Evidence map›Paper›PMID 31280227›Full record

ArticleIn vivo (Athens, Greece)

Grade 3 and 4 Toxicity Profiles During Therapy of Childhood Acute Lymphoblastic Leukemia.

Joanna Zawitkowska, Monika Lejman, Agnieszka Zaucha-Prażmo, Katarzyna Drabko, Marcin Płonowski, Joanna Bulsa, Michał Romiszewski, Agnieszka Mizia-Malarz, Andrzej Kołtan, Katarzyna Derwich and 8 more

Registry-linked trialAbstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06560879 (Effectiveness of Probiotics for the Prevention of Gastrointestinal Toxicity and Changes in Gut Microbiota in Children With Acute Lymphoblastic Leukemia), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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.

NCT06560879 phase2enrolling by invitationnot on this map

Effectiveness of Probiotics for the Prevention of Gastrointestinal Toxicity and Changes in Gut Microbiota in Children With Acute Lymphoblastic Leukemia

TypeinterventionalSponsorNational Institute of Pediatrics, MexicoRan2025 to 2026Enrolled120ConditionsProbiotics, Gastrointestinal Diseases, Precursor Cell Lymphoblastic Leukemia-LymphomaArmsLactobacillus casei, Lactobacillus rhamnosus, Bifidobacterium bifidum, Placebo
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Induction therapy for acute lymphoblastic leukemia: incidence and risk factors for bloodstream infections.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  7. Medicinal Plants with Anti-Leukemic Effects: A Review.Molecules (Basel, Switzerland) · 2021
    Review
  8. Ethyl Acetate Extract from Romdoul (Global advances in integrative medicine and health
    Article
  9. Article
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

18 authors.

Joanna ZawitkowskaDepartment of Pediatric Hematology, Oncology and Transplantology, Medical University of Lublin, Lublin, Poland jzawitkowska1971@gmail.com.ORCID https://orcid.org/0000-0001-7207-156X
Monika LejmanDepartment of Pediatric Hematology, Oncology and Transplantology, University Children's Hospital, Genetic Diagnostic Laboratory, Lublin, Poland.
Agnieszka Zaucha-PrażmoDepartment of Pediatric Hematology, Oncology and Transplantology, Medical University of Lublin, Lublin, Poland.
Katarzyna DrabkoDepartment of Pediatric Hematology, Oncology and Transplantology, Medical University of Lublin, Lublin, Poland.
Marcin PłonowskiDepartment of Pediatric Oncology, Hematology, Medical University of Białystok, Białystok, Poland.
Joanna BulsaDepartment of Pediatrics, Hematology and Oncology, Medical University of Zabrze, Zabrze, Poland.
Michał RomiszewskiDepartment of Hematology and Pediatrics, Children's Hospital, Warsaw, Poland.
Agnieszka Mizia-MalarzDepartment of Pediatric Oncology, Hematology and Chemotherapy, Medical University of Katowice, Katowice, Poland.
Andrzej KołtanDepartment of Pediatrics, Hematology and Oncology, Collegium Medicum of Bydgoszcz, Bydgoszcz, Poland.
Katarzyna DerwichDepartment of Pediatric Oncology, Hematology and Transplantology, Medical University of Poznań, Poznań, Poland.
Grażyna KarolczykDepartment of Pediatric Oncology and Hematology, Children's Hospital, Kielce, Poland.
Tomarz OciepaDepartment of Pediatrics, Hematology and Oncology, Medical University of Szczecin, Szczecin, Poland.
Magdalena ĆwiklińskaDepartment of Pediatric Oncology and Hematology, Children's University Hospital, Kraków, Poland.
Joanna TrelińskaDepartment of Pediatrics, Oncology, Hematology and Diabetology, Medical University of Łódź, Łódź, Poland.
Joanna Owoc-LempachDepartment of Pediatric Transplantology, Oncology, Hematology, Medical University of Wrocław, Wrocław, Poland.
Maciej NiedźwieckiDepartment of Pediatrics, Hematology, Oncology and Endocrinology, Medical University of Gdańsk, Gdańsk, Poland.
Aleksandra KiermaszDepartment of Pediatric Hematology and Oncology, Centre of Pediatrics and Oncology, Chorzów, Poland.
Jerzy KowalczykDepartment of Pediatric Hematology, Oncology and Transplantology, Medical University of Lublin, Lublin, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimThe risk factors, clinical features and non-hematological toxicity profiles during chemotherapy in acute lymphoblastic leukemia (ALL) patients treated in pediatric hematology centres were analysed. MATERIALS AND

methodsA total of 902/1872 children were reported as having grade 3 or 4 toxicity.

resultsAmong the analysed toxicities, infection and gastrointestinal and liver toxicities were the most common. The median follow-up was 6.8 years. Overall survival and event-free survival rates for the analysed group were lower than those reported for the group without grade ≥3 toxicity. In univariate analysis, we identified the number of toxic episodes, the risk group and remission status that had a significant impact on the outcome. Multivariate analysis demonstrated the risk group and the number of toxic episodes ≥3 to be statistically significant for the results.

conclusionThe toxic profiles investigated in our report should be used in future efforts to decrease the burden of side effects during chemotherapy.

Indexed as

AdolescentAge FactorsAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorBiopsyChildChild, PreschoolDrug-Related Side Effects and Adverse ReactionsFemaleGenetic TestingHumansImmunophenotypingInfantMalePrecursor Cell Lymphoblastic Leukemia-LymphomaPrognosisBiomarkers, TumorAcute lymphoblastic leukemiachemotherapychildrentoxicity

Identifiers

PMID31280227
PMCPMC6689363

What OpenQuestion holds

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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.