Evidence map›Paper›PMID 27446991›Full record

ArticleJCI insight2016

A clinical measure of DNA methylation predicts outcome in de novo acute myeloid leukemia.

Marlise R Luskin, Phyllis A Gimotty, Catherine Smith, Alison W Loren, Maria E Figueroa, Jenna Harrison, Zhuoxin Sun, Martin S Tallman, Elisabeth M Paietta, Mark R Litzow and 7 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JCI insight, 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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. High TCTA expression is an adverse prognostic biomarker in acute myeloid leukemia.Cancer biomarkers : section A of Disease markers · 2024
    Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. The roles of DNA, RNA and histone methylation in ageing and cancer.Nature reviews. Molecular cell biology · 2019
    Review
  9. Review
  10. A Pilot Study of Aberrant CpG Island Hypermethylation ofInternational journal of medical sciences · 2019
    Article
  11. Review
  12. Article
  13. Review
  14. 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

17 authors at 9 institutions in 1 country.

Marlise R LuskinDivision of Hematology and Oncology, Abramson Cancer Center at the University of Pennsylvania (UPENN), Philadelphia, Pennsylvania, USA.
Phyllis A GimottyDepartment of Biostatistics and Epidemiology, Perelman School of Medicine at the University of Pennsylvania (UPENN), Philadelphia, Pennsylvania, USA.
Catherine SmithDepartment of Pathology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Alison W LorenDivision of Hematology and Oncology, Abramson Cancer Center at the University of Pennsylvania (UPENN), Philadelphia, Pennsylvania, USA.
Maria E FigueroaUniversity of Michigan Medical School, Ann Arbor, Michigan, USA.
Jenna HarrisonDepartment of Pathology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Zhuoxin SunDana-Farber Cancer Institute, Boston, Massachusetts, USA.
Martin S TallmanMemorial Sloan Kettering Cancer Center, New York, New York, USA.
Elisabeth M PaiettaMontefiore Medical Center, New York, New York, USA.
Mark R LitzowMayo Clinic, Rochester, Minnesota, USA.
Ari M MelnickHematology and Oncology Division, Weill Cornell Medical College, New York, New York, USA.
Ross L LevineMemorial Sloan Kettering Cancer Center, New York, New York, USA.
Hugo F FernandezMoffit Cancer Center, Tampa, Florida, USA.
Selina M LugerDivision of Hematology and Oncology, Abramson Cancer Center at the University of Pennsylvania (UPENN), Philadelphia, Pennsylvania, USA.
Martin CarrollDivision of Hematology and Oncology, Abramson Cancer Center at the University of Pennsylvania (UPENN), Philadelphia, Pennsylvania, USA; Philadelphia Veterans Administration Medical Center, Philadelphia, Pennsylvania, USA.
Stephen R MasterDepartment of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, New York, USA.
Gerald B W WertheimDepartment of Pathology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA; Department of Pathology and Laboratory Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Abramson Cancer CenterChildren's Hospital of Philadelphia · USMemorial Sloan Kettering Cancer Center · USCornell University · USDana-Farber Cancer Institute · USMayo Clinic · USMoffitt Cancer Center · USMontefiore Medical Center · USUniversity of Michigan–Ann Arbor · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Robert H. Vonderheide · 1985 to 2026
$222.3M
Project-006U10CA180820 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer · 2014 to 2026
$167.6M
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
Institutional Clinical and Translational Science AwardUL1TR000003 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$38.9M
CANCER CLINICAL EPIDEMIOLOGY TRAINING GRANTT32CA009679 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Richard Aplenc, Karen Glanz · 1992 to 2026
$11.1M
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
Stem Cells, Differentiation and Therapeutic Resistance in AMLR01CA149566 · NCI · UNIVERSITY OF PENNSYLVANIA · PI CARROLL, MARTIN · 2011 to 2015
$3.0M
(PDQ5)Integrated Genetic and Epigenetic Prognostication for Acute Myeloid LeukemiR21CA185365 · NCI · UNIVERSITY OF PENNSYLVANIA · PI CARROLL, MARTIN · 2014 to 2015
$383k
Therapeutic targeting of Src kinase signal transduction pathways in AMLI01BX000918 · VA · PHILADELPHIA VA MEDICAL CENTER · PI CARROLL, MARTIN · 2012 to 2015
–
BLRD VA I01 BX000918NCATS NIH HHS UL1 TR000003NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA016520NCI NIH HHS R01 CA149566NCI NIH HHS R21 CA185365NCI NIH HHS T32 CA009679NCI NIH HHS U10 CA180791NCI NIH HHS U10 CA180794NCI NIH HHS U10 CA180820NCI NIH HHS U24 CA196172
6 · The paper itself

Abstract

backgroundVariable response to chemotherapy in acute myeloid leukemia (AML) represents a major treatment challenge. Clinical and genetic features incompletely predict outcome. The value of clinical epigenetic assays for risk classification has not been extensively explored. We assess the prognostic implications of a clinical assay for multilocus DNA methylation on adult patients with de novo AML.

methodsWe performed multilocus DNA methylation assessment using xMELP on samples and calculated a methylation statistic (M-score) for 166 patients from UPENN with de novo AML who received induction chemotherapy. The association of M-score with complete remission (CR) and overall survival (OS) was evaluated. The optimal M-score cut-point for identifying groups with differing survival was used to define a binary M-score classifier. This classifier was validated in an independent cohort of 383 patients from the Eastern Cooperative Oncology Group Trial 1900 (E1900; NCT00049517).

resultsA higher mean M-score was associated with death and failure to achieve CR. Multivariable analysis confirmed that a higher M-score was associated with death (

conclusionThe M-score represents a valid binary prognostic classifier for patients with de novo AML. The xMELP assay and associated M-score can be used for prognosis and should be further investigated for clinical decision making in AML patients.

Identifiers

PMID27446991
PMCPMC4951094
OpenAlexW2427467785

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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.