Evidence map›Paper›PMID 27114462›Full record

ArticleBlood2016

Recurrent abnormalities can be used for risk group stratification in pediatric AMKL: a retrospective intergroup study.

Jasmijn D E de Rooij, Riccardo Masetti, Marry M van den Heuvel-Eibrink, Jean-Michel Cayuela, Jan Trka, Dirk Reinhardt, Mareike Rasche, Edwin Sonneveld, Todd A Alonzo, Maarten Fornerod and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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

73 citing papers in PubMed, 1 synthesis or guideline pooled it, 114 citations in OpenAlex.

  1. Pooled it
  2. Immunophenotypic, Cytogenetic, and Molecular Characterization of NUP98-Rearranged Pediatric Myeloid Neoplasms.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Strategies for identifyingHaematologica · 2026
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Cancers · 2025
    Article
  14. Review
  15. Review
  16. Myeloid sarcoma with RBM15::MRTFA (MKL1) mimicking vascular neoplasm.Virchows Archiv : an international journal of pathology · 2025
    Article
  17. Article
  18. Review
  19. Review
  20. Article

13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 12 institutions in 6 countries.

Jasmijn D E de RooijPediatric Oncology/Hematology, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands;
Riccardo MasettiPediatric Hematology/Oncology, University of Bologna, Bologna, Italy;
Marry M van den Heuvel-EibrinkPediatric Oncology/Hematology, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands;
Jean-Michel CayuelaLaboratory of Hematology, University Hospital Saint-Louis, Assistance Publique-Hôpitaux de Paris and EA3518, University Paris Diderot, Paris, France;
Jan TrkaPediatric Hematology/Oncology, 2nd Medical School, Charles University, Prague, Czech Republic;
Dirk ReinhardtAcute Myeloid Leukemia-Berlin-Frankfurt-Munster Study Group, Pediatric Hematology/Oncology, University Hospital Essen, Essen, Germany;
Mareike RascheAcute Myeloid Leukemia-Berlin-Frankfurt-Munster Study Group, Pediatric Hematology/Oncology, University Hospital Essen, Essen, Germany;
Edwin SonneveldDutch Childhood Oncology Group, The Hague, The Netherlands;
Todd A AlonzoChildren's Oncology Group, Monrovia, CA;
Maarten FornerodPediatric Oncology/Hematology, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands;
Martin ZimmermannPediatric Hematology and Oncology, Hannover Medical School, Hannover, Germany;
Martina PigazziOnco-Hematology, Dipartimento di Salute della Donna e del Bambino, University of Padova, Padova, Italy;
Rob PietersPrincess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands;
Soheil MeshinchiFred Hutchinson Cancer Research Center, Seattle, WA;
C Michel ZwaanPediatric Oncology/Hematology, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands;
Franco LocatelliDepartment of Pediatric Hematology/Oncology, Istituto di Ricovero e Cura a Carattere Scientifico, Ospedale Pediatrico Bambino Gesù, Rome, Italy; and University of Pavia, Pavia, Italy.
Erasmus MC - Sophia Children’s Hospital · NLEssen University Hospital · DEPrincess Máxima Center · NLBambino Gesù Children's Hospital · ITCharles University · CZChildren's Oncology Group · USFred Hutch Cancer Center · USMedizinische Hochschule Hannover · DEStichting Kinderoncologie Nederland · NLUniversité Paris Cité · FRUniversity of Bologna · ITUniversity of Padua · IT

Funding

COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
NCI NIH HHS U10 CA180899
6 · The paper itself

Abstract

Genetic abnormalities and early treatment response are the main prognostic factors in acute myeloid leukemia (AML). Acute megakaryoblastic leukemia (AMKL) is a rare subtype of AML. Deep sequencing has identified CBFA2T3/GLIS2 and NUP98/KDM5A as recurrent aberrations, occurring in similar frequencies as RBM15/MKL1 and KMT2A-rearrangements. We studied whether these cytogenetic aberrations can be used for risk group stratification. To assess frequencies and outcome parameters of recurrent cytogenetic aberrations in AMKL, samples and clinical data of patients treated by the Associazione Italiana Ematologia Oncologia Pediatrica, Berlin-Frankfurt-Munster Study Group, Children's Oncology Group, Dutch Childhood Oncology Group, and the Saint Louis Hôpital were collected, enabling us to screen 153 newly diagnosed pediatric AMKL cases for the aforementioned aberrations and to study their clinical characteristics and outcome. CBFA2T3/GLIS2 was identified in 16% of the cases; RBM15/MKL1, in 12%; NUP98/KDM5A and KMT2A rearrangements, in 9% each; and monosomy 7, in 6%. These aberrations were mutually exclusive. RBM15/MKL1-rearranged patients were significantly younger. No significant differences in sex and white blood cell count were found. NUP98/KDM5A, CBFA2T3/GLIS2, KMT2A-rearranged lesions and monosomy 7 (NCK-7) independently predicted a poor outcome, compared with RBM15/MKL1-rearranged patients and those with AMKL not carrying these molecular lesions. NCK-7-patients (n = 61) showed a 4-year probability of overall survival of 35 ± 6% vs 70 ± 5% in the RBM15/MKL1-other groups (n = 92, P < .0001) and 4-year probability of event-free survival of 33 ± 6% vs 62 ± 5% (P = .0013), the 4-year cumulative incidence of relapse being 42 ± 7% and 19 ± 4% (P = .003), respectively. We conclude that these genetic aberrations may be used for risk group stratification of pediatric AMKL and for treatment tailoring.

Indexed as

Chromosome AberrationsGene RearrangementAdolescentChildChild, PreschoolChromosomes, HumanFemaleHigh-Throughput Nucleotide SequencingHumansInfantLeukemia, Megakaryoblastic, AcuteMaleNeoplasm ProteinsRisk FactorsNeoplasm Proteins

Identifiers

PMID27114462
PMCPMC5161011
OpenAlexW2344439676

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.