Evidence map›Paper›PMID 29266189›Full record

Trial reportCancer2018

Toxicity associated with intensive postinduction therapy incorporating clofarabine in the very high-risk stratum of patients with newly diagnosed high-risk B-lymphoblastic leukemia: A report from the Children's Oncology Group study AALL1131.

Wanda L Salzer, Michael J Burke, Meenakshi Devidas, Si Chen, Lia Gore, Eric C Larsen, Michael Borowitz, Brent Wood, Nyla A Heerema, Andrew J Carroll and 6 more

Erratum issuedOpen access · bronzeAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

32 citing papers in PubMed, 57 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 14 institutions in 1 country.

Wanda L SalzerUS Army Medical Research and Materiel Command, Fort Detrick, Maryland.ORCID 0000-0002-7820-9635
Michael J BurkeDepartment of Pediatrics, Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee, Wisconsin.
Meenakshi DevidasDepartment of Biostatistics, Colleges of Medicine and Public Health & Health Professions, University of Florida, Gainesville, Florida.
Si ChenDepartment of Biostatistics, Colleges of Medicine and Public Health & Health Professions, University of Florida, Gainesville, Florida.
Lia GoreCenter for Cancer and Blood Disorders, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado.
Eric C LarsenMaine Children's Cancer Program, Scarborough, Maine.
Michael BorowitzDepartment of Pathology, Johns Hopkins Medical Institutions, Baltimore, Maryland.
Brent WoodDepartment of Laboratory Medicine, University of Washington, Seattle, Washington.
Nyla A HeeremaDepartment of Pathology, Ohio State University School of Medicine, Columbus, Ohio.
Andrew J CarrollDepartment of Genetics, University of Alabama at Birmingham, Birmingham, Alabama.
Joanne M HildenChildren's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado.
Mignon L LohDepartment of Pediatrics, Benioff Children's Hospital, University of California at San Francisco, San Francisco, California.
Elizabeth A RaetzDepartment of Pediatrics, University of Utah, Salt Lake City, Utah.
Naomi J WinickDepartment of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas.
William L CarrollDepartment of Pediatrics, Perlmutter Cancer Center, New York University Medical Center, New York, New York.
Stephen P HungerChildren's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Children's Hospital Colorado · USUniversity of Florida · USChildren's Hospital of Philadelphia · USChildren's Hospital of Wisconsin · USJohns Hopkins University · USNew England Cancer Specialists · USThe Ohio State University · USThe University of Texas Southwestern Medical Center · USUCSF Benioff Children's Hospital · USUnited States Army Medical Research and Development Command · USUniversity Medical Center · USUniversity of Alabama at Birmingham · USUniversity of Utah · USUniversity of Washington · US

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Jennifer A. Woyach · 1985 to 2026
$132.3M
NCI NIH HHS P30 CA016058NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899
6 · The paper itself

Abstract

backgroundChildren, adolescents, and young adults with very high-risk (VHR) B acute lymphoblastic leukemia (B-ALL) have poor outcomes, and novel therapies are needed for this subgroup. The AALL1131 study evaluated postinduction therapy using cyclophosphamide (CPM), etoposide (ETOP), and clofarabine (CLOF) for patients with VHR B-ALL.

methodsPatients who were 1 to 30 years old and had VHR B-ALL received modified Berlin-Frankfurt-Münster therapy after induction and were randomized to 1) CPM, cytarabine, mercaptopurine, vincristine (VCR), and pegaspargase (control arm), 2) CPM, ETOP, VCR, and pegaspargase (experimental arm 1), or 3) CPM, ETOP, CLOF (30 mg/m

resultsThe rates of grade 4/5 infections and grade 3/4 pancreatitis were significantly increased in experimental arm 2. The dose of CLOF was, therefore, reduced to 20 mg/m

conclusionsIn AALL1131, CLOF, administered with CPM and ETOP, was associated with unacceptable toxicity. Cancer 2018;124:1150-9. © 2017 American Cancer Society.

Indexed as

Acute Kidney InjuryAdolescentAdultAntineoplastic Combined Chemotherapy ProtocolsBacterial InfectionsChildChild, PreschoolClofarabineDisease-Free SurvivalDose-Response Relationship, DrugFemaleHumansInfantMalePancreatitisPrecursor Cell Lymphoblastic Leukemia-LymphomaClofarabineacutechildhoodclofarabinelymphoblastic leukemiatoxicity

Identifiers

PMID29266189
PMCPMC5839964
OpenAlexW2776787750

What OpenQuestion holds

Textmetadata
LicenceTDM
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.