Evidence map›Paper›PMID 26892479›Full record

ArticleLeukemia & lymphoma2016

Clinical impact of ABL1 kinase domain mutations and IKZF1 deletion in adults under age 60 with Philadelphia chromosome-positive (Ph+) acute lymphoblastic leukemia (ALL): molecular analysis of CALGB (Alliance) 10001 and 9665.

Rebecca DeBoer, Gregory Koval, Flora Mulkey, Meir Wetzler, Steven Devine, Guido Marcucci, Richard M Stone, Richard A Larson, Clara D Bloomfield, Susan Geyer and 2 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Leukemia & lymphoma, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04554459 (Ponatinib Plus Reduced-intensity Chemotherapy in the First-line Treatment of Adult Patients With Ph-positive Acute Lymphoblastic Leukemia), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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.

NCT04554459 phase2terminatednot on this mapstarted 2021, after this paper: background citation

Ponatinib Plus Reduced-intensity Chemotherapy in the First-line Treatment of Adult Patients With Ph-positive Acute Lymphoblastic Leukemia

TypeinterventionalSponsorInstitute of Hematology and Blood Transfusion, Czech RepublicRan2021 to 2024Enrolled4ConditionsAcute Lymphoblastic Leukemia, Adult, Ph+ ALL, Newly DiagnosedArmsPonatinib 15 MG Oral Tablet
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Ph+ ALL in 2022: is there an optimal approach?Hematology. American Society of Hematology. Education Program · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Novel Therapies for Older Adults With Acute Lymphoblastic Leukemia.Current hematologic malignancy reports · 2018
    Review
  19. Current management of Philadelphia chromosome positive ALL and the role of stem cell transplantation.Hematology. American Society of Hematology. Education Program · 2017
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 1 country.

Rebecca DeBoera Department of Medicine , University of Chicago Medical Center , Chicago , IL , USA ;
Gregory Kovala Department of Medicine , University of Chicago Medical Center , Chicago , IL , USA ;
Flora Mulkeyb Alliance Statistics and Data Center , Duke University Medical Center , Durham , NC , USA ;
Meir Wetzlerc Roswell Park Cancer Institute , Buffalo , NY , USA ;
Steven Devined The Ohio State University Comprehensive Cancer Center , Columbus , OH , USA ;
Guido Marcuccie City of Hope Comprehensive Cancer Center , Duarte , CA , USA ;
Richard M Stonef Dana-Farber Cancer Institute, Harvard Medical School , Boston , MA , USA ;
Richard A Larsona Department of Medicine , University of Chicago Medical Center , Chicago , IL , USA ;
Clara D Bloomfieldd The Ohio State University Comprehensive Cancer Center , Columbus , OH , USA ;
Susan Geyerg Health Informatics Institute, University of South Florida , Tampa , FL , USA ;
Charles G Mullighanh St. Jude Children's Research Hospital , Memphis , TN , USA.
Wendy Stocka Department of Medicine , University of Chicago Medical Center , Chicago , IL , USA ;
University of Chicago Medical Center · USThe Ohio State University · USCity of Hope · USDana-Farber Cancer Institute · USDuke Medical Center · USRoswell Park Comprehensive Cancer Center · USSt. Jude Children's Research Hospital · USUniversity of South Florida · US

Funding

Member Site CoreU10CA180821 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Evanthia Galanis · 2014 to 2026
$177.3M
CANCER AND LEUKEMIA GROUP B MINORITY SATELLITE SUPPLEMENU10CA031946 · NCI · UNIVERSITY OF CHICAGO · PI BERTAGNOLLI, MONICA M · 1985 to 2013
$158.4M
Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
Statistics CoreU10CA180882 · NCI · MAYO CLINIC ROCHESTER · PI Sumithra Jay Mandrekar · 2014 to 2026
$115.0M
CANCER &LEUKEMIA GROUP B STATISTICAL CENTERU10CA033601 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI SARGENT, DANIEL J. · 1985 to 2013
$69.4M
CPML - Project 3: Genome-wide Studies of Adverse EffectsP50GM115279 · NIGMS · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI RELLING, MARY V · 2015 to 2019
$15.1M
Cancer and Leukemia Group B - Leukemia Correlative SciencesU10CA101140 · NCI · OHIO STATE UNIVERSITY · PI MARCUCCI, GUIDO · 2003 to 2013
$10.3M
OSU as Network Lead Academic Participating Site for the NCI NCTNU10CA180850 · NCI · OHIO STATE UNIVERSITY · PI BLUM, KRISTIE A, CHAKRAVARTI, ARNAB · 2014 to 2018
$6.8M
Cancer and Leukemia Group B - The Ohio State UniversityU10CA077658 · NCI · OHIO STATE UNIVERSITY · PI BLOOMFIELD, CLARA D · 1998 to 2013
$6.0M
CANCER &LEUKEMIA GROUP BU10CA032291 · NCI · DANA-FARBER CANCER INSTITUTE · PI BURSTEIN, HAROLD J. · 1985 to 2013
$5.8M
CANCER AND LEUKEMIA GROUP B--RPCI/SUNYABU10CA059518 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI LEVINE, ELLIS G · 1993 to 2013
$4.0M
CANCER AND LEUKEMIA GROUP B GRANT REVISED APPLICATIONU10CA041287 · NCI · UNIVERSITY OF CHICAGO · PI KINDLER, HEDY L · 1986 to 2013
$3.9M
NCI NIH HHS P30 CA016058NCI NIH HHS U10 CA031946NCI NIH HHS U10 CA032291NCI NIH HHS U10 CA033601NCI NIH HHS U10 CA041287NCI NIH HHS U10 CA059518NCI NIH HHS U10 CA077658NCI NIH HHS U10 CA101140NCI NIH HHS U10 CA180821NCI NIH HHS U10 CA180835NCI NIH HHS U10 CA180850NCI NIH HHS U10 CA180861NCI NIH HHS U10 CA180882NIGMS NIH HHS P50 GM115279
6 · The paper itself

Abstract

Recent studies have identified oncogenic lesions in Philadelphia chromosome-positive (Ph+)  acute lymphoblastic leukemia (ALL) and ABL1 kinase mutations that confer resistance to tyrosine kinase inhibitors. We sought to determine the prevalence and clinical impact of these lesions in patients on CALGB 10001, a previously reported Phase II study of imatinib, chemotherapy, and hematopoietic cell transplant in adult Ph + ALL. Of the 58 enrolled, 22 relapsed. By direct sequencing, an ABL1 kinase mutation known to induce imatinib resistance was present at relapse in 13 of 20. Using quantitative PCR assays, the mutations were detectable at diagnosis or early during treatment in most (62%) relapsed patients. Aberrations in IKZF1, CDKN2A/B, and PAX5 were assessed in 28 samples using SNP arrays and genomic DNA sequencing. Of these, 22 (79%) had IKZF1 deletion. The combination of IKZF1 deletion and p210 BCR-ABL1 (p < 0.0001), high white blood cell count (p = 0.021), and minimal residual disease (p = 0.013) were associated with worse disease-free survival.

Indexed as

Gene DeletionMutationAdultBiomarkers, TumorDNA Mutational AnalysisFemaleFusion Proteins, bcr-ablHumansIkaros Transcription FactorLeukocyte CountMaleMiddle AgedPrecursor Cell Lymphoblastic Leukemia-LymphomaPrognosisProtein Interaction Domains and MotifsProto-Oncogene Proteins c-ablBiomarkers, TumorFusion Proteins, bcr-ablIkaros Transcription FactorIKZF1 protein, humanProto-Oncogene Proteins c-ablDrug resistancelymphoid leukemiaprognosticationtranscription factor changes

Identifiers

PMID26892479
PMCPMC5008253
OpenAlexW2340233667

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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.