Evidence map›Paper›PMID 32453836›Full record

ArticleBlood advances2020

Real-world outcomes of adult B-cell acute lymphocytic leukemia patients treated with blinatumomab.

Talha Badar, Aniko Szabo, Anjali Advani, Martha Wadleigh, Shukaib Arslan, Muhammad Ali Khan, Ibrahim Aldoss, Caitlin Siebenaller, Elizabeth Schultz, Mehrdad Hefazi and 13 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Treatment of Relapsed Acute Lymphocytic Leukemia in Adult Patients.Current treatment options in oncology · 2024
    Review
  12. Article
  13. Article
  14. Review
  15. Observational
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

23 authors at 11 institutions in 1 country.

Talha BadarDivision of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, WI.
Aniko SzaboDivision of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, WI.
Anjali AdvaniDepartment of Hematology and Medical Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH.
Martha WadleighDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Shukaib ArslanDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA.
Muhammad Ali KhanDivision of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, WI.
Ibrahim AldossDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA.
Caitlin SiebenallerDepartment of Hematology and Medical Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH.
Elizabeth SchultzDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Mehrdad HefaziDivision of Hematology, Mayo Clinic, Rochester, MN.
Rory M ShallisDepartment of Internal Medicine, Section of Hematology, Yale School of Medicine, New Haven, CT.
Ilana YurkiewiczStanford University Cancer Center, Stanford, CA.
Nikolai PodoltsevDepartment of Internal Medicine, Section of Hematology, Yale School of Medicine, New Haven, CT.
Anand A PatelSection of Hematology/Oncology, Department of Medicine, University of Chicago, Chicago, IL.
Emily CurranSection of Hematology/Oncology, Department of Medicine, University of Chicago, Chicago, IL.
Suresh BalasubramanianKarmanos Cancer Institute, Detroit, MI.
Jay YangKarmanos Cancer Institute, Detroit, MI.
Ryan J MattisonCarbone Cancer Center, University of Wisconsin, Madison, WI; and.
Madelyn BurkartRobert H. Lurie Comprehensive Cancer Center, Northwestern Hospital, Chicago, IL.
Shira DinnerRobert H. Lurie Comprehensive Cancer Center, Northwestern Hospital, Chicago, IL.
Michaela LiedtkeStanford University Cancer Center, Stanford, CA.
Mark R LitzowDivision of Hematology, Mayo Clinic, Rochester, MN.
Ehab AtallahDivision of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, WI.
Medical College of Wisconsin · USCity of Hope · USCleveland Clinic · USDana-Farber Cancer Institute · USMayo Clinic in Arizona · USRobert H. Lurie Comprehensive Cancer Center of Northwestern UniversityStanford University · USThe Barbara Ann Karmanos Cancer Institute · USUniversity of Chicago · USYale University · USUniversity of Wisconsin–Madison · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

The availability and use of blinatumomab symbolizes a paradigm shift in the management of B-cell acute lymphoblastic leukemia (ALL). We conducted a retrospective multicenter cohort analysis of 239 ALL patients (227 relapsed refractory [RR], n = 227; minimal residual disease [MRD], n = 12) who received blinatumomab outside of clinical trials to evaluate safety and efficacy in the "real-world" setting. The median age of patients at blinatumomab initiation was 48 years (range, 18-85). Sixty-one (26%) patients had ≥3 prior therapies and 46 (19%) had allogeneic hematopoietic cell transplantation before blinatumomab. The response rate (complete remission/complete remission with incomplete count recovery) in patients with RR disease was 65% (47% MRD-). Among 12 patients who received blinatumomab for MRD, 9 (75%) patients achieved MRD negativity. In patients with RR disease, median relapse-free survival and overall survival (OS) after blinatumomab was 32 months and 12.7 months, respectively. Among patients who received blinatumomab for MRD, median relapse-free survival was not reached (54% MRD- at 2 years) and OS was 34.7 months. Grade ≥3 cytokine release syndrome, neurotoxicity, and hepatotoxicity were observed in 3%, 7%, and 10% of patients, respectively. Among patients who achieved complete remission/complete remission with incomplete count recovery, consolidation therapy with allogeneic hematopoietic cell transplantation retained favorable prognostic significance for OS (hazard ratio, 0.54; 95% confidence interval, 0.30-0.97; P = .04). In this largest "real-world" experience published to date, blinatumomab demonstrated responses comparable to those reported in clinical trials. The optimal sequencing of newer therapies in ALL requires further study.

Indexed as

Precursor B-Cell Lymphoblastic Leukemia-LymphomaPrecursor Cell Lymphoblastic Leukemia-LymphomaAdolescentAdultAgedAged, 80 and overAntibodies, BispecificB-LymphocytesHumansMiddle AgedRetrospective StudiesYoung AdultAntibodies, Bispecificblinatumomab

Identifiers

PMID32453836
PMCPMC7252553
OpenAlexW3030846676

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.