Evidence map›Paper›PMID 27872058›Full record

Trial reportBlood2017

A randomized assessment of adding the kinase inhibitor lestaurtinib to first-line chemotherapy for FLT3-mutated AML.

Steven Knapper, Nigel Russell, Amanda Gilkes, Robert K Hills, Rosemary E Gale, James D Cavenagh, Gail Jones, Lars Kjeldsen, Michael R Grunwald, Ian Thomas and 3 more

Open access · bronzeAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Blood, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 6 pooled it
13.9field-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, 6 syntheses or guidelines pooled it, 144 citations in OpenAlex.

  1. Pooled it
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  10. Defining the Optimal Total Number of Chemotherapy Courses in Younger Patients With Acute Myeloid Leukemia: A Comparison of Three Versus Four Courses.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
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  18. NPM1 Measurable Residual Disease: A Narrative Review.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2025
    Review
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  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 8 institutions in 3 countries.

Steven KnapperDepartment of Haematology, Cardiff University School of Medicine, Cardiff, United Kingdom.ORCID 0000-0002-6405-4441
Nigel RussellDepartment of Haematology, Nottingham University Hospital, Nottingham, United Kingdom.
Amanda GilkesExperimental Cancer Medicine Centre, Cardiff University School of Medicine, Cardiff, United Kingdom.
Robert K HillsCentre for Trials Research, College of Biomedical and Life Sciences, Cardiff University, Cardiff, United Kingdom.
Rosemary E GaleDepartment of Haematology, University College London Cancer Institute, London, United Kingdom; Department of Haematology, Bart's Health NHS Trust, London, United Kingdom.
James D CavenaghDepartment of Haematology, Cardiff University School of Medicine, Cardiff, United Kingdom.
Gail JonesDepartment of Haematology, Newcastle-upon-Tyne Hospitals NHS Foundation Trust, Newcastle, United Kingdom.
Lars KjeldsenDepartment of Haematology, Rigshospitalet, Copenhagen, Denmark.
Michael R GrunwaldDepartment of Hematologic Oncology and Blood Disorders, Levine Cancer Institute, Carolinas HealthCare System, Charlotte, NC.
Ian ThomasCentre for Trials Research, College of Biomedical and Life Sciences, Cardiff University, Cardiff, United Kingdom.
Heiko KonigIndiana University Melvin and Bren Simon Cancer Center, Indianapolis, IN; and.
Mark J LevisDivision of Hematological Malignancies, Johns Hopkins Sidney Kimmel Cancer Center, Baltimore, MD.
Alan K BurnettDepartment of Haematology, Cardiff University School of Medicine, Cardiff, United Kingdom.
Cardiff University · GBBarts Health NHS Trust · GBCarolinas Healthcare System · USIndiana University Health · USNewcastle upon Tyne Hospitals NHS Foundation Trust · GBRigshospitalet · DKSidney Kimmel Cancer Center · USUniversity of Nottingham · GB

Funding

University of Texas M.D. Anderson Cancer SPORE-LeukemiaP50CA100632 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KONOPLEVA, MARINA Y · 2003 to 2023
$43.7M
Cancer Research UK 15954Medical Research CouncilNCI NIH HHS P50 CA100632
6 · The paper itself

Abstract

The clinical benefit of adding FMS-like tyrosine kinase-3 (FLT3)-directed small molecule therapy to standard first-line treatment of acute myeloid leukemia (AML) has not yet been established. As part of the UK AML15 and AML17 trials, patients with previously untreated AML and confirmed FLT3-activating mutations, mostly younger than 60 years, were randomly assigned either to receive oral lestaurtinib (CEP701) or not after each of 4 cycles of induction and consolidation chemotherapy. Lestaurtinib was commenced 2 days after completing chemotherapy and administered in cycles of up to 28 days. The trials ran consecutively. Primary endpoints were overall survival in AML15 and relapse-free survival in AML17; outcome data were meta-analyzed. Five hundred patients were randomly assigned between lestaurtinib and control: 74% had

Indexed as

AdolescentAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCarbazolesChildChild, PreschoolConsolidation ChemotherapyDisease-Free SurvivalFemalefms-Like Tyrosine Kinase 3FuransHematopoietic Stem Cell TransplantationHumansInduction ChemotherapyKaplan-Meier EstimateCarbazolesFLT3 protein, humanfms-Like Tyrosine Kinase 3FuranslestaurtinibProtein Kinase Inhibitors

Identifiers

PMID27872058
PMCPMC5364440
OpenAlexW2553392785

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.