Evidence map›Paper›PMID 30733271›Full record

Trial reportHaematologica2019

A phase II study of guadecitabine in higher-risk myelodysplastic syndrome and low blast count acute myeloid leukemia after azacitidine failure.

Marie Sébert, Aline Renneville, Cécile Bally, Pierre Peterlin, Odile Beyne-Rauzy, Laurence Legros, Marie-Pierre Gourin, Laurence Sanhes, Eric Wattel, Emmanuel Gyan and 15 more

Open access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Haematologica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
5.7field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
  2. Review
  3. Therapy of high-risk myelodysplastic syndromes.Bone marrow transplantation · 2026
    Review
  4. Article
  5. Epigenetics-targeted drugs: current paradigms and future challenges.Signal transduction and targeted therapy · 2024
    Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Molecular Targeted Therapy and Immunotherapy for Myelodysplastic Syndrome.International journal of molecular sciences · 2021
    Review
  15. Mutations in chronic myelomonocytic leukemia and their prognostic relevance.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. 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

25 authors at 7 institutions in 1 country.

Marie SébertGroupe Francophone des Myélodysplasies, Paris, France.
Aline RennevilleLaboratoire d'Hématologie, CHU de Lille, France.
Cécile BallyHématologie Clinique, Hôpital Saint Louis, Paris, France.
Pierre PeterlinGroupe Francophone des Myélodysplasies, Paris, France.
Odile Beyne-RauzyGroupe Francophone des Myélodysplasies, Paris, France.
Laurence LegrosGroupe Francophone des Myélodysplasies, Paris, France.
Marie-Pierre GourinGroupe Francophone des Myélodysplasies, Paris, France.
Laurence SanhesGroupe Francophone des Myélodysplasies, Paris, France.
Eric WattelGroupe Francophone des Myélodysplasies, Paris, France.
Emmanuel GyanGroupe Francophone des Myélodysplasies, Paris, France.
Sophie ParkGroupe Francophone des Myélodysplasies, Paris, France.
Aspasia StamatoullasGroupe Francophone des Myélodysplasies, Paris, France.
Anne BanosGroupe Francophone des Myélodysplasies, Paris, France.
Kamel LaribiGroupe Francophone des Myélodysplasies, Paris, France.
Simone JueligerAstex Pharmaceuticals Inc., Cambridge, UK.
Luke BevanAstex Pharmaceuticals Inc., Cambridge, UK.
Fatiha ChermatGroupe Francophone des Myélodysplasies, Paris, France.
Rosa SapenaGroupe Francophone des Myélodysplasies, Paris, France.
Olivier NibourelLaboratoire d'Hématologie, CHU de Lille, France.
Cendrine ChaffautService de Biostatistiques, Hôpital Saint-Louis, APHP, Paris, France.
Sylvie ChevretService de Biostatistiques, Hôpital Saint-Louis, APHP, Paris, France.
Claude PreudhommeLaboratoire d'Hématologie, CHU de Lille, France.
Lionel AdèsGroupe Francophone des Myélodysplasies, Paris, France.
Pierre FenauxGroupe Francophone des Myélodysplasies, Paris, France pierre.fenaux@aphp.fr.
Groupe Francophone des Myélodysplasies (GFM)
Groupe Francophone des Myélodysplasies · FRHôpital Saint-Louis · FRCentre Hospitalier Universitaire de Lille · FRCentre Henri BecquerelCentre Hospitalier Universitaire de Caen · FRCentre Hospitalier Universitaire de Nantes · FRCentre Hospitalier Universitaire de Nice · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-risk myelodysplastic syndrome/acute myeloid leukemia patients have a very poor survival after azacitidine failure. Guadecitabine (SGI-110) is a novel subcutaneous hypomethylating agent which results in extended decitabine exposure. This multicenter phase II study evaluated the efficacy and safety of guadecitabine in high-risk myelodysplastic syndrome and low blast count acute myeloid leukemia patients refractory or relapsing after azacitidine. We included 56 patients with a median age of 75 years [Interquartile Range (IQR) 69-76]. Fifty-five patients received at least one cycle of guadecitabine (60 mg/m2/d subcutaneously days 1-5 per 28-day treatment cycles), with a median of 3 cycles (range, 0-27). Eight (14.3%) patients responded, including two complete responses; median response duration was 11.5 months. Having no or few identified somatic mutations was the only factor predicting response (

Indexed as

AgedAzacitidineFemaleHumansLeukemia, Myeloid, AcuteMaleMyelodysplastic SyndromesRiskSurvival AnalysisTreatment OutcomeAzacitidineguadecitabine

Identifiers

PMID30733271
PMCPMC6669173
OpenAlexW2912830328

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.