Evidence map›Paper›PMID 30710101›Full record

ArticleBone marrow transplantation2019

FLT3 internal tandem duplication does not impact prognosis after haploidentical allogeneic hematopoietic stem cell transplantation in AML patients.

Yuan-Yuan Zhang, Xiao-Dong Mo, Xiao-Hui Zhang, Lan-Ping Xu, Yu Wang, Chen-Hua Yan, Huan Chen, Yu-Hong Chen, Wei Han, Feng-Rong Wang and 4 more

Abstract read
PubMed Publisher
In one paragraph

Article in Bone marrow transplantation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
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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

14 authors at 1 institution in 2 countries.

Yuan-Yuan ZhangPeking University People's Hospital, Peking University Institute of Hematology, Beijing, P.R. China.
Xiao-Dong MoPeking University People's Hospital, Peking University Institute of Hematology, Beijing, P.R. China.
Xiao-Hui ZhangPeking University People's Hospital, Peking University Institute of Hematology, Beijing, P.R. China.
Lan-Ping XuPeking University People's Hospital, Peking University Institute of Hematology, Beijing, P.R. China.
Yu WangPeking University People's Hospital, Peking University Institute of Hematology, Beijing, P.R. China.
Chen-Hua YanPeking University People's Hospital, Peking University Institute of Hematology, Beijing, P.R. China.
Huan ChenPeking University People's Hospital, Peking University Institute of Hematology, Beijing, P.R. China.
Yu-Hong ChenPeking University People's Hospital, Peking University Institute of Hematology, Beijing, P.R. China.
Wei HanPeking University People's Hospital, Peking University Institute of Hematology, Beijing, P.R. China.
Feng-Rong WangPeking University People's Hospital, Peking University Institute of Hematology, Beijing, P.R. China.
Jing-Zhi WangPeking University People's Hospital, Peking University Institute of Hematology, Beijing, P.R. China.
Yu-Qian SunPeking University People's Hospital, Peking University Institute of Hematology, Beijing, P.R. China.
Kai-Yan LiuPeking University People's Hospital, Peking University Institute of Hematology, Beijing, P.R. China.
Xiao-Jun HuangPeking University People's Hospital, Peking University Institute of Hematology, Beijing, P.R. China. huangxiaojun@bjmu.edu.cn.ORCID http://orcid.org/0000-0002-2145-6643
Peking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute myelogenous leukemia (AML) patients with fetal liver tyrosine kinase 3 (FLT3) internal tandem duplications (ITDs) have poor prognoses if treated with chemotherapy only, primarily as they experience increased relapse rates. To determine whether this alteration also affects outcomes after haploidentical donor (HID) allogeneic hematopoietic stem cell transplantation (allo-HSCT), we compared 334 consecutive FLT3-ITD-positive vs -negative patients with AML (other than acute promyelocytic leukemia) who underwent HID-HSCT. FLT3-ITD was detected in 39 of 334 patients (11.7%). The 2-year relapse rates for FLT3-ITD-positive and -negative patients were 16% and 17%, respectively (P = 0.774). The 3-year disease-free survival (DFS) rates for FLT3-ITD-positive and -negative patients were 74% (95% confidence interval [CI]: 64-81) and 73% (95% CI: 70-81), respectively; P = 0.872); while the 3-year overall survival (OS) rates were 72% (95% CI: 67-81) and 77% (95% CI: 72-84), respectively (P = 0.862). FLT3-ITD mutation had no influence on non-relapse mortality (NRM 15% vs 14%, P = 0.463). Multivariate analyses showed that disease status at HSCT and white blood cell count at diagnosis were independent risk factors associated with relapse, DFS, and OS. In conclusion, FLT3 mutation status has no impact on outcomes after HID-HSCT in patients with AML. HID-HSCT is therefore a valid option for AML patients with FLT3-ITD mutation.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Promyelocytic, AcuteMutationAdolescentAdultAgedAllograftsChildChild, PreschoolDisease-Free SurvivalFemalefms-Like Tyrosine Kinase 3Follow-Up StudiesHumansMaleMiddle AgedFLT3 protein, humanfms-Like Tyrosine Kinase 3

Identifiers

PMID30710101
OpenAlexW2913020977

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.