Evidence map›Paper›PMID 28556489›Full record

Trial reportAmerican journal of hematology2017

Factors associated with risk of central nervous system relapse in patients with non-core binding factor acute myeloid leukemia.

Elias Jabbour, Naval Guastad Daver, Nicholas James Short, Xuelin Huang, Hsiang-Chun Chen, Abhishek Maiti, Farhad Ravandi, Jorge Cortes, Simon Abi Aad, Guillermo Garcia-Manero and 9 more

Abstract readClinical Trial
In one paragraph

Trial report in American journal of hematology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Disease course ofHaematologica · 2026
    Article
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  5. Review
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  15. Which FLT3 Inhibitor for Treatment of AML?Current treatment options in oncology · 2022
    Review
  16. Review
  17. Article
  18. 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

19 authors.

Elias JabbourDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.ORCID http://orcid.org/0000-0003-4465-6119
Naval Guastad DaverDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.
Nicholas James ShortDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.ORCID http://orcid.org/0000-0002-2983-2738
Xuelin HuangDepartments of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.
Hsiang-Chun ChenDepartments of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.
Abhishek MaitiDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.
Farhad RavandiDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.
Jorge CortesDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.
Simon Abi AadDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.
Guillermo Garcia-ManeroDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.
Zeev EstrovDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.
Tapan KadiaDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.
Susan O'BrienDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.
Bouthaina DabajaDepartments of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.
Carlos Bueso-RamosDepartments of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.
Paolo StratiDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.ORCID http://orcid.org/0000-0002-7445-1459
Carol BivinsDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.
Sherry PierceDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.
Hagop KantarjianDepartments of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030.ORCID http://orcid.org/0000-0002-1908-3307

Funding

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

Abstract

Central nervous system (CNS) relapse is uncommon in patients with acute myeloid leukemia (AML) with the use of high-dose cytarabine containing chemotherapy regimens. The clinical and molecular features associated with a higher risk of CNS relapse are not well defined. We assessed the incidence and outcome of CNS relapses among 1245 patients with relapsed/refractory AML referred to our institution between 2000 and 2014. CNS leukemia relapse was observed in 51 patients (4.1%). Using a multivariate regression model and after adjusting for age, FLT3-ITD mutation (OR = 2.33; P = .02) and elevated LDH (>1000 IU/L, OR = 1.99; P = .04) were independent predictive factors for CNS relapse. Patients under 64 years of age with 0, 1, or 2 baseline adverse features had a probability of 3.8%, 7.0%-8.0%, and 13.9% for developing CNS disease, respectively. Our study identifies patients with AML at higher risk for CNS relapse in whom prophylactic CNS therapy may be warranted.

Indexed as

Leukemia, Myeloid, AcuteMutationAgedAged, 80 and overAge FactorsCentral Nervous System NeoplasmsFemalefms-Like Tyrosine Kinase 3HumansMaleRecurrenceRisk FactorsFLT3 protein, humanfms-Like Tyrosine Kinase 3

Identifiers

PMID28556489
PMCPMC5901967

What OpenQuestion holds

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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.