Evidence map›Paper›PMID 32022463›Full record

ArticleCancer medicine2020

A pediatric regimen for adolescents and young adults with Philadelphia chromosome-negative acute lymphoblastic leukemia: Results of the ALLRE08 PETHEMA trial.

Josep-Maria Ribera, Mireia Morgades, Pau Montesinos, Mar Tormo, Daniel Martínez-Carballeira, José González-Campos, Cristina Gil, Pere Barba, Raimundo García-Boyero, Rosa Coll and 19 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
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  5. Article
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  7. Article
  8. Article
  9. The feasibility of PETHEMA ALL-96 regimen on treatment of patients with acute lymphoid leukemia.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2023
    Article
  10. Review
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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

29 authors at 14 institutions in 1 country.

Josep-Maria RiberaDepartments of Clinical Hematology, ICO-Hospital Germans Trias i Pujol. Josep Carreras Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.ORCID 0000-0003-1042-6024
Mireia MorgadesDepartments of Clinical Hematology, ICO-Hospital Germans Trias i Pujol. Josep Carreras Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
Pau MontesinosDepartments of Clinical Hematology, Hospital Universitari i Politècnic La Fe, CIBERONC, Instituto Carlos III, Valencia, Spain, Madrid, Spain.ORCID 0000-0002-3275-5593
Mar TormoDepartments of Clinical Hematology, Hospital Clínico Valencia, Valencia, Spain.
Daniel Martínez-CarballeiraHospital Central de Asturias, Oviedo, Spain.
José González-CamposDepartments of Clinical Hematology, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
Cristina GilDepartments of Clinical Hematology, Hospital General Universitario de Alicante, Alicante, Spain.
Pere BarbaDepartments of Clinical Hematology, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
Raimundo García-BoyeroDepartments of Clinical Hematology, Hospital General Universitario de Castellón, Castelló, Spain.
Rosa CollDepartments of Clinical Hematology, ICO-Hospital Josep Trueta, Girona, Spain.
María PedreñoDepartments of Clinical Hematology, Hospital Dr. Peset, Valencia, Spain.
Jordi RiberaDepartments of Clinical Hematology, ICO-Hospital Germans Trias i Pujol. Josep Carreras Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
Santiago MercadalDepartments of Clinical Hematology, ICO-Hospital Duran i Reynals, L'Hospitalet de Llobregat, Barcelona, Spain.ORCID 0000-0003-4741-7885
Susana VivesDepartments of Clinical Hematology, ICO-Hospital Germans Trias i Pujol. Josep Carreras Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
Andrés NovoDepartments of Clinical Hematology, Hospital Son Espases, Palma de Mallorca, Spain.
Eulàlia GenescàDepartments of Clinical Hematology, ICO-Hospital Germans Trias i Pujol. Josep Carreras Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
Jesús-María Hernández-RivasDepartments of Clinical Hematology, Hospital Clínico Universitario, Cancer Research Center (IBMCC-CSIC/USAL), Cytometry Service CIBERONC, Salamanca, Spain.
Juan BerguaDepartments of Clinical Hematology, Hospital San Pedro de Alcántara, Cáceres, Spain.
María-Luz AmigoDepartments of Clinical Hematology, Hospital Morales Meseguer, Murcia, Spain.
Ferran Vall-LloveraDepartments of Clinical Hematology, Hospital Mútua de Terrassa, Terrassa, Spain.
Pilar Martínez-SánchezDepartments of Clinical Hematology, Hospital Doce de Octubre, Madrid, Spain.
María CalbachoDepartments of Clinical Hematology, Hospital Ramón y Cajal, Madrid, Spain.
Irene García-CadenasDepartments of Clinical Hematology, Hospital de Sant Pau, Barcelona, Spain.
Antoni Garcia-GuiñonDepartments of Clinical Hematology, Hospital Arnau de Vilanova, Lleida, Spain.
María-José Sánchez-SánchezDepartments of Clinical Hematology, Hospital Lucus Augusti, Lugo, Spain.
Marta CerveraDepartments of Clinical Hematology, ICO-Hospital Joan XXIII, Tarragona, Spain.
Evarist FeliuDepartments of Clinical Hematology, ICO-Hospital Germans Trias i Pujol. Josep Carreras Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
Alberto OrfaoDepartments of Clinical Hematology, Hospital Clínico Universitario, Cancer Research Center (IBMCC-CSIC/USAL), Cytometry Service CIBERONC, Salamanca, Spain.ORCID 0000-0002-0007-7230
PETHEMA Group, Spanish Society of Hematology
Universitat Autònoma de Barcelona · ESCentro de Investigación del Cáncer · ESHospital de Sant Pau · ESHospital General Universitario Morales Meseguer · ESUniversity Hospital Mútua de Terrassa · ESDuran i Reynals Hospital · ESHospital Arnau de Vilanova · ESHospital Clínico Universitario de Valencia · ESHospital General Universitari de Castelló · ESHospital General Universitario de Alicante Doctor Balmis · ESHospital Universitari Arnau de Vilanova · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario Central de Asturias · ESHospital Universitario Doctor Peset · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPediatric-based or -inspired trials have improved the prognosis of adolescents and young adults (AYA) with Philadelphia chromosome-negative (Ph-neg) acute lymphoblastic leukemia (ALL).

methodsThis study reports the results of treatment of the ALLRE08 trial, a full pediatric trial for AYA aged 15-30 years with standard-risk (SR) ALL.

resultsFrom 2008 to 2018, 89 patients (38 adolescents [15-18 years] and 51 young adults [YA, 19-30 years], median age: 20 [15-29] years) were enrolled in the ALLRE08 trial. The complete response (CR) was 95%. Twenty-two patients were transferred to a high-risk (HR) protocol because of poor marrow response on day 14 (n = 20) or high-level of end-induction minimal residual response (MRD ≥ 0.25%, n = 2). Cumulative incidence of relapse (CIR) at 5 years was 35% (95%CI: 23%-47%), with significant differences between adolescents and YA: 13% (4%-28%) vs 52% (34%-67%), P = .012. No treatment-related mortality was observed in 66/66 patients following the ALLRE08 trial vs 3/23 patients moved to a HR trial. The estimated 5-year overall survival (OS) was 74% (95%CI: 63%-85%), with significantly higher rates for adolescents vs YA: 87% (95%CI: 74%-100%) vs 63% (46%-80%), P = .021. Although CIR or OS were lower in patients who were transferred to a HR trial, the differences were not statistically significant (CIR: 34% [21%-47%] vs 37% [14%-61%]; OS: 78% [66%-90%] vs 61% [31%;91%]).

conclusionA full pediatric trial is feasible and effective for AYA with Ph-neg, SR-ALL, with better results for adolescents than for YA. Outcome of patients with poor early response rescued with a HR trial was not significantly inferior.

Indexed as

AdolescentAdultAntineoplastic Combined Chemotherapy ProtocolsClinical Trials as TopicFemaleFollow-Up StudiesHumansMaleNeoplasm Recurrence, LocalNeoplasm, ResidualPhiladelphia ChromosomePrecursor Cell Lymphoblastic Leukemia-LymphomaPrognosisRemission InductionSurvival RateYoung Adultacute lymphoblastic leukemiaadolescents and young adultspediatric treatment

Identifiers

PMID32022463
PMCPMC7131850
OpenAlexW3004995628

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LicenceCC BY
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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.