Evidence map›Paper›PMID 29991700›Full record

Trial reportBritish journal of cancer2018

Long-term outcomes of the GPOH NB97 trial for children with high-risk neuroblastoma comparing high-dose chemotherapy with autologous stem cell transplantation and oral chemotherapy as consolidation.

Frank Berthold, Angela Ernst, Barbara Hero, Thomas Klingebiel, Bernhard Kremens, Freimut H Schilling, Thorsten Simon

Erratum issuedOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of 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 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.6field-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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Pediatric high risk neuroblastoma with autologous stem cell transplant - 20 years of experience.International journal of pediatrics & adolescent medicine · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Risk Factors for Transplant-Associated Thrombotic Microangiopathy after Autologous Hematopoietic Cell Transplant in High-Risk Neuroblastoma.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Frank BertholdChildren's Hospital, University of Cologne, Cologne, Germany. frank.berthold@uk-koeln.de.
Angela ErnstInstitute of Medical Statistics and Bioinformatics, University of Cologne, Cologne, Germany.
Barbara HeroChildren's Hospital, University of Cologne, Cologne, Germany.
Thomas KlingebielChildren's Hospital, University of Frankfurt, Frankfurt, Germany.
Bernhard KremensChildren's Hospital, University of Essen, Essen, Germany.
Freimut H SchillingChildren's Hospital, Olgahospital, Stuttgart, Germany.
Thorsten SimonChildren's Hospital, University of Cologne, Cologne, Germany.
University Hospital Cologne · DEEssen University Hospital · DEOlgahospital · DEUniversity Hospital Frankfurt · DEUniversity of Cologne · DE

Funding

Deutsche Kinderkrebsstiftung (German Childhood Cancer Foundation) 96.06 and 99.03Deutsche Krebshilfe (German Cancer Aid) 70-2290-Be
6 · The paper itself

Abstract

backgroundThis study was done to investigate the long-term event free and overall survival of high-dose chemotherapy followed by autologous stem cell transplantation (ASCT), compared to maintenance chemotherapy (MT). Patterns of recurrences and late sequelae of both arms were analysed.

methodsA randomised open label trial was conducted nationwide during 1997-2004 in Germany and Switzerland. 295 patients with high-risk neuroblastoma were randomly assigned to high-dose chemotherapy with autologous stem cell transplantation (ASCT) or maintenance chemotherapy (MT) for consolidation. Analyses were done by intention-to-treat (ITT: ASCT/MT N = 149/146), as treated (AT: N = 110/102), and treated as randomised (TAR: N = 75/70).

resultsThe event free survival was superior for the patients receiving ASCT compared to patients treated with MT in all three cohorts (hazard ratio [HR] for ITT 1.39, 95% confidence interval (CI) 1.05-1.85, P = 0.022, HR for AT 1.75, CI 1.24-2.47, P = 0.001; HR for TAR 2.07, CI 1.36-3.16, P = 0.001). Overall survival was also in favour of the ASCT groups (ITT: P = 0.075; AT: P = 0.017; TAR: P = 0.005). The frequencies of late sequelae were not different except for focal nodular hyperplasia of the liver observed more frequently in the ASCT arm.

conclusionsHigh-dose chemotherapy with autologous stem cell transplantation had a better long-term outcome compared to maintenance chemotherapy.

Indexed as

Transplantation, AutologousAdolescentAdultChildChild, PreschoolCombined Modality TherapyCyclophosphamideDisease-Free SurvivalFemaleGermanyHematopoietic Stem Cell TransplantationHumansInfantMaintenance ChemotherapyMaleNeoplasm Recurrence, LocalCyclophosphamide

Identifiers

PMID29991700
PMCPMC6068129
OpenAlexW2811037908

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.