Evidence map›Paper›PMID 27935576›Full record

Trial reportBlood cancer journal2016

Acute lymphoblastic leukemia relapsing after first-line pediatric-inspired therapy: a retrospective GRAALL study.

A Desjonquères, P Chevallier, X Thomas, F Huguet, T Leguay, M Bernard, J-O Bay, E Tavernier, A Charbonnier, F Isnard and 14 more

Open access · goldAbstract readClinical Trial, Phase IIClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Blood cancer journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Relapsed T Cell ALL: Current Approaches and New Directions.Current hematologic malignancy reports · 2019
    Review
  13. Review
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

24 authors at 19 institutions in 1 country.

A DesjonquèresHematology Department, University Hospital, Nantes, France.
P ChevallierHematology Department, University Hospital, Nantes, France.
X ThomasHematology Department, University Hospital, Lyon, France.
F HuguetHematology Department, University Hospital, Toulouse, France.
T LeguayHematology Department, University Hospital, Bordeaux, France.
M BernardHematology Department, University Hospital, Rennes, France.
J-O BayHematology Department, University Hospital, Clermont-Ferrand, France.
E TavernierHematology Department, University Hospital, Saint-Etienne, France.
A CharbonnierHematology Department, Institut Paoli-Calmette, Marseille, France.
F IsnardHematology Department, Hopital St-Antoine, Assistance Publique - Hôpitaux de Paris (AP-HP), Paris, France.
M HunaultHematology Department, University Hospital & University, INSERM U892/CNRS6299, Angers, France.
P TurlureHematology Department, University Hospital, Limoges, France.
M RenaudHematology Department, University Hospital, Poitiers, France.
J-N BastiéHematology Department, University Hospital, Dijon, France.
C HimberlinHematology Department, University Hospital, Reims, France.
S LepretreHematology Department, Centre Henri Becquerel, Rouen, France.
B LioureHematology Department, University Hospital, Strasbourg, France.
V LhéritierGRAALL, Lyon, France.
V AsnafiUniversité Paris Descartes Sorbonne Cité, Institut Necker-Enfants Malades (INEM), Institut National de Recherche Médicale (INSERM) U1151, and Laboratory of Onco-Hematology, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Necker Enfants-Malades, Paris, France.
K BeldjordDepartment of Molecular Biology, University Hospital Saint Louis (AP-HP), Paris, France.
M Lafage-PochitaloffDépartement de Génétique, Aix Marseille University, APHM, Hopital Timone, Marseille, France.
M C BénéHematology Biology, University Hospital, Nantes, France.
N IfrahHematology Department, University Hospital & University, INSERM U892/CNRS6299, Angers, France.
H DombretHematology Department, University Hospital Saint-Louis, AP-HP, University Paris Diderot, Paris, France.
Centre Hospitalier Universitaire de Nantes · FRInserm · FRAix-Marseille Université · FRAssistance Publique – Hôpitaux de Paris · FRCentre Henri BecquerelCentre Hospitalier Universitaire de Saint-Étienne · FRHôpital Saint-Louis · FRHospices Civils de Lyon · FRInstitut Paoli-Calmettes · FRMaison des Sciences de l’Homme de Dijon · FRSorbonne Université · FRUniversité Clermont Auvergne · FRUniversité de Bordeaux · FRUniversité de Limoges · FRUniversité de Poitiers · FRUniversité de Reims Champagne-Ardenne · FRUniversité de Rennes · FRUniversité de Strasbourg · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The outcome of adult patients with Philadelphia chromosome-negative acute lymphoblastic leukemia (Ph- ALL) relapsing after pediatric-inspired front-line therapy is ill known. Here 229 relapsing Ph- ALL younger adults (18-63 years) treated within the Group for Research on Adult Acute Lymphoblastic Leukemia (GRAALL)-2003/-2005 trials were considered. Salvage regimens consisted of potentially curative therapies in 194 cases, low-intensity therapies in 21, allogeneic stem cell transplant (allo-SCT) in 6 and best supportive care in 8. Overall, 77 patients received allo-SCT after relapse. The median follow-up was 3.1 years. A second complete remission (CR2) was achieved in 121 patients (53%). In multivariate analysis, only younger age <45 years (P=0.008) and CR1 duration ⩾18 months (P=0.009) predicted CR2. Overall survival (OS) at 2 and 5 years was 19.3% (14-24%) and 13.3% (8-18%), respectively. In CR2 patients, disease-free survival (DFS) at 2 and 5 years was 29.0% (21-38%) and 25% (17-33%). In multivariate analysis, CR1 duration ⩾18 months and allo-SCT after relapse were associated with longer DFS (P<0.009 and P=0.004, respectively) and longer OS (P=0.004 and P<0.0001, respectively). In conclusion, although younger adults relapsing after pediatric-inspired ALL therapies retain a poor outcome, some of them may be cured if CR1 duration ⩾18 months and if allo-SCT can be performed in CR2. New therapies are definitely needed for these patients.

Indexed as

AdolescentAdultChildChild, PreschoolDisease-Free SurvivalFemaleHematopoietic Stem Cell TransplantationHumansImatinib MesylateLeukemia, Myeloid, Chronic, Atypical, BCR-ABL NegativeMaleMiddle AgedPhiladelphia ChromosomePrecursor Cell Lymphoblastic Leukemia-LymphomaRemission InductionRituximabImatinib MesylateRituximab

Identifiers

PMID27935576
PMCPMC5223147
OpenAlexW2560572625

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.