Evidence map›Paper›PMID 31825704›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2020

Outcome in Children With Standard-Risk B-Cell Acute Lymphoblastic Leukemia: Results of Children's Oncology Group Trial AALL0331.

Kelly W Maloney, Meenakshi Devidas, Cindy Wang, Leonard A Mattano, Alison M Friedmann, Patrick Buckley, Michael J Borowitz, Andrew J Carroll, Julie M Gastier-Foster, Nyla A Heerema and 10 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 115 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
115citing papers in PubMed, 2 pooled it
18.6field-weighted citation impact, top 1% 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

115 citing papers in PubMed, 2 syntheses or guidelines pooled it, 192 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Exercise and QUality Diet after Leukemia: A Randomized Weight Loss Trial among Adult Survivors of Childhood Leukemia in the Childhood Cancer Survivor Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
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  9. Article
  10. Review
  11. Article
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  15. [Treatment strategies and prognostic factors for relapsed childhood acute lymphoblastic leukemia].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
    Article
  16. Article
  17. Review
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  19. Targeted therapies in pediatric oncology: A start.Molecular therapy. Oncology · 2026
    Review
  20. Review

55 more citing papers are in PubMed but not listed here.

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

20 authors at 18 institutions in 1 country.

Kelly W MaloneyDepartment of Pediatrics, University of Colorado, Aurora, CO.
Meenakshi DevidasDepartment of Global Pediatric Medicine, St Jude Children's Research Hospital, Memphis, TN.
Cindy WangDepartment of Biostatistics, Colleges of Medicine, Public Health and Health Professions, University of Florida, Gainesville, FL.
Leonard A MattanoHARP Pharma Consulting, Mystic, CT.
Alison M FriedmannDepartment of Pediatrics, Massachusetts General Hospital Cancer Center, Boston, MA.
Patrick BuckleyDepartment of Pathology, Duke University Medical Center, Durham, NC.
Michael J BorowitzDepartment of Pathology, Johns Hopkins University, Baltimore, MD.
Andrew J CarrollDepartment of Genetics, University of Alabama at Birmingham, Birmingham, AL.
Julie M Gastier-FosterDepartment of Pathology and Laboratory Medicine, Nationwide Children's Hospital, Columbus, OH.
Nyla A HeeremaDepartment of Pathology, Wexner Medical Center, Ohio State University, Columbus, OH.
Nina Kadan-LottickDepartment of Pediatrics, Yale University, New Haven, CT.
Mignon L LohDepartment of Pediatrics, Benioff Children's Hospital, San Francisco, CA.
Yousif H MatloubDepartment of Pediatrics, Rainbow Babies and Children's Hospital, Cleveland, OH.
David T MarshallDepartment of Radiation Oncology, Medical University of South Carolina, Charleston, SC.
Linda C StorkDepartment of Pediatrics, Oregon Health & Science University, Portland, OR.
Elizabeth A RaetzPerlmutter Cancer Center, New York University (NYU) Langone Medical Center, New York, NY.
Brent WoodDepartment of Pathology, University of Washington, Seattle, WA.
Stephen P HungerDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA.
William L CarrollPerlmutter Cancer Center, New York University (NYU) Langone Medical Center, New York, NY.
Naomi J WinickDepartment of Pediatrics, University of Texas (UT) Southwestern, Dallas, TX.
NYU Langone Health · USDuke Medical Center · USJohns Hopkins University · USMassachusetts General Hospital · USMedical University of South Carolina · USOregon Health & Science University · USPhiladelphia University · USRainbow Babies & Children's Hospital · USSt. Jude Children's Research Hospital · USThe Ohio State University · USThe Ohio State University Wexner Medical Center · USThe University of Texas Southwestern Medical Center · USUCSF Benioff Children's Hospital · USUniversity of Alabama at Birmingham · USUniversity of Colorado Denver · USUniversity of Florida · USUniversity of Washington · USYale University · 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
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Children's Oncology Group Statistics &Data Center GrantU10CA098413 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI DEVIDAS, MEENAKSHI · 2003 to 2013
$67.5M
COG U24 Funding 2026-2027U24CA196173 · NCI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI Mignon Lee-Cheun Loh, Nilsa Del Carmen Ramirez Milan · 2015 to 2026
$62.5M
NCI National Clinical Trials Network - Lead Academic Participating SiteUG1CA233324 · NCI · UNIVERSITY OF COLORADO DENVER · PI ANTHONY D ELIAS · 2019 to 2026
$5.2M
NCATS NIH HHS UL1 TR001863NCI NIH HHS U10 CA098413NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899NCI NIH HHS U24 CA196173NCI NIH HHS UG1 CA233324
6 · The paper itself

Abstract

purposeChildren's Oncology Group (COG) AALL0331 tested whether intensified postinduction therapy that improves survival in children with high-risk B-cell acute lymphoblastic leukemia (ALL) would also improve outcomes for those with standard-risk (SR) ALL. PATIENTS AND

methodsAALL0331 enrolled 5,377 patients between 2005 and 2010. All patients received a 3-drug induction with dexamethasone, vincristine, and pegaspargase (PEG) and were then classified as SR low, SR average, or SR high. Patients with SR-average disease were randomly assigned to receive either standard 4-week consolidation (SC) or 8-week intensified augmented Berlin-Frankfurt-Münster (BFM) consolidation (IC). Those with SR-high disease were nonrandomly assigned to the full COG-augmented BFM regimen, including 2 interim maintenance and delayed intensification phases.

resultsThe 6-year event-free survival (EFS) rate for all patients enrolled in AALL0331 was 88.96% ± 0.46%, and overall survival (OS) was 95.54% ± 0.31%. For patients with SR-average disease, the 6-year continuous complete remission (CCR) and OS rates for SC versus IC were 87.8% ± 1.3% versus 89.1% ± 1.2% (

conclusionThe 6-year OS rate for > 5,000 children with SR ALL enrolled in AALL0331 exceeded 95%. The addition of IC to treatment for patients with SR-average disease did not improve CCR or OS, even in patients with higher MRD, in whom it might have been predicted to provide more value. The EFS and OS rates are excellent for this group of patients with SR ALL, with particularly good outcomes for those with SR-high disease.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsChildChild, PreschoolConsolidation ChemotherapyDisease-Free SurvivalFemaleHumansInduction ChemotherapyInfantMalePrecursor Cell Lymphoblastic Leukemia-LymphomaTreatment Outcome

Identifiers

PMID31825704
PMCPMC7030893
OpenAlexW2995586576

What OpenQuestion holds

Textmetadata
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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.