Evidence map›Paper›PMID 31645666›Full record

ArticleBone marrow transplantation2020

Impact of FLT3-ITD allele ratio and ITD length on therapeutic outcome in cytogenetically normal AML patients without NPM1 mutation.

Fang Chen, Junya Sun, Changxin Yin, Jiaying Cheng, Jinle Ni, Ling Jiang, Qiang Wang, Guopan Yu, Yongqiang Wei, Xiaoli Liu and 3 more

Abstract read
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In one paragraph

Article in Bone marrow transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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.

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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. The Clinical Utility ofCurrent oncology (Toronto, Ont.) · 2023
    Article
  3. Article
  4. Article
  5. Article
  6. Which FLT3 Inhibitor for Treatment of AML?Current treatment options in oncology · 2022
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Molecular characterisation ofAfrican journal of laboratory medicine · 2021
    Article
  13. Article
  14. Review
  15. Current Approaches to Transplantation for FLT3-ITD AML.Current hematologic malignancy reports · 2020
    Review
  16. Review
  17. Article
  18. 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

13 authors.

Fang ChenDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangdong, 510515, China.
Junya SunDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangdong, 510515, China.
Changxin YinDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangdong, 510515, China.
Jiaying ChengDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangdong, 510515, China.
Jinle NiDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangdong, 510515, China.
Ling JiangDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangdong, 510515, China.
Qiang WangDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangdong, 510515, China.
Guopan YuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangdong, 510515, China.
Yongqiang WeiDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangdong, 510515, China.
Xiaoli LiuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangdong, 510515, China.
Jing SunDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangdong, 510515, China.
Bing Z CarterSection of Molecular Hematology and Therapy, Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Xuejie JiangDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangdong, 510515, China. jxj3331233@163.com.ORCID http://orcid.org/0000-0002-0178-691X

Funding

National Natural Science Foundation of China (National Science Foundation of China) 81570152
6 · The paper itself

Abstract

Mutations of internal tandem duplication in FMS-like tyrosine kinase 3 (FLT3-ITD) contribute to poor prognosis in cytogenetically normal acute myeloid leukemia (CN-AML). Chemotherapy has limited effect, while allogeneic hematopoietic stem cell transplantation (allo-HSCT) plus sorafenib maintenance is a promising protocol to improve their therapeutic outcome. However, the prognostic significance of FLT3-ITD mutant status remains controversial. To investigate this, we detected FLT3-ITD mutant ratio (high and low) and length (long and short) in enrolled 184 CN-AML patients without NPM1 mutation, and evaluated their impact on complete remission (CR), overall survival (OS), relapse-free survival (RFS) and relapse risk (RR) after chemotherapy or allo-HSCT plus sorafenib maintenance. Our studies showed that FLT3-ITD mutation had negative impact on chemotherapeutic response, OS and RFS in CN-AML patients. There was no significant difference in CR rate between high and low ratio, or long and short length. Increasing ITD mutant ratio and length were associated with decreasing OS, and long length had shorter RFS and higher RR than the short after chemotherapy. Allo-HSCT plus sorafenib maintenance was an effective strategy to improve RFS and decrease relapse probability in FLT3-ITD AML patients, and benefited to these regardless of mutant ratio, and those with long length instead of the short.

Indexed as

fms-Like Tyrosine Kinase 3Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteAllelesHumansMutationNuclear ProteinsNucleophosminPrognosisTreatment OutcomeFLT3 protein, humanfms-Like Tyrosine Kinase 3NPM1 protein, humanNuclear ProteinsNucleophosmin

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Registered trials

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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.