Evidence map›Paper›PMID 30117318›Full record

ArticleCancer medicine2018

Core-binding factor acute myeloid leukemia with t(8;21): Risk factors and a novel scoring system (I-CBFit).

Celalettin Ustun, Elizabeth Morgan, Erica E M Moodie, Sheeja Pullarkat, Cecilia Yeung, Sigurd Broesby-Olsen, Robert Ohgami, Young Kim, Wolfgang Sperr, Hanne Vestergaard and 36 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

13 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Mastocytosis.Nature reviews. Disease primers · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Prognostic Factors in Acute Myeloid Leukemia with t(8;21)/Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2022
    Article
  8. Article
  9. Article
  10. Review
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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

46 authors at 19 institutions in 6 countries.

Celalettin UstunDivision of Hematology, Oncology and Transplantation, Department of Medicine, University of Minnesota, Minneapolis, Minnesota.ORCID 0000-0001-6896-6213
Elizabeth MorganDepartment of Pathology, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Erica E M MoodieDepartment of Epidemiology, Biostatistics & Occupational Health, McGill University, Montreal, Quebec, Canada.
Sheeja PullarkatDepartment of Pathology, University of California, Los Angeles, California.
Cecilia YeungFred Hutchinson Cancer Research Center, Seattle, Washington.ORCID 0000-0001-6799-2022
Sigurd Broesby-OlsenDepartment of Dermatology and Allergy Centre, Odense Research Center for Anaphylaxis, Odense, Denmark.
Robert OhgamiDepartment of Pathology, Stanford University, Stanford, California.
Young KimDepartment of Pathology, City of Hope National Medical Center, Duarte, California.
Wolfgang SperrDivision of Hematology & Hemostaseology, Ludwig Boltzmann Cluster Oncology, Department of Internal Medicine I, Medical University of Vienna, Vienna, Austria.
Hanne VestergaardMastocytosis Center Odense University Hospital, Odense, Denmark.
Dong ChenDepartment of Pathology, Mayo Clinic, Rochester, Minnesota.
Philip M KluinDepartment of Pathology and Medical Biology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Michelle DolanDepartment of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, Minnesota.
Krzysztof MrózekThe Ohio State University Comprehensive Cancer Center, Columbus, Ohio.
David CzuchlewskiDepartment of Pathology, University of New Mexico, Albuquerque, New Mexico.
Hans-Peter HornyInstitute of Pathology, Ludwig-Maximilians-University, Munich, Germany.
Tracy I GeorgeDepartment of Pathology, University of New Mexico, Albuquerque, New Mexico.
Thomas Kielsgaard KristensenMastocytosis Center Odense University Hospital, Odense, Denmark.
Nam K KuDepartment of Pathology, University of California, Los Angeles, California.
Cecilia Arana YiDepartment of Pathology, University of New Mexico, Albuquerque, New Mexico.
Michael Boe MøllerMastocytosis Center Odense University Hospital, Odense, Denmark.
Guido MarcucciDivision of Hematology and HCT, City of Hope, Duarte, California.
Linda BaughnDepartment of Pathology, Mayo Clinic, Rochester, Minnesota.
Ana-Iris SchieferDepartment of Pathology, Medical University of Vienna, Vienna, Austria.
J R HilberinkDepartment of Pathology and Medical Biology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Vinod PullarkatDivision of Hematology and HCT, City of Hope, Duarte, California.
Ryan ShanleyBiostatistics and Bioinformatics, University of Minnesota, Minneapolis, Minnesota.
Jessica KohlschmidtThe Ohio State University Comprehensive Cancer Center, Columbus, Ohio.
Janie CoulombeDepartment of Epidemiology, Biostatistics & Occupational Health, McGill University, Montreal, Quebec, Canada.
Amandeep SalhotraDivision of Hematology and HCT, City of Hope, Duarte, California.
Lori SomaFred Hutchinson Cancer Research Center, Seattle, Washington.
Christina ChoDepartment of Medicine, Adult Bone Marrow Transplant Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Michael A LindenDepartment of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, Minnesota.
Cem AkinDepartment of Pathology, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Jason GotlibStanford Cancer Institute, School of Medicine, Stanford University, Stanford, California.
Gregor HoermannDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Jason HornickDepartment of Pathology, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Ryo NakamuraDivision of Hematology and HCT, City of Hope, Duarte, California.
Joachim DeegFred Hutchinson Cancer Research Center, Seattle, Washington.
Clara D BloomfieldThe Ohio State University Comprehensive Cancer Center, Columbus, Ohio.
Daniel WeisdorfDivision of Hematology, Oncology and Transplantation, Department of Medicine, University of Minnesota, Minneapolis, Minnesota.
Mark R LitzowDepartment of Internal Medicine and Division of Hematology, Mayo Clinic, Rochester, Minnesota.
Peter ValentDivision of Hematology & Hemostaseology, Ludwig Boltzmann Cluster Oncology, Department of Internal Medicine I, Medical University of Vienna, Vienna, Austria.
Gerwin HulsDepartment of Hematology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Miguel-Angel PeralesDepartment of Medicine, Adult Bone Marrow Transplant Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Gautam BorthakurDepartment of Leukemia, University of Texas M.D. Anderson Cancer Center, Houston, Texas.
University of Minnesota · USCity of Hope · USOdense University Hospital · DKBrigham and Women's Hospital · USThe Ohio State University · USUniversity Medical Center Groningen · NLUniversity of New Mexico · USUniversity of Washington · USLudwig Boltzmann Institute for Cardiovascular Research · ATMayo Clinic · USMcGill University Health Centre · CAMedical University of Vienna · ATMemorial Sloan Kettering Cancer Center · USUniversity of California, Los Angeles · USCity Of Hope National Medical Center · USLudwig-Maximilians-Universität München · DEStanford Medicine · USStanford University · USThe University of Texas MD Anderson Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Trial Design and Biostatistical Support CoreP01CA065493 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Mark J Osborn · 1995 to 2026
$48.2M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
NCATS NIH HHS UL1 TR002494NCI NIH HHS P01 CA065493NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundAlthough the prognosis of core-binding factor (CBF) acute myeloid leukemia (AML) is better than other subtypes of AML, 30% of patients still relapse and may require allogeneic hematopoietic cell transplantation (alloHCT). However, there is no validated widely accepted scoring system to predict patient subsets with higher risk of relapse.

methodsEleven centers in the US and Europe evaluated 247 patients with t(8;21)(q22;q22).

resultsComplete remission (CR) rate was high (92.7%), yet relapse occurred in 27.1% of patients. A total of 24.7% of patients received alloHCT. The median disease-free (DFS) and overall (OS) survival were 20.8 and 31.2 months, respectively. Age, KIT D816V mutated (11.3%) or nontested (36.4%) compared with KIT D816V wild type (52.5%), high white blood cell counts (WBC), and pseudodiploidy compared with hyper- or hypodiploidy were included in a scoring system (named I-CBFit). DFS rate at 2 years was 76% for patients with a low-risk I-CBFit score compared with 36% for those with a high-risk I-CBFit score (P < 0.0001). Low- vs high-risk OS at 2 years was 89% vs 51% (P < 0.0001).

conclusionsI-CBFit composed of readily available risk factors can be useful to tailor the therapy of patients, especially for whom alloHCT is not need in CR1 (ie, patients with a low-risk I-CBFit score).

Indexed as

Chromosomes, Human, Pair 21Chromosomes, Human, Pair 8Translocation, GeneticAdolescentAdultAgedAged, 80 and overChildChild, PreschoolCore Binding FactorsFemaleHumansLeukemia, Myeloid, AcuteMaleMiddle AgedRisk FactorsCore Binding Factorsacute myeloid leukemiacore-binding factordisease-free survivalKIT mutationpredictive valuerelapsescoring system

Identifiers

PMID30117318
PMCPMC6144246
OpenAlexW2886599486

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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.