Evidence map›Paper›PMID 28572161›Full record

Trial reportHaematologica2017

Ultrasensitive detection of acute myeloid leukemia minimal residual disease using single molecule molecular inversion probes.

Adam Waalkes, Kelsi Penewit, Brent L Wood, David Wu, Stephen J Salipante

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Haematologica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 35 citations in OpenAlex.

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  15. Methods of Detection of Measurable Residual Disease in AML.Current hematologic malignancy reports · 2017
    Review
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

5 authors at 1 institution in 1 country.

Adam WaalkesDepartment of Laboratory Medicine, University of Washington, Seattle, WA, USA.
Kelsi PenewitDepartment of Laboratory Medicine, University of Washington, Seattle, WA, USA.
Brent L WoodDepartment of Laboratory Medicine, University of Washington, Seattle, WA, USA.
David WuDepartment of Laboratory Medicine, University of Washington, Seattle, WA, USA.
Stephen J SalipanteDepartment of Laboratory Medicine, University of Washington, Seattle, WA, USA stevesal@uw.edu.
University of Washington · US

Funding

Advanced development and validation of targeted molecular counting methods for precise and ultrasensitive quantitation of low prevalence somatic mutationsR33CA192980 · NCI · UNIVERSITY OF WASHINGTON · PI SALIPANTE, STEPHEN J · 2015 to 2018
$1.3M
NCI NIH HHS R33 CA192980
6 · The paper itself

Abstract

The identification of minimal residual disease is the primary diagnostic finding which predicts relapse in patients treated for acute myeloid leukemia. Ultrasensitive detection of minimal residual disease would enable better patient risk stratification and could open opportunities for early therapeutic intervention. Herein we apply single molecule molecular inversion probe capture, a technology combining multiplexed targeted sequencing with error correction schemes based on molecular barcoding, in order to detect mutations identifying minimal residual disease with ultrasensitive and quantitative precision. We designed a single molecule molecular inversion probe capture panel spanning >50 kb and targeting 32 factors relevant to acute myeloid leukemia pathogenesis. We demonstrate linearity and quantitative precision over 100-fold relative abundance of mutant cells (1 in 100 to 1 in 1,500), with estimated error rates approaching 1 in 1,200 base pairs sequenced and maximum theoretical limits of detection exceeding 1 in 60,000 mutant alleles. In 3 of 4 longitudinally collected specimens from patients with acute myeloid leukemia, we find that single molecule molecular inversion probe capture detects somatic mutations identifying minimal residual disease at substantially earlier time points and with greater sensitivity than clinical diagnostic approaches used as current standard of care (flow cytometry and conventional molecular diagnosis), and identifies persisting neoplastic cells during clinical remission. In 2 patients, single molecule molecular inversion probe capture detected heterogeneous, subclonal acute myeloid leukemia populations carrying distinct mutational signatures. Single molecule molecular inversion probe technology uniquely couples scalable target enrichment with sequence read error correction, providing an integrated, ultrasensitive approach for detecting minimal residual disease identifying mutations.

Indexed as

AdultAgedFemaleHumansLeukemia, Myeloid, AcuteMaleMiddle AgedMolecular ProbesNeoplasm, ResidualMolecular Probes

Identifiers

PMID28572161
PMCPMC5685235
OpenAlexW2621024393

What OpenQuestion holds

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LicenceCC BY-NC
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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.