Evidence map›Paper›PMID 28109402›Full record

ReviewCritical reviews in oncology/hematology2017

Frontline treatment of acute myeloid leukemia in adults.

Gevorg Tamamyan, Tapan Kadia, Farhad Ravandi, Gautam Borthakur, Jorge Cortes, Elias Jabbour, Naval Daver, Maro Ohanian, Hagop Kantarjian, Marina Konopleva

Open access · greenAbstract readReview
In one paragraph

Review in Critical reviews in oncology/hematology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% 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

68 citing papers in PubMed, 1 synthesis or guideline pooled it, 164 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Metabolic dependencies of acute myeloid leukemia stem cells.International journal of hematology · 2024
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. mImmunity, inflammation and disease · 2024
    Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Review

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

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

10 authors at 2 institutions in 2 countries.

Gevorg TamamyanUniversity of Texas MD Anderson Cancer Center, Department of Leukemia, 1515 Holcombe Blvd, 77030, Houston, TX, USA; Yerevan State Medical University, Department of Oncology, 114 Muratsan St., 0075, Yerevan, Armenia. Electronic address: gevorgtamamyan@gmail.com.
Tapan KadiaUniversity of Texas MD Anderson Cancer Center, Department of Leukemia, 1515 Holcombe Blvd, 77030, Houston, TX, USA.
Farhad RavandiUniversity of Texas MD Anderson Cancer Center, Department of Leukemia, 1515 Holcombe Blvd, 77030, Houston, TX, USA.
Gautam BorthakurUniversity of Texas MD Anderson Cancer Center, Department of Leukemia, 1515 Holcombe Blvd, 77030, Houston, TX, USA.
Jorge CortesUniversity of Texas MD Anderson Cancer Center, Department of Leukemia, 1515 Holcombe Blvd, 77030, Houston, TX, USA.
Elias JabbourUniversity of Texas MD Anderson Cancer Center, Department of Leukemia, 1515 Holcombe Blvd, 77030, Houston, TX, USA.
Naval DaverUniversity of Texas MD Anderson Cancer Center, Department of Leukemia, 1515 Holcombe Blvd, 77030, Houston, TX, USA.
Maro OhanianUniversity of Texas MD Anderson Cancer Center, Department of Leukemia, 1515 Holcombe Blvd, 77030, Houston, TX, USA.
Hagop KantarjianUniversity of Texas MD Anderson Cancer Center, Department of Leukemia, 1515 Holcombe Blvd, 77030, Houston, TX, USA.
Marina KonoplevaUniversity of Texas MD Anderson Cancer Center, Department of Leukemia, 1515 Holcombe Blvd, 77030, Houston, TX, USA.
The University of Texas MD Anderson Cancer Center · USYerevan State Medical University · AM

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Recent years have highlighted significant progress in understanding the underlying genetic and epigenetic signatures of acute myeloid leukemia(AML). Most importantly, novel chemotherapy and targeted strategies have led to improved outcomes in selected genetic subsets. AML is a remarkably heterogeneous disease, and individualized therapies for disease-specific characteristics (considering patients' age, cytogenetics, and mutations) could yield better outcomes. Compared with the historical 5-to 10-year survival rate of 10%, the survival of patients who undergo modern treatment approaches reaches up to 40-50%, and for specific subsets, the improvements are even more dramatic; for example, in acute promyelocytic leukemia, the use of all-trans retinoic acid and arsenic trioxide improved survival from 30 to 40% up to 80 to 90%. Similar progress has been documented in core-binding-factor-AML, with an increase in survival from 30% to 80% upon the use of high-dose cytarabine/fludarabine/granulocyte colony-stimulating factor combination regimens. AML treatment was also recently influenced by the discovery of the superiority of regimens with higher dose Ara-C and nucleoside analogues compared with the "7+3"regimen, with about a 20% improvement in overall survival. Despite these significant differences, most centers continue to use the "7+3" regimen, and greater awareness will improve the outcome. The discovery of targetable molecular abnormalities and recent studies of targeted therapies (gemtuzumab ozagomycin, FLT3 inhibitors, isocitrate dehydrogenase inhibitors, and epigenetic therapies), future use of checkpoint inhibitors and other immune therapies such as chimeric antigen receptor T-cells, and maintenance strategies based on the minimal residual disease evaluation represent novel, exciting clinical leads aimed to improve AML outcomes in the near future.

Indexed as

AdultAnimalsAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsHumansLeukemia, Myeloid, AcutePrognosisSurvival RateAntineoplastic AgentsAcute myeloid leukemiaFrontline treatmentHigh dose Ara-CNucleoside analogues

Identifiers

PMID28109402
PMCPMC5410376
OpenAlexW2560346983

What OpenQuestion holds

Textmetadata
LicenceTDM
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.