Evidence map›Paper›PMID 30120104›Full record

Trial reportBlood advances2018

Evaluation of induction chemotherapies after hypomethylating agent failure in myelodysplastic syndromes and acute myeloid leukemia.

Brian Ball, Rami S Komrokji, Lionel Adès, Mikkael A Sekeres, Amy E DeZern, Lisa Pleyer, Norbert Vey, Antonio Almeida, Ulrich Germing, Thomas Cluzeau and 4 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Blood advances, 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
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

13 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Review
  7. Venetoclax-containing regimens in acute myeloid leukemia.Therapeutic advances in hematology · 2021
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. High-risk MDS after HMAs.HemaSphere · 2019
    Article
  13. 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

14 authors at 12 institutions in 5 countries.

Brian BallDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Rami S KomrokjiMalignant Hematology Department, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL.
Lionel AdèsClinical Hematology, Centre Hospitalier Universitaire Saint-Louis and Paris 7 University, Paris, France.
Mikkael A SekeresLeukemia Program, Cleveland Clinic, Cleveland, OH.
Amy E DeZernDivision of Hematologic Malignancies, Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, MD.
Lisa PleyerDepartment of Hematology and Medical Oncology, Paracelsus Medical University Hospital Salzburg, Salzburg, Austria.
Norbert VeyInstitut Paoli-Calmettes, Marseille, France.
Antonio AlmeidaServiço de Hematologia, Instituto Português de Oncologia de Lisboa, Lisbon, Portugal.
Ulrich GermingDepartment of Hematology, Oncology, and Clinical Immunology, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Thomas CluzeauCentre Hospitalier Universitaire Nice, Nice, France.
Uwe PlatzbeckerUniversitätsklinikum Carl Gustav Carus, Dresden, Germany; and.
Steven D GoreHematology Department, Yale New Haven Hospital, New Haven, CT.
Pierre FenauxClinical Hematology, Centre Hospitalier Universitaire Saint-Louis and Paris 7 University, Paris, France.
Thomas PrebetHematology Department, Yale New Haven Hospital, New Haven, CT.
Université Paris Cité · FRYale New Haven Hospital · USCentre Hospitalier Universitaire de Nice · FRCleveland Clinic · USHeinrich Heine University Düsseldorf · DEInstitut Paoli-Calmettes · FRIPO Porto · PTJohns Hopkins University · USMemorial Sloan Kettering Cancer Center · USMoffitt Cancer Center · USParacelsus Medical University · ATUniversity Hospital Carl Gustav Carus · DE

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Hypomethylating agent (HMA) failure in acute myeloid leukemia (AML) and myelodysplastic syndromes (MDS) carries a poor prognosis with limited treatment options. Although intensive, remission induction chemotherapy is often used subsequently, in particular to bridge to allogeneic transplantation, it is not clear whether an advantage exists for any particular regimen. Based on an international collaboration, we retrospectively analyzed induction response rate and survival in 366 patients after HMA failure. Patients received 7+3, intermediate- to high-dose cytarabine (IDAC), or purine nucleoside analog-based regimens. For the MDS cohort (n = 307), the overall response rate (ORR) was 41%; median overall survival (OS) was 10.8 months, and 40% of responding patients bridged to allogeneic stem cell transplant (allo-SCT). For the AML cohort (n = 59), the ORR was 32%, OS 6 months, and 42% of responding patients bridged to allo-SCT. Prognostic factors for response in MDS included adverse cytogenetics (odds ratio [OR], 0.46,

Indexed as

Hematopoietic Stem Cell TransplantationInduction ChemotherapyMyelodysplastic SyndromesAdultAgedAged, 80 and overAllograftsCytarabineDisease-Free SurvivalFemaleHumansMaleMiddle AgedSurvival RateCytarabine

Identifiers

PMID30120104
PMCPMC6113613
OpenAlexW2885133725

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.