Evidence map›Paper›PMID 29175379›Full record

Trial reportLeukemia research2018

Ex-vivo sensitivity profiling to guide clinical decision making in acute myeloid leukemia: A pilot study.

Ronan T Swords, Diana Azzam, Hassan Al-Ali, Ines Lohse, Claude-Henry Volmar, Justin M Watts, Aymee Perez, Ana Rodriguez, Fernando Vargas, Roy Elias and 11 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Leukemia research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 58 citations in OpenAlex.

  1. Trial
  2. Article
  3. Pandora's Box of AML: HowBiomedicines · 2025
    Review
  4. Drug Sensitivity Testing in Osteosarcoma: A Case Report.Current oncology (Toronto, Ont.) · 2025
    Article
  5. Case Report: Application ofFrontiers in oncology · 2025
    Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Tumor Genomic Profiling andThe journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2022
    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

21 authors at 2 institutions in 2 countries.

Ronan T SwordsDivision of Hematology/Oncology, Sylvester Comprehensive Cancer Center, University of Miami, FL, United States.
Diana AzzamCenter for Therapeutic Innovation, Miller School of Medicine, University of Miami, Miami, FL, United States; Department of Psychiatry and Behavioral Sciences, United States; Molecular Therapeutics Shared Resource, Sylvester Comprehensive Cancer Center, University of Miami, FL, United States.
Hassan Al-AliMolecular Therapeutics Shared Resource, Sylvester Comprehensive Cancer Center, University of Miami, FL, United States; Miami Project to Cure Paralysis, Miller School of Medicine, University of Miami, Miami, FL, United States; Department of Neurological Surgery, Miller School of Medicine, University of Miami, Miami, FL, United States; Peggy and Harold Katz Family Drug Discovery Center, Miller School of Medicine, University of Miami, Miami, FL, United States.
Ines LohseCenter for Therapeutic Innovation, Miller School of Medicine, University of Miami, Miami, FL, United States; Department of Psychiatry and Behavioral Sciences, United States; Molecular Therapeutics Shared Resource, Sylvester Comprehensive Cancer Center, University of Miami, FL, United States.
Claude-Henry VolmarCenter for Therapeutic Innovation, Miller School of Medicine, University of Miami, Miami, FL, United States; Department of Psychiatry and Behavioral Sciences, United States; Molecular Therapeutics Shared Resource, Sylvester Comprehensive Cancer Center, University of Miami, FL, United States.
Justin M WattsDivision of Hematology/Oncology, Sylvester Comprehensive Cancer Center, University of Miami, FL, United States.
Aymee PerezDivision of Hematology/Oncology, Sylvester Comprehensive Cancer Center, University of Miami, FL, United States.
Ana RodriguezDivision of Hematology/Oncology, Sylvester Comprehensive Cancer Center, University of Miami, FL, United States.
Fernando VargasDivision of Hematology/Oncology, Sylvester Comprehensive Cancer Center, University of Miami, FL, United States.
Roy EliasDivision of Hematology/Oncology, Sylvester Comprehensive Cancer Center, University of Miami, FL, United States.
Francisco VegaDivision of Hematology/Oncology, Sylvester Comprehensive Cancer Center, University of Miami, FL, United States.
Arthur ZelentDivision of Hematology/Oncology, Sylvester Comprehensive Cancer Center, University of Miami, FL, United States.
Shaun P BrothersCenter for Therapeutic Innovation, Miller School of Medicine, University of Miami, Miami, FL, United States; Department of Psychiatry and Behavioral Sciences, United States; Molecular Therapeutics Shared Resource, Sylvester Comprehensive Cancer Center, University of Miami, FL, United States.
Taher AbbasiCellworks Group Inc, San Jose, CA, United States.
Jonathan TrentDivision of Hematology/Oncology, Sylvester Comprehensive Cancer Center, University of Miami, FL, United States.
Shaukat RangwalaMOgene LC, St Louis, MO, United States.
Yehuda DeutschMemorial Health Care System, Miami, FL, United States.
Eibhlin ConneallyDepartment of Hematology, St. James's Hospital, Dublin, Ireland.
Leylah DrusboskyDivision of Hematology/Oncology, Department of Medicine, College of Medicine, University of Florida, Gainesville, FL, United States.
Christopher R CogleDivision of Hematology/Oncology, Department of Medicine, College of Medicine, University of Florida, Gainesville, FL, United States.
Claes WahlestedtCenter for Therapeutic Innovation, Miller School of Medicine, University of Miami, Miami, FL, United States; Department of Psychiatry and Behavioral Sciences, United States. Electronic address: cwahlestedt@med.miami.edu.
University of Florida · USSt. James's Hospital · IE

Funding

Development of Nociceptin Receptor Agonists for Post-Traumatic Stress DisorderR01MH110441 · NIMH · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI BROTHERS, SHAUN P · 2016 to 2019
$3.0M
Miami Clinical and Translational Science InstituteKL2TR000461 · NCATS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI SACCO, RALPH L. · 2012 to 2016
$2.1M
Epigenetic Signaling Pathways Contributing to Alcohol DependenceR01AA023781 · NIAAA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI HEILIG, MARKUS ALEXANDER, WAHLESTEDT, CLAES ROBERT · 2015 to 2019
$2.1M
Small Molecule Identification for the Nociceptin Receptor to Treat Cocaine AbuseR01DA035055 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI WAHLESTEDT, CLAES ROBERT · 2012 to 2016
$1.7M
Upregulation of Iduronidase Enzyme in MPSI DiseaseR01NS092671 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI BROTHERS, SHAUN P · 2016 to 2020
$1.7M
Long noncoding RNAs and chromatin regulation in cocaine addictionR21DA035592 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI WAHLESTEDT, CLAES ROBERT · 2014 to 2015
$381k
Unlocking the Therapeutic Potential of Retinoic Acid in Acute Myeloid LeukemiaR21CA202488 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI WATTS, JUSTIN M · 2016 to 2017
$367k
Assay Development Relating to the HTS of the Neuropeptide Y-Y2 ReceptorR21NS056950 · NINDS · SCRIPPS RESEARCH INSTITUTE, THE · PI WAHLESTEDT, CLAES ROBERT · 2006 to 2008
$264k
NCATS NIH HHS KL2 TR000461NCI NIH HHS R21 CA202488NIAAA NIH HHS R01 AA023781NIDA NIH HHS R01 DA035055NIDA NIH HHS R21 DA035592NIMH NIH HHS R01 MH110441NINDS NIH HHS R01 NS092671NINDS NIH HHS R21 NS056950
6 · The paper itself

Abstract

A precision medicine approach is appealing for use in AML due to ease of access to tumor samples and the significant variability in the patients' response to treatment. Attempts to establish a precision medicine platform for AML, however, have been unsuccessful, at least in part due to the use of small compound panels and having relatively slow turn over rates, which restricts the scope of treatment and delays its onset. For this pilot study, we evaluated a cohort of 12 patients with refractory AML using an ex vivo drug sensitivity testing (DST) platform. Purified AML blasts were screened with a panel of 215 FDA-approved compounds and treatment response was evaluated after 72h of exposure. Drug sensitivity scoring was reported to the treating physician, and patients were then treated with either DST- or non-DST guided therapy. We observed survival benefit of DST-guided therapy as compared to the survival of patients treated according to physician recommendation. Three out of four DST-treated patients displayed treatment response, while all of the non-DST-guided patients progressed during treatment. DST rapidly and effectively provides personalized treatment recommendations for patients with refractory AML.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsCells, CulturedClinical Decision-MakingDrug Screening Assays, AntitumorFemaleHumansLeukemia, Myeloid, AcuteMaleMiddle AgedPilot ProjectsPrecision MedicineYoung AdultAntineoplastic AgentsAcute myeloid leukemiaEx-vivo sensitivity screeningPrecision medicine

Identifiers

PMID29175379
PMCPMC5756519
OpenAlexW2767981711

What OpenQuestion holds

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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.