Evidence map›Paper›PMID 30848065›Full record

ArticlePediatric blood & cancer2019

No evidence that G6PD deficiency affects the efficacy or safety of daunorubicin in acute lymphoblastic leukemia induction therapy.

Katherine M Robinson, Wenjian Yang, Seth E Karol, Nancy Kornegay, Dennis Jay, Cheng Cheng, John K Choi, Dario Campana, Ching-Hon Pui, Brent Wood and 13 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Pediatric blood & cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00137111 (Total XV - Total Therapy Study XV for Newly Diagnosed Patients With Acute Lymphoblastic Leukemia), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 24% 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.

NCT00137111 phase3completednot on this map

Total XV - Total Therapy Study XV for Newly Diagnosed Patients With Acute Lymphoblastic Leukemia

TypeinterventionalSponsorSt. Jude Children's Research HospitalRan2000 to 2014Enrolled501ConditionsLymphoblastic Leukemia, AcuteArmsPrednisone, Dexamethasone, Vincristine, Daunorubicin, Doxorubicin, L-asparaginase, PEG-L-asparaginase, Erwinia asparaginase, Methotrexate, Cyclophosphamide, Cytarabine, Etoposide, Mercaptopurine, Imatinib, chemotherapy, intrathecal chemotherapy
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

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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

23 authors at 12 institutions in 2 countries.

Katherine M RobinsonDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee.
Wenjian YangDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee.
Seth E KarolDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Nancy KornegayDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee.
Dennis JayDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Cheng ChengDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, Tennessee.
John K ChoiDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Dario CampanaDepartment of Paediatrics, National University of Singapore, Singapore.
Ching-Hon PuiDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0003-0303-5658
Brent WoodDepartment of Laboratory Medicine, Seattle Children's Hospital, Seattle, Washington.
Michael J BorowitzDepartment of Hematologic Pathology, John's Hopkins University, Baltimore, Maryland.
Julie Gastier-FosterNationwide Children's Hospital, The Ohio State University, Columbus, Ohio.
Eric C LarsenDepartment of Pediatric Hematology-Oncology, Maine Medical Center, Scarborough, Maine.
Naomi WinickDepartment of Pediatrics, UT Southwestern Medical Center, Dallas, Texas.
William L CarrollPerlmutter Cancer Center, Department of Pediatrics, NYU Langone Medical Center, New York City, New York.ORCID 0000-0003-1550-4167
Mignon L LohDepartment of Pediatrics, Benioff Children's Hospital and the Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California.
Elizabeth A RaetzPerlmutter Cancer Center, Department of Pediatrics, NYU Langone Medical Center, New York City, New York.
Stephen P HungerDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Meenakshi DevidasDepartment of Biostatistics, University of Florida, Gainesville, Florida.
Elaine R MardisNationwide Children's Hospital, The Ohio State University, Columbus, Ohio.
Robert S FultonDepartment of Genetics, Washington University School of Medicine, St. Louis, Missouri.
Mary V RellingDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-3720-9591
Sima JehaDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.
St. Jude Children's Research Hospital · USNationwide Children's Hospital · USNYU Langone Health · USChildren's Hospital of Philadelphia · USJohns Hopkins University · USMaine Medical Center · USNational University of Singapore · SGSeattle Children's Hospital · USSouthwestern Medical Center · USUniversity of California, San Francisco · USUniversity of Florida · USWashington University in St. Louis · US

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
Children's Oncology Group Statistics &Data Center GrantU10CA098413 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI ANDERSON, JAMES R · 2003 to 2013
$67.5M
CPML - Project 3: Genome-wide Studies of Adverse EffectsP50GM115279 · NIGMS · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI RELLING, MARY V · 2015 to 2019
$15.1M
Support for Human Specimen Banking in NCI-Supported Cancer Clinical TrialsU24CA114766 · NCI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI RAMIREZ MILAN, NILSA DEL CARMEN · 2005 to 2014
$14.5M
PHARMACOGENOMICS OF CHILDHOOD LEUKEMIA (ALL)R37CA036401 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI EVANS, WILLIAM E · 1987 to 2014
$9.7M
Glucocorticoids in Lymphoblastic LeukemiaR01CA142665 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI RELLING, MARY V · 2010 to 2020
$4.6M
Pharmacogenomics of Childhood Leukemia ALLR01CA036401 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI EVANS, WILLIAM E · 1985 to 2019
$3.6M
NCI NIH HHS P30 CA021765NCI NIH HHS R01 CA036401NCI NIH HHS R01 CA142665NCI NIH HHS R37 CA036401NCI NIH HHS U10 CA098413NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899NCI NIH HHS U24 CA114766NIGMS NIH HHS P50 GM115279NIH HHS CA114766NIH HHS CA142665NIH HHS CA180886NIH HHS CA180899NIH HHS CA21765NIH HHS CA36401NIH HHS CA98413NIH HHS CA98543NIH HHS GM115279
6 · The paper itself

Abstract

BACKGROUND/

objectivesAnthracyclines are used in induction therapy of pediatric acute lymphoblastic leukemia (ALL) and are known to generate oxidative stress; whether this translates into enhanced antileukemic activity or hemolytic effects in patients with glucose-6-phosphate dehydrogenase (G6PD) deficiency is unknown. DESIGN/

methodsAmong 726 pediatric patients with newly diagnosed ALL treated at St. Jude Children's Research Hospital, 22 had deficient G6PD activity. We compared the prevalence of positive minimal residual disease (MRD) ≥1% at Day 15/Day 19 of induction or ≥0.01% at Day 42/Day 46 (end of induction) and the number of red blood cell (RBC) transfusions after daunorubicin in induction between patients with or without G6PD deficiency, adjusting for ALL risk group, treatment protocol, age, and gender.

resultsThere was no difference in Day 15/19 (P = 1) or end of induction MRD (P = 0.76) nor in the number of RBC transfusions (P = 0.73); the lack of association with MRD was confirmed in a dataset of 1192 newly diagnosed male patients enrolled in a Children's Oncology Group trial (P = 0.78).

conclusionWe found no evidence that G6PD deficiency affects daunorubicin activity during induction treatment for ALL.

Indexed as

Antibiotics, AntineoplasticChildCohort StudiesDaunorubicinFemaleFollow-Up StudiesGlucosephosphate DehydrogenaseHumansInduction ChemotherapyMaleNeoadjuvant TherapyNeoplasm, ResidualPrecursor Cell Lymphoblastic Leukemia-LymphomaPrognosisRisk FactorsSafetyAntibiotics, AntineoplasticDaunorubicinG6PD protein, humanGlucosephosphate Dehydrogenasedaunorubicindoxorubicinglucose-6-phospate dehydrogenaseleukemiapharmacogenetics

Identifiers

PMID30848065
PMCPMC6518412
OpenAlexW2922404263

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Registered trials

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.