Evidence map›Paper›PMID 29542029›Full record

ArticleInternational journal of hematology2018

Clofarabine followed by haploidentical stem cell transplant using fludarabine, busulfan, and total-body irradiation with post-transplant cyclophosphamide in non-remission AML.

Kevin Rakszawski, Kosuke Miki, David Claxton, Henry Wagner, Hiroko Shike, Shin Mineishi, Seema Naik

Abstract readCase Reports
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In one paragraph

Article in International journal of hematology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

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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

7 authors at 2 institutions in 2 countries.

Kevin RakszawskiDepartment of Medicine, Division of Hematology/Oncology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA. krakszawski@pennstatehealth.psu.edu.ORCID http://orcid.org/0000-0001-7441-9531
Kosuke MikiSchool of Medicine, University of Tsukuba, Tsukuba, Japan.
David ClaxtonDepartment of Medicine, Division of Hematology/Oncology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Henry WagnerDivision of Radiation Oncology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Hiroko ShikeDepartment of Pathology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Shin MineishiDepartment of Medicine, Division of Hematology/Oncology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Seema NaikDepartment of Medicine, Division of Hematology/Oncology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Penn State Milton S. Hershey Medical Center · USUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Approximately 30-40% of patients with acute myeloid leukemia (AML) experience induction failures. In these patients who do not achieve remission with two cycles of standard induction therapies, the probability of achieving remission with subsequent inductions is very limited. Hematopoietic stem cell transplantation (HSCT) is the only curative option for these patients, but high relapse rate and transplant-related mortality often preclude them to proceed to transplant. Thus, AML not in remission at time of HSCT remains a huge unmet need in current HSCT practice, particularly if the patient does not have an HLA-matched donor identified by the time of two induction failures. We used clofarabine cytoreduction immediately followed by fludarabine (Flu) and busulfan (Bu) × 3 with total-body irradiation (TBI) conditioning (Flu/Bu3/TBI) for haploidentical peripheral blood stem cell transplant with post-transplant cyclophosphamide for two cases of refractory AML with a very high tumor burden at transplant and achieved complete remission by day + 30 in both cases.

Indexed as

Adenine NucleotidesAdultArabinonucleosidesBusulfanClofarabineCombined Modality TherapyCyclophosphamideHematopoietic Stem Cell TransplantationHumansImmunosuppressive AgentsLeukemia, Myeloid, AcuteMaleRemission InductionTransplantation ConditioningTransplantation, HaploidenticalTreatment OutcomeAdenine NucleotidesArabinonucleosidesBusulfanClofarabineCyclophosphamidefludarabineImmunosuppressive AgentsVidarabineAMLInduction failureTransplantation

Identifiers

PMID29542029
OpenAlexW2790024202

What OpenQuestion holds

Textmetadata
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.