Evidence map›Paper›PMID 29594922›Full record

Trial reportInternational journal of hematology2018

Intensification of induction therapy and prolongation of maintenance therapy did not improve the outcome of pediatric Langerhans cell histiocytosis with single-system multifocal bone lesions: results of the Japan Langerhans Cell Histiocytosis Study Group-02 Protocol Study.

Akira Morimoto, Yoko Shioda, Toshihiko Imamura, Kazuko Kudo, Toshiyuki Kitoh, Hiroshi Kawaguchi, Hiroaki Goto, Yoshiyuki Kosaka, Yukiko Tsunematsu, Shinsaku Imashuku and 1 more

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in International journal of hematology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07371182 (A Multi-center, Open-label, Single-arm Study of Luvometinib Monotherapy in Pediatric Langerhans Cell Histiocytosis With Single-system Special-site Single and Multifocal Bone Involvement), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.1field-weighted citation impact, top 23% 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.

NCT07371182 narecruitingnot on this mapstarted 2026, after this paper: background citation

A Multi-center, Open-label, Single-arm Study of Luvometinib Monotherapy in Pediatric Langerhans Cell Histiocytosis With Single-system Special-site Single and Multifocal Bone Involvement

TypeinterventionalSponsorWest China Second University HospitalRan2026 to 2030Enrolled62ConditionsLangerhans Cell Histiocytosis (LCH)ArmsLuvometinib
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Langerhans cell histiocytosis of the sella in a pediatric patient: case report with review of the literature.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Application ofContrast media & molecular imaging · 2022
    Article
  15. Case Report: DisseminatedFrontiers in pediatrics · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Review
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

11 authors at 7 institutions in 1 country.

Akira MorimotoDepartment of Pediatrics, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan. akira@jichi.ac.jp.ORCID http://orcid.org/0000-0002-9168-5409
Yoko ShiodaPediatric Cancer Center, National Center for Child Health and Development, Tokyo, Japan.
Toshihiko ImamuraDepartment of Pediatrics, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan.
Kazuko KudoDepartment of Pediatrics, Fujita Health University School of Medicine, Toyoake, Japan.
Toshiyuki KitohLaboratory of Pediatrics, Aichi Gakuin University School of Pharmacy, Nagoya, Japan.
Hiroshi KawaguchiDepartment of Pediatrics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan.
Hiroaki GotoDivision of Hematology/Oncology, Kanagawa Children's Medical Center, Yokohama, Japan.
Yoshiyuki KosakaDepartment of Hematology and Oncology, Children's Cancer Center, Hyogo Prefectural Kobe Children's Hospital, Kobe, Japan.
Yukiko TsunematsuDepartment of Pediatrics and Adolescent Medicine, Juntendo University School of Medicine, Tokyo, Japan.
Shinsaku ImashukuDepartment of Laboratory Medicine, Uji-Tokushukai Medical Center, Uji, Japan.
Japan LCH Study Group
Fujita Health University · JPHiroshima University · JPJichi Medical University · JPJuntendo University · JPKanagawa Children's Medical Center · JPKyoto Prefectural University of Medicine · JPSuita Tokushukai Hospital · JP

Funding

the Japan Agency for Medical Research and Development 15ek0109055h0202the Japan Agency for Medical Research and Development 16ek0109055h0203the Ministry of Health, Labor, and Welfare, Japan H-26-Gereral-068the Ministry of Health, Labor, and Welfare, Japan Research on Measures for Intractable Disease H24-General-076
6 · The paper itself

Abstract

Langerhans cell histiocytosis (LCH) with single-system (SS) multifocal bone (MFB) lesions is rarely fatal, but patients may experience relapses and develop LCH-associated sequelae. To evaluate effect on outcomes of pediatric multifocal LCH, we tested a treatment protocol modified from the Japan Langerhans Cell Histiocytosis Study Group (JLSG)-96 study. We assessed the outcomes of all consecutive newly diagnosed pediatric patients with LCH with SS-MFB lesions who were treated with JLSG-02 protocol in 2002-2009. JLSG-02 was modified from JLSG-96 as follows: increased prednisolone dosage at the induction phase and extension of maintenance therapy duration from 24 to 48 weeks. In total, 82 patients with a median follow-up duration of 8.0 years were eligible for analysis. At 6 weeks, 92.7% responded to induction; however, 27.6% of responders experienced relapses. In total, 4.8% developed central nervous system-related sequelae, including central diabetes insipidus and neurodegeneration, which were associated with relapse. None of the patients died. The 5-year event-free survival rates were not different between JLSG-02 and -96 cohort (66.7 vs. 65.1%; p = 0.697). Modification of previous treatment protocol did not contribute to improvement of outcomes in LCH with SS-MFB lesions.

Indexed as

AdolescentChildChild, PreschoolCohort StudiesDiabetes InsipidusFemaleFollow-Up StudiesHistiocytosis, Langerhans-CellHumansInduction ChemotherapyInfantMaintenance ChemotherapyMaleNeurodegenerative DiseasesPrednisoloneRecurrencePrednisoloneCentral diabetes insipidusChemotherapyLangerhans cell HistiocytosisMultifocal bone diseaseNeurodegeneration

Identifiers

PMID29594922
OpenAlexW2795139703

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.