Evidence map›Paper›PMID 28138160›Full record

ArticleLeukemia2017

Impact of salvage regimens on response and overall survival in acute myeloid leukemia with induction failure.

M Wattad, D Weber, K Döhner, J Krauter, V I Gaidzik, P Paschka, M Heuser, F Thol, T Kindler, M Lübbert and 15 more

Abstract read
PubMed Publisher
In one paragraph

Article in Leukemia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
8.4field-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

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 116 citations in OpenAlex.

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4 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

25 authors at 17 institutions in 2 countries.

M WattadKliniken Essen Süd, Essen, Germany.
D WeberUniversity Hospital of Ulm, Ulm, Germany.
K DöhnerUniversity Hospital of Ulm, Ulm, Germany.
J KrauterHannover Medical School, Hannover, Germany.
V I GaidzikUniversity Hospital of Ulm, Ulm, Germany.
P PaschkaUniversity Hospital of Ulm, Ulm, Germany.
M HeuserHannover Medical School, Hannover, Germany.
F TholHannover Medical School, Hannover, Germany.
T KindlerUniversity Medical Center of Mainz, Mainz, Germany.
M LübbertUniversity Hospital of Freiburg, Freiburg, Germany.
H R SalihUniversity Hospital of Tübingen, Tübingen, Germany.
A KündgenUniversity Hospital of Düsseldorf, Düsseldorf, Germany.
H-A HorstUniversity Hospital of Kiel, Kiel, Germany.
P BrossartUniversity Hospital of Bonn, Bonn, Germany.
K GötzeUniversity Hospital of München, Munich, Germany.
D NachbaurUniversity Hospital of Innsbruck, Innsbruck, Austria.
C-H KöhneKlinikum Oldenburg, Oldenburg, Germany.
M RinghofferStädtisches Klinikum Karlsruhe, Karlsruhe, Germany.
G WulfUniversity Hospital of Göttingen, Göttingen, Germany.
G HeldUniversity Hospital of Saarland, Homburg, Germany.
H SalwenderAsklepios Klinik Altona, Hamburg, Germany.
A BennerDivision of Biostatistics, German Cancer Research Center Heidelberg, Heidelberg, Germany.
A GanserHannover Medical School, Hannover, Germany.
H DöhnerUniversity Hospital of Ulm, Ulm, Germany.
R F SchlenkUniversity Hospital of Ulm, Ulm, Germany.
University Hospital Ulm · DEMedizinische Hochschule Hannover · DEAsklepios Klinik Altona · DEDüsseldorf University Hospital · DEGerman Cancer Research Center · DEJohannes Gutenberg University Mainz · DEKiel University · DEKliniken Essen-Mitte · DEKlinikum Oldenburg · DEMünchen Klinik · DESaarland University · DEStädtisches Klinikum Karlsruhe · DEUniversitätsmedizin Göttingen · DEUniversity Children's Hospital Tübingen · DEUniversity Hospital Bonn · DEUniversity Hospital Innsbruck · ATUniversity Medical Center Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We evaluated the impact of salvage regimens and allogeneic hematopoietic cell transplantation (allo-HCT) in acute myeloid leukemia (AML) with induction failure. Between 1993 and 2009, 3324 patients with newly diagnosed AML were enrolled in 5 prospective treatment trials of the German-Austrian AML Study Group. After first induction therapy with idarubicin, cytarabine and etoposide (ICE), 845 patients had refractory disease. In addition, 180 patients, although responding to first induction, relapsed after second induction therapy. Of the 1025 patients with induction failure, 875 (median age 55 years) received intensive salvage therapy: 7+3-based (n=59), high-dose cytarabine combined with mitoxantrone (HAM; n=150), with all-trans retinoic acid (A; A-HAM) (n=247), with gemtuzumab ozogamicin and A (GO; GO-A-HAM) (n=140), other intensive regimens (n=165), experimental treatment (n=27) and direct allo-HCT (n=87). In patients receiving intensive salvage chemotherapy (n=761), response (complete remission/complete remission with incomplete hematological recovery (CR/CRi)) was associated with GO-A-HAM treatment (odds ratio (OR), 1.93; P=0.002), high-risk cytogenetics (OR, 0.62; P=0.006) and age (OR for a 10-year difference, 0.75; P<0.0001). Better survival probabilities were seen in an extended Cox regression model with time-dependent covariables in patients responding to salvage therapy (P<0.0001) and having the possibility to perform an allo-HCT (P<0.0001). FLT3 internal tandem duplication, mutated IDH1 and adverse cytogenetics were unfavorable factors for survival.

Indexed as

Salvage TherapyAdolescentAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsCombined Modality TherapyFemaleFollow-Up StudiesHematopoietic Stem Cell TransplantationHumansLeukemia, Myeloid, AcuteMaleMiddle AgedNeoplasm Recurrence, LocalNeoplasm Staging

Identifiers

PMID28138160
OpenAlexW2574728104

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.