Evidence map›Paper›PMID 28616699›Full record

ArticleInternational journal of hematology2017

FLT3-ITD with DNMT3A R882 double mutation is a poor prognostic factor in Chinese patients with acute myeloid leukemia after chemotherapy or allogeneic hematopoietic stem cell transplantation.

Shanhao Tang, Hongjie Shen, Xinliang Mao, Haiping Dai, Xiaming Zhu, Shengli Xue, Zixuan Ding, Jing Lu, Depei Wu, Xiaowen Tang

Abstract read
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In one paragraph

Article in International journal of hematology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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.

Shanhao TangDepartment of Hematology, Yinzhou People Hospital, 251th, Baizhang East Road, Ningbo, 315040, China.
Hongjie ShenDepartment of Hematology, The First Affiliated Hospital of Soochow University, Jiangsu Institute of Hematology, 188 Shizi Road, Suzhou, 215006, China.
Xinliang MaoDepartment of Pharmacology, College of Pharmaceutical Sciences, Soochow University, Suzhou, 215123, Jiangsu, China.
Haiping DaiDepartment of Hematology, The First Affiliated Hospital of Soochow University, Jiangsu Institute of Hematology, 188 Shizi Road, Suzhou, 215006, China.
Xiaming ZhuDepartment of Hematology, The First Affiliated Hospital of Soochow University, Jiangsu Institute of Hematology, 188 Shizi Road, Suzhou, 215006, China.
Shengli XueDepartment of Hematology, The First Affiliated Hospital of Soochow University, Jiangsu Institute of Hematology, 188 Shizi Road, Suzhou, 215006, China.
Zixuan DingDepartment of Hematology, The First Affiliated Hospital of Soochow University, Jiangsu Institute of Hematology, 188 Shizi Road, Suzhou, 215006, China.
Jing LuDepartment of Hematology, The First Affiliated Hospital of Soochow University, Jiangsu Institute of Hematology, 188 Shizi Road, Suzhou, 215006, China.
Depei WuDepartment of Hematology, The First Affiliated Hospital of Soochow University, Jiangsu Institute of Hematology, 188 Shizi Road, Suzhou, 215006, China. wudepei@medmail.com.cn.
Xiaowen TangDepartment of Hematology, The First Affiliated Hospital of Soochow University, Jiangsu Institute of Hematology, 188 Shizi Road, Suzhou, 215006, China. xwtang1020@163.com.

Funding

Academic Program Development of Jiangsu Higher Education Institutions (PAPD) and The national key research and development program 2016YFC0902800Applied basic research of Suzhou science and technology progra SYS201457Innovation Capability Development Project of Jiangsu Province BM2015004National Natural Science Foundation of China 81100372National Natural Science Foundation of China 81100390National Natural Science Foundation of China 81270645National Natural Science Foundation of China 81470346
6 · The paper itself

Abstract

To investigate clinical characteristics and outcomes of transplantation in AML patients with FLT3-ITD/DNMT3A double mutation, we retrospectively analyzed 206 Chinese patients with AML after Sanger sequencing. Our analysis showed that AML patients with FLT3-ITD and DNMT3A R882 mutations had a higher white blood cell count and a lower complete remission (CR) rate after first induction chemotherapy. All 206 patients received allogeneic hematopoietic stem cell transplantation (allo-HSCT) in status of CR. These results indicate that AML patients with FLT3-ITD and DNMT3A R882 double mutation show a higher 2-year cumulative incidence of relapse (CIR), lower 2-year overall survival (OS) rate, and lower 2-year leukocyte-free survival (LFS) after allo-HSCT. The univariate and multivariate analyses confirmed that disease status prior to transplantation, FLT3-ITD, FLT3-ITD, and DNMT3A R882 double mutation were independent factors for poor prognosis after allo-HSCT. In summary, the present cohort study demonstrated that FLT3-ITD and DNMT3A R882 double mutation predicts poor prognosis in Chinese AML patients receiving chemotherapy or allo-HSCT treatment.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteAdolescentAdultAllograftsAsian PeopleDisease-Free SurvivalDNA (Cytosine-5-)-MethyltransferasesDNA Methyltransferase 3AFemalefms-Like Tyrosine Kinase 3HumansMaleMiddle AgedSurvival RateDNA (Cytosine-5-)-MethyltransferasesDNA Methyltransferase 3ADNMT3A protein, humanFLT3 protein, humanfms-Like Tyrosine Kinase 3Acute myeloid leukemiaDNMT3A R882 mutationFLT3-ITD mutationHematopoietic stem cell transplantation

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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.