Evidence map›Paper›PMID 28092685›Full record

ArticleNature genetics2017

Precision oncology for acute myeloid leukemia using a knowledge bank approach.

Moritz Gerstung, Elli Papaemmanuil, Inigo Martincorena, Lars Bullinger, Verena I Gaidzik, Peter Paschka, Michael Heuser, Felicitas Thol, Niccolo Bolli, Peter Ganly and 6 more

3 registry-linked trialsAbstract read
In one paragraph

Article in Nature genetics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 157 papers.

0numbers the graph read from it
0cells of the map it votes in
157citing 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.

NCT04174547 unknown statusnot on this mapstarted 2019, after this paper: background citation

An Integrated European Platform to Conduct Translational Studies in Myelodysplastic Syndromes Based on the EuroBloodNet Infrastructure

TypeobservationalSponsorIstituto Clinico HumanitasRan2019 to 2022Enrolled8,670ConditionsMyelodysplastic Syndromes
NCT04212390 completednot on this mapstarted 2020, after this paper: background citation

Personalized Medicine Program on Myelodysplastic Syndromes: Characterization of the Patient's Genome for Clinical Decision Making and Systematic Collection of Real World Data to Improve Quality of Health Care

TypeobservationalSponsorFondazione Italiana Sindromi Mielodisplastiche-ETSRan2020 to 2024Enrolled1,000ConditionsMDS (Myelodysplastic Syndrome)
NCT04889729 unknown statusnot on this mapstarted 2021, after this paper: background citation

Genomic and Personalized Medicine for All (GENOMED4ALL): Application of Artificial Intelligence to Improve Disease Classification and Prognosis in Myelodysplastic Syndrome.

TypeobservationalSponsorIstituto Clinico HumanitasRan2021 to 2024Enrolled13,284ConditionsMyelodysplastic Syndromes
3 · Its place in the literature

Who cites it

157 citing papers in PubMed.

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  17. Unveiling CrypticInternational journal of molecular sciences · 2025
    Article
  18. Prognostic impact of co-mutations in adults withBlood science (Baltimore, Md.) · 2025
    Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Moritz GerstungCancer Genome Project, Wellcome Trust Sanger Institute, Hinxton, UK.
Elli PapaemmanuilCancer Genome Project, Wellcome Trust Sanger Institute, Hinxton, UK.
Inigo MartincorenaCancer Genome Project, Wellcome Trust Sanger Institute, Hinxton, UK.
Lars BullingerDepartment of Internal Medicine III, Ulm University, Ulm, Germany.
Verena I GaidzikDepartment of Internal Medicine III, Ulm University, Ulm, Germany.
Peter PaschkaDepartment of Internal Medicine III, Ulm University, Ulm, Germany.
Michael HeuserDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Felicitas TholDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Niccolo BolliCancer Genome Project, Wellcome Trust Sanger Institute, Hinxton, UK.
Peter GanlyDepartment of Pathology (UOC), University of Otago, Christchurch, New Zealand.
Arnold GanserDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Ultan McDermottCancer Genome Project, Wellcome Trust Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0001-9032-4700
Konstanze DöhnerDepartment of Internal Medicine III, Ulm University, Ulm, Germany.
Richard F SchlenkDepartment of Internal Medicine III, Ulm University, Ulm, Germany.
Hartmut DöhnerDepartment of Internal Medicine III, Ulm University, Ulm, Germany.
Peter J CampbellCancer Genome Project, Wellcome Trust Sanger Institute, Hinxton, UK.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Cancer Research UK 21019Cancer Research UK 21777NCI NIH HHS P30 CA008748Wellcome Trust
6 · The paper itself

Abstract

Underpinning the vision of precision medicine is the concept that causative mutations in a patient's cancer drive its biology and, by extension, its clinical features and treatment response. However, considerable between-patient heterogeneity in driver mutations complicates evidence-based personalization of cancer care. Here, by reanalyzing data from 1,540 patients with acute myeloid leukemia (AML), we explore how large knowledge banks of matched genomic-clinical data can support clinical decision-making. Inclusive, multistage statistical models accurately predicted likelihoods of remission, relapse and mortality, which were validated using data from independent patients in The Cancer Genome Atlas. Comparison of long-term survival probabilities under different treatments enables therapeutic decision support, which is available in exploratory form online. Personally tailored management decisions could reduce the number of hematopoietic cell transplants in patients with AML by 20-25% while maintaining overall survival rates. Power calculations show that databases require information from thousands of patients for accurate decision support. Knowledge banks facilitate personally tailored therapeutic decisions but require sustainable updating, inclusive cohorts and large sample sizes.

Indexed as

AdolescentAdultAgedAged, 80 and overClinical Trials as TopicDecision MakingFemaleHumansLeukemia, Myeloid, AcuteMaleMiddle AgedMulticenter Studies as TopicPrecision MedicineRandomized Controlled Trials as TopicSurvival RateYoung Adult

Identifiers

PMID28092685
PMCPMC5764082

What OpenQuestion holds

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Read underepoch 390

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.