHS U10 CA180867NCI NIH HHS U24 CA196172NCI NIH HHS UG1 CA189859
6 · The paper itself

Abstract

The initial report of the Eastern Cooperative Oncology Group-American College of Radiology Imaging Network Cancer Research Group trial E1900 (#NCT00049517) showed that induction therapy with high-dose (HD) daunorubicin (90 mg/m(2)) improved overall survival in adults <60 years old with acute myeloid leukemia (AML); however, at initial analysis, the benefit was restricted to younger patients (<50 years) and patients without unfavorable cytogenetics or aFLT3-ITD mutation. Here, we update the results of E1900 after longer follow-up (median, 80.1 months among survivors), focusing on the benefit of HD daunorubicin on common genetic subgroups. Compared with standard-dose daunorubicin (45 mg/m(2)), HD daunorubicin is associated with a hazard ratio (HR) for death of 0.74 (P= .001). Younger patients (<50 years) benefited from HD daunorubicin (HR, 0.66;P= .002), as did patients with favorable and intermediate cytogenetics (HR, 0.51;P= .03 and HR, 0.68;P= .01, respectively). Patients with unfavorable cytogenetics were shown to benefit from HD daunorubicin on multivariable analysis (adjusted HR, 0.66;P= .04). Patients with FLT3-ITD (24%),DNMT3A(24%), and NPM1(26%) mutant AML all benefited from HD daunorubicin (HR, 0.61,P= .009; HR, 0.62,P= .02; and HR, 0.50,P= .002; respectively). HD benefit was seen in the subgroup of older patients (50-60 years) with the FLT3-ITD or NPM1 mutation. Additionally, the presence of an NPM1 mutation confers a favorable prognosis only for patients receiving anthracycline dose intensification during induction.

Indexed as

AdolescentAdultAntibiotics, AntineoplasticCytogeneticsDaunorubicinDNA (Cytosine-5-)-MethyltransferasesDNA Methyltransferase 3AFemalefms-Like Tyrosine Kinase 3HumansInduction ChemotherapyLeukemia, Myeloid, AcuteMaleMiddle AgedMutationNuclear ProteinsAntibiotics, AntineoplasticDaunorubicinDNA (Cytosine-5-)-MethyltransferasesDNA Methyltransferase 3ADNMT3A protein, humanFLT3 protein, humanfms-Like Tyrosine Kinase 3NPM1 protein, humanNuclear ProteinsNucleophosmin

Identifiers

PMID26755712
PMCPMC4807422
OpenAlexW2330718732

What OpenQuestion holds

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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.