Evidence map›Paper›PMID 27416911›Full record

ArticleLeukemia2017

Characterization of children with FLT3-ITD acute myeloid leukemia: a report from the AIEOP AML-2002 study group.

E Manara, G Basso, M Zampini, B Buldini, C Tregnago, R Rondelli, R Masetti, V Bisio, M Frison, K Polato and 8 more

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Leukemia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Using genomics to refine pediatric AML risk stratification.Hematology. American Society of Hematology. Education Program · 2025
    Review
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  14. Article
  15. CD56, HLA-DR, and CD45 recognize a subtype of childhood AML harboring CBFA2T3-GLIS2 fusion transcript.Cytometry. Part A : the journal of the International Society for Analytical Cytology · 2021
    Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. MutatedJournal of oncology · 2019
    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

18 authors at 7 institutions in 1 country.

E ManaraIstituto di Ricerca Pediatrica - Città della Speranza, Padova, Italy.ORCID 0000-0002-1176-3359
G BassoDipartimento di Salute della Donna e del Bambino, Clinica di Oncoematologia Pediatrica, Università di Padova, Padova, Italy.
M ZampiniIstituto di Ricerca Pediatrica - Città della Speranza, Padova, Italy.
B BuldiniDipartimento di Salute della Donna e del Bambino, Clinica di Oncoematologia Pediatrica, Università di Padova, Padova, Italy.
C TregnagoDipartimento di Salute della Donna e del Bambino, Clinica di Oncoematologia Pediatrica, Università di Padova, Padova, Italy.
R RondelliClinica Pediatrica, Università di Bologna, Ospedale 'S. Orsola', Bologna, Italy.
R MasettiClinica Pediatrica, Università di Bologna, Ospedale 'S. Orsola', Bologna, Italy.
V BisioDipartimento di Salute della Donna e del Bambino, Clinica di Oncoematologia Pediatrica, Università di Padova, Padova, Italy.
M FrisonDipartimento di Salute della Donna e del Bambino, Clinica di Oncoematologia Pediatrica, Università di Padova, Padova, Italy.
K PolatoDipartimento di Salute della Donna e del Bambino, Clinica di Oncoematologia Pediatrica, Università di Padova, Padova, Italy.
G CazzanigaClinica Pediatrica, Centro Ricerca Tettamanti, Università di Milano-Bicocca, Monza, Italia.
G MennaDepartment of Paediatric Haemato-Oncology, Santobono-Pausilipon Hospital, Napoli, Italy.
F FagioliPaediatric Onco-Haematology, Stem Cell Transplantation and Cellular Therapy Division, Regina Margherita Children's Hospital, Torino, Italy.
P MerliIRCCS Bambino Gesù Children's Hospital Rome, Università di Pavia, Rome, Italy.
A BiondiClinica Pediatrica, Centro Ricerca Tettamanti, Università di Milano-Bicocca, Monza, Italia.
A PessionClinica Pediatrica, Università di Bologna, Ospedale 'S. Orsola', Bologna, Italy.
F LocatelliIRCCS Bambino Gesù Children's Hospital Rome, Università di Pavia, Rome, Italy.
M PigazziDipartimento di Salute della Donna e del Bambino, Clinica di Oncoematologia Pediatrica, Università di Padova, Padova, Italy.
University of Padua · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITCittà della Speranza Foundation · ITUniversity of Milano-Bicocca · ITUniversity of Pavia · ITOspedale Regina Margherita · ITSantobono Children's Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recurrent molecular markers have been routinely used in acute myeloid leukemia (AML) for risk assessment at diagnosis, whereas their post-induction monitoring still represents a debated issue. We evaluated the prognostic value and biological impact of minimal residual disease (MRD) and of the allelic ratio (AR) of FLT3-internal-tandem duplication (ITD) in childhood AML. We retrospectively screened 494 children with de novo AML for FLT3-ITD mutation, identifying 54 harboring the mutation; 51% of them presented high ITD-AR at diagnosis and had worse event-free survival (EFS, 19.2 versus 63.5% for low ITD-AR, <0.05). Forty-one percent of children with high levels of MRD after the 1st induction course, measured by a patient-specific real-time-PCR, had worse EFS (22.2 versus 59.4% in low-MRD patients, P<0.05). Next, we correlated these parameters with gene expression, showing that patients with high ITD-AR or persistent MRD had characteristic expression profiles with deregulated genes involved in methylation and acetylation. Moreover, patients with high CyclinA1 expression presented an unfavorable EFS (20.3 versus 51.2% in low CyclinA1 group, P<0.01). Our results suggest that ITD-AR levels and molecular MRD should be considered in planning clinical management of FLT3-ITD patients. Different transcriptional activation of epigenetic and oncogenic profiles may explain variability in outcome among these patients, for whom novel therapeutic approaches are desirable.

Indexed as

ChildChild, PreschoolDisease-Free SurvivalEpigenesis, Geneticfms-Like Tyrosine Kinase 3Gene Expression Regulation, LeukemicHumansLeukemia, Myeloid, AcuteNeoplasm, ResidualPrognosisRetrospective Studiesfms-Like Tyrosine Kinase 3

Identifiers

PMID27416911
OpenAlexW2464644019

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.