Evidence map›Paper›PMID 27081178›Full record

ArticleHaematologica2016

Clinical activity of azacitidine in patients who relapse after allogeneic stem cell transplantation for acute myeloid leukemia.

Charles Craddock, Myriam Labopin, Marie Robin, Juergen Finke, Patrice Chevallier, Ibrahim Yakoub-Agha, Jean Henri Bourhis, Henrik Sengelov, Didier Blaise, Thomas Luft and 4 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed
12.1field-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.

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

83 citing papers in PubMed, 142 citations in OpenAlex.

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23 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

14 authors at 13 institutions in 5 countries.

Charles CraddockCentre for Clinical Haematology, Queen Elizabeth Hospital, Birmingham, UK charles.craddock@uhb.nhs.uk.
Myriam LabopinFaculté de Médecine Saint Antoine Hospital, Paris, France.
Marie RobinHôpital Saint-Louis, Assistance Publique Hôpitaux de Paris, France.
Juergen FinkeFreiburg University Medical Centre, Germany.
Patrice ChevallierCentre Hospitalier et Universitaire, Nantes, France.
Ibrahim Yakoub-AghaInstitut de Cancerologie Gustave Roussy, Villejuif, France.
Jean Henri BourhisDivision of Hematology, Institut Gustav Roussy, Villejuif, France.
Henrik SengelovDepartment of Hematology, National University Hospital, Rigshospitalet, Copenhagen, Denmark.
Didier BlaiseHematology Department, Paoli Calmettes Institute, Marseille, France.
Thomas LuftDepartment Medicine V, University of Heidelberg, Germany.
Michael HallekDepartment I of University Medicine, University of Cologne, Germany.
Nicolaus KrögerDepartment of Bone Marrow Transplantation, University Hospital of Hamburg-Eppendorf, Hamburg, Germany.
Arnon NaglerChaim Sheba, Medical Centre, Tel Hasomer, Israel.
Mohamad MohtyFaculté de Médecine Saint Antoine Hospital, Paris, France.
Institut Gustave Roussy · FRCentre Hospitalier Universitaire de Nantes · FRHeidelberg University · DEHôpital Saint-Antoine · FRHôpital Saint-Louis · FRInstitut Paoli-Calmettes · FRQueen Elizabeth Hospital Birmingham · GBRigshospitalet · DKSheba Medical Center · ILSorbonne Université · FRUniversity Medical Center Freiburg · DEUniversity Medical Center Hamburg-Eppendorf · DEUniversity of Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disease relapse is the most common cause of treatment failure after allogeneic stem cell transplantation for acute myeloid leukemia and myelodysplastic syndromes, yet treatment options for such patients remain extremely limited. Azacitidine is an important new therapy in high-risk myelodysplastic syndromes and acute myeloid leukemia but its role in patients who relapse post allograft has not been defined. We studied the tolerability and activity of azacitidine in 181 patients who relapsed after an allograft for acute myeloid leukemia (n=116) or myelodysplastic syndromes (n=65). Sixty-nine patients received additional donor lymphocyte infusions. Forty-six of 157 (25%) assessable patients responded to azacitidine therapy: 24 (15%) achieved a complete remission and 22 a partial remission. Response rates were higher in patients transplanted in complete remission (P=0.04) and those transplanted for myelodysplastic syndromes (P=0.023). In patients who achieved a complete remission, the 2-year overall survival was 48% versus 12% for the whole population. Overall survival was determined by time to relapse post transplant more than six months (P=0.001) and percentage of blasts in the bone marrow at time of relapse (P=0.01). The concurrent administration of donor lymphocyte infusion did not improve either response rates or overall survival in patients treated with azacitidine. An azacitidine relapse prognostic score was developed which predicted 2-year overall survival ranging from 3%-37% (P=0.00001). We conclude that azacitidine represents an important new therapy in selected patients with acute myeloid leukemia/myelodysplastic syndromes who relapse after allogeneic stem cell transplantation. Prospective studies to confirm optimal treatment options in this challenging patient population are required.

Indexed as

Antimetabolites, AntineoplasticAzacitidineFemaleHematopoietic Stem Cell TransplantationHumansLeukemia, Myeloid, AcuteMaleMyelodysplastic SyndromesPrognosisRecurrenceSalvage TherapySurvival AnalysisTransplantation, HomologousTreatment OutcomeAntimetabolites, AntineoplasticAzacitidine

Identifiers

PMID27081178
PMCPMC5004468
OpenAlexW2340869536

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.