Evidence map›Paper›PMID 27941778›Full record

Trial reportBone marrow transplantation2017

Cytogenetics and outcome of allogeneic transplantation in first remission of acute myeloid leukemia: the French pediatric experience.

A-L Alloin, G Leverger, J-H Dalle, C Galambrun, Y Bertrand, A Baruchel, A Auvrignon, V Gandemer, C Ragu, A Loundou and 16 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

26 authors.

A-L AlloinDepartment of Pediatric Hematology and Oncology, Timone Enfants Hospital and Aix-Marseille University, Marseille, France.
G LevergerDepartment of Pediatric Hematology and Oncology, AP-HP, GH HUEP, Trousseau Hospital, Paris, France.
J-H DalleDepartment of Pediatric Hematology and Oncology, Robert Debré Hospital, Paris, France.
C GalambrunDepartment of Pediatric Hematology and Oncology, Timone Enfants Hospital and Aix-Marseille University, Marseille, France.
Y BertrandDepartment of Pediatric Hematology and Oncology, University Hospital of Lyon, Lyon, France.
A BaruchelDepartment of Pediatric Hematology and Oncology, Robert Debré Hospital, Paris, France.
A AuvrignonDepartment of Pediatric Hematology and Oncology, AP-HP, GH HUEP, Trousseau Hospital, Paris, France.
V GandemerDepartment of Pediatric Hematology and Oncology, University Hospital of Rennes, Rennes, France.
C RaguDepartment of Pediatric Hematology and Oncology, AP-HP, GH HUEP, Trousseau Hospital, Paris, France.
A LoundouResearch Unit EA3279 and Department of Public Health, Aix-Marseille University and Timone Hospital Marseille, Marseille, France.
C Bilhou-NaberaDepartment of Genetics, St Antoine Hospital, Paris, France.
M Lafage-PochitaloffDepartment of Genetics, Timone Enfants Hospital and Aix-Marseille University, Marseille, France.
N DastugueDepartment of Genetics, University hospital of Toulouse, Toulouse, France.
B NelkenCHU Lille, Department of Pediatric Hematology and Oncology, Lille, France.
C JubertDepartment of Pediatric Hematology and Oncology, University Hospital of Bordeaux, Bordeaux, France.
F RiallandDepartment of Pediatric Hematology and Oncology, University Hospital of Nantes, Nantes, France.
G PlatDepartment of Pediatric Hematology and Oncology, University Hospital of Toulouse, Toulouse, France.
C PochonDepartment of Pediatric Hematology and Oncology, Hôpital d'Enfants de Brabois, Vandoeuvre Les Nancy, France.
J-P VannierDepartment of Pediatric Hematology and Oncology, University Hospital of Rouen, Rouen, France.
P-S RohrlichDepartment of Pediatric Hematology and Oncology, University Hospital L'Archet, Nice, France.
J KanoldDepartment of Pediatric Hematology and Oncology, CIC Inserm 501, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France.
P LutzDepartment of Pediatric Hematology and Oncology, Hospital University, Strasbourg, France.
A SirventDepartment of Pediatric Hematology and Oncology, University Hospital, Montpellier, France.
C OudinDepartment of Pediatric Hematology and Oncology, Timone Enfants Hospital and Aix-Marseille University, Marseille, France.
W CuccuiniDepartment of Cytogenetics, Saint-Louis Hospital, Paris, France.
G MichelDepartment of Pediatric Hematology and Oncology, Timone Enfants Hospital and Aix-Marseille University, Marseille, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We analyzed the impact of cytogenetics on 193 children enrolled in two successive French trials (LAME89/91 and ELAM02), who received hematopoietic stem cell transplantation during CR1. Detailed karyotype was available for 66/74 (89%) in LAME89/91 and 118/119 (99%) in ELAM02. Several karyotype and transplant characteristics differed according to therapeutic protocol: unfavorable karyotypes were more frequent in ELAM02 (36% vs 18%), pretransplant chemotherapy included high-dose cytarabine in ELAM02 and not in LAME89/91, IV replaced oral busulfan in the conditioning regimen, methotrexate was removed from post-transplant immunosuppression, and matched unrelated donor and cord blood transplantation were introduced. Five-year overall survival (OS) was 78.2% in LAME89 and 81.4% in ELAM02. OS was significantly lower for the unfavorable cytogenetic risk group in LAME89/91 when compared with intermediate and favorable groups (50% vs 90.6 and 86.4%, P=0.001). This difference was no longer apparent in ELAM02 (80.9% vs 71.3% and 5/5, respectively). Survival improvement for children with unfavorable karyotype was statistically significant (P=0.026) and was due to decrease in relapse risk. Five-year transplantation-related mortality was 6.75% in LAME89/91. In ELAM02, it was 3.2% for patients with a sibling donor and 10.9% with an unrelated donor or cord blood. We conclude that the outcome of children with unfavorable karyotype transplanted in CR1 has improved.

Indexed as

CytogeneticsChildFemaleFranceHematopoietic Stem Cell TransplantationHumansKaryotypingLeukemia, Myeloid, AcuteMaleRemission InductionSurvival AnalysisTransplantation, HomologousTreatment Outcome

Identifiers

PMID27941778

What OpenQuestion holds

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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.