Evidence map›Paper›PMID 29450465›Full record

ReviewJAMA oncology2018

Pediatric-Inspired Treatment Regimens for Adolescents and Young Adults With Philadelphia Chromosome-Negative Acute Lymphoblastic Leukemia: A Review.

Stuart E Siegel, Wendy Stock, Rebecca H Johnson, Anjali Advani, Lori Muffly, Dan Douer, Damon Reed, Mark Lewis, David R Freyer, Bijal Shah and 7 more

Open access · greenAbstract readReview
In one paragraph

Review in JAMA oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 3 pooled it
15.6field-weighted citation impact, top 1% 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

94 citing papers in PubMed, 3 syntheses or guidelines pooled it, 164 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Causes of Inferior Outcome in Adolescents and Young Adults with Acute Lymphoblastic Leukemia: Across Oncology Services and Regardless of Clinical Trial Enrollment.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018
    Trial
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Asperginase-based chemotherapy regimen for acute lymphoblastic leukemia: A cohort study with promising outcomes on adults.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2026
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review

34 more citing papers are in PubMed but not listed here.

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

17 authors at 13 institutions in 1 country.

Stuart E SiegelCritical Mass Young Adult Cancer Alliance.
Wendy StockAlliance for Clinical Trials in Oncology (National Cancer Institute-Sponsored National Clinical Trials Network Cooperative Group).
Rebecca H JohnsonSWOG (National Cancer Institute-Sponsored National Clinical Trials Network Cooperative Group).
Anjali AdvaniSWOG (National Cancer Institute-Sponsored National Clinical Trials Network Cooperative Group).
Lori MufflySWOG (National Cancer Institute-Sponsored National Clinical Trials Network Cooperative Group).
Dan DouerECOG-ACRIN Cancer Research Group (National Cancer Institute-Sponsored National Clinical Trials Network Cooperative Group).
Damon ReedNational Pediatric Cancer Foundation, Tampa, Florida.
Mark LewisSWOG (National Cancer Institute-Sponsored National Clinical Trials Network Cooperative Group).
David R FreyerChildren's Oncology Group (National Cancer Institute-Sponsored National Clinical Trials Network Cooperative Group).
Bijal ShahSWOG (National Cancer Institute-Sponsored National Clinical Trials Network Cooperative Group).
Selina LugerECOG-ACRIN Cancer Research Group (National Cancer Institute-Sponsored National Clinical Trials Network Cooperative Group).
Brandon Hayes-LattinSWOG (National Cancer Institute-Sponsored National Clinical Trials Network Cooperative Group).
Jerry J JaboinDepartment of Radiation Medicine, Oregon Health and Science University, Portland.
Peter F CocciaChildren's Oncology Group (National Cancer Institute-Sponsored National Clinical Trials Network Cooperative Group).
Daniel J DeAngeloAlliance for Clinical Trials in Oncology (National Cancer Institute-Sponsored National Clinical Trials Network Cooperative Group).
Nita SeibelSWOG (National Cancer Institute-Sponsored National Clinical Trials Network Cooperative Group).
Archie BleyerSWOG (National Cancer Institute-Sponsored National Clinical Trials Network Cooperative Group).
North Central Cancer Treatment Group · USAlliance for Clinical Trials in Oncology · USOregon Health & Science University · USBreast Cancer Alliance · USECOG-ACRIN Cancer Research Group · USIntermountain Healthcare · USMary Bridge Children's Health Center · USMoffitt Cancer Center · USPediatric Cancer Foundation · USStanford University · USUniversity of Nebraska Medical Center · USUniversity of Pennsylvania · USUniversity of Southern California · US

Funding

SWOG Network Group Operations Center of the NCTNU10CA180888 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI PRIMO N. LARA · 2014 to 2026
$152.1M
NCI NIH HHS U10 CA180888
6 · The paper itself

Abstract

Importance: The incidence of acute lymphoblastic leukemia (ALL) and lymphoblastic lymphoma (LBL) in adolescent and young adult (AYA) patients (age range, 15-39 years) in the United States is increasing at a greater rate than in younger or older persons. Their optimal treatment has been increasingly debated as pediatric regimens have become more widely used in the age group. This review compares the basic features of pediatric and adult chemotherapy regimens for ALL and LBL, recognizes and describes the challenges of the pediatric regimen, and suggests strategies to facilitate its adoption for AYAs with ALL and LBL. Observations: All but 2 of 25 published comparisons of outcomes with pediatric and adult regimens for ALL and LBL in AYAs and 1 meta-analysis favor the pediatric regimen. After more than a half-century of clinical trials of the pediatric regimens, including at least 160 phase 3 trials in the United States, the pediatric regimens have become far more complex than most adult regimens. Asparaginase, a critical component of the pediatric regimens, is more difficult to administer to AYAs (and older patients) but nonetheless has a favorable benefit to toxicity ratio for AYAs. A dramatic reduction in outcome of ALL and LBL during the AYA years (the "survival cliff") is coincident with similar reductions in proportions of AYAs referred to academic centers and enrolled on clinical trials (the "accrual cliff" and "referral cliff"). Conclusions and Relevance: The accumulating data increasingly support treating AYAs with ALL and LBL with a pediatric-inspired regimen or an approved institutional or national clinical trial tailored for this patient group. A need to develop clinical trials specifically for AYAs and to encourage their participation is paramount, with a goal to improve both the quantity and quality of survival.

Indexed as

AdolescentAge FactorsCombined Modality TherapyDisease ManagementHumansPractice Guidelines as TopicPrecursor Cell Lymphoblastic Leukemia-LymphomaTreatment OutcomeYoung Adult

Identifiers

PMID29450465
PMCPMC7534395
OpenAlexW2788285407

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.