Evidence map›Paper›PMID 32873343›Full record

ArticleClinical epigenetics2020

Chidamide, decitabine, cytarabine, aclarubicin, and granulocyte colony-stimulating factor (CDCAG) in patients with relapsed/refractory acute myeloid leukemia: a single-arm, phase 1/2 study.

Lixin Wang, Jianmin Luo, Guofeng Chen, Meiyun Fang, Xudong Wei, Yinghua Li, Zhuogang Liu, Yin Zhang, Sujun Gao, Jianliang Shen and 9 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Clinical epigenetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02886559 (Chidamide Plus DCAG for Relapsed/Refractory AML), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.9field-weighted citation impact, top 7% 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.

NCT02886559 phase1 / phase2unknown statusnot on this map

Chidamide Plus DCAG for Relapsed/Refractory AML

TypeinterventionalSponsorChinese PLA General HospitalRan2016 to 2019Enrolled100ConditionsAML, RelapseArmsChidamide plus DCAG regimen
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Article
  3. Epigenetic Targeting in Myeloid Malignancies.Advances in experimental medicine and biology · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Disruption of mitochondrial oxidative phosphorylation by chidamide eradicates leukemic cells in AML.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Article
  17. Article
  18. Review
  19. Article
  20. The dual role of autophagy in acute myeloid leukemia.Journal of hematology & oncology · 2022
    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

19 authors at 14 institutions in 1 country.

Lixin WangDepartment of Hematology-Oncology, International Cancer Center, Shenzhen University General Hospital, Shenzhen University Health Science Center, Shenzhen, China.
Jianmin LuoDepartment of Hematology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Guofeng ChenDepartment of Endoscopy, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, China.
Meiyun FangDepartment of Hematology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Xudong WeiDepartment of Hematology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China.
Yinghua LiDepartment of Hematology, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Zhuogang LiuDepartment of Hematology, Shengjing Hospital of China Medical University, Shenyang, China.
Yin ZhangDepartment of Hematology, Henan Provincial People's Hospital, Zhengzhou, China.
Sujun GaoDepartment of Hematology, The First Hospital, Jilin University, Changchun, China.
Jianliang ShenDepartment of Hematology, The Sixth Medical Center, Chinese General Hospital of PLA, Beijing, China.
Xin WangDepartment of Hematology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.
Xiaoning GaoDepartment of Hematology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing, 100853, China.
Wei ZhouSchool of Medicine, Nankai University, Tianjin, China.
Yigai MaDepartment of Hematology, China-Japan Friendship Hospital, Beijing, China.
Hui LiuDepartment of Hematology, Beijing Hospital, National Center of Gerontology, Beijing, China.
Xinquan LiDepartment of Hematology, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, China.
Linhua YangDepartment of Hematology, The Second Hospital of Shanxi Medical University, Taiyuan, China.
Kai SunDepartment of Hematology, Henan Provincial People's Hospital, Zhengzhou, China.
Li YuDepartment of Hematology-Oncology, International Cancer Center, Shenzhen University General Hospital, Shenzhen University Health Science Center, Shenzhen, China. liyu301@vip.163.com.ORCID 0000-0001-6872-2665
Chinese PLA General Hospital · CNHenan Provincial People's Hospital · CNNankai University · CNBeijing Hospital · CNBeijing Tsinghua Chang Gung Hospital · CNChina-Japan Friendship Hospital · CNChina Medical University · CNDalian Medical University · CNHarbin Medical University · CNHebei Medical University · CNJilin University · CNShandong University · CNShanxi Medical University · CNZhengzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpigenetic mechanisms play an important role in the chemoresistance of acute myeloid leukemia (AML). The clinical response to epigenetic modifier-based chemotherapy in patients with relapsed/refractory AML (r/r AML) is unclear. This multicenter clinical trial evaluated the safety and efficacy of epigenetic modifiers (chidamide and decitabine) in combination with aclarubicin, cytarabine, and granulocyte colony-stimulating factor (G-CSF) in patients with r/r AML.

resultsAdult patients with r/r AML were treated with chidamide, decitabine, cytarabine, aclarubicin, and G-CSF (CDCAG). The primary measures were overall response (OR), overall survival (OS), and safety. Next-generation sequencing was performed to analyze the correlation between gene mutations and response. A total of 93 patients with r/r AML were enrolled. Overall, 24 patients had a complete remission (CR) and 19 patients achieved CR with incomplete blood count recovery (CRi). The overall response rate (ORR) was 46.2%. The overall survival of these 43 patients who achieved CR/CRi was significantly longer than that of patients who failed to achieve remission (563 vs 152 days, P < 0.0001). Of the patients with mutations in epigenetic and transcription factor-related genes, but without internal tandem duplications in FMS-like tyrosine kinase3 (FLT3-ITDs), 55.6% achieved CR/CRi, whereas the ORR was 28.2% for patients with mutations in other genes.

conclusionsThe CDCAG regimen was well tolerated and effective in r/r AML. Patients with epigenetic and transcription factor-related gene mutations, but without FLT3-ITD mutations, may benefit from this regimen.

trial registrationClinical Trials, NCT02886559 . Registered 01 September 2016.

Indexed as

AclarubicinAdolescentAdultAminopyridinesAntibiotics, AntineoplasticAntimetabolites, AntineoplasticAntineoplastic Combined Chemotherapy ProtocolsBenzamidesCytarabineDecitabineDisease-Free SurvivalFemaleGranulocyte Colony-Stimulating FactorHumansLeukemia, Myeloid, AcuteMaleAclarubicinAminopyridinesAntibiotics, AntineoplasticAntimetabolites, AntineoplasticBenzamidesCytarabineDecitabineGranulocyte Colony-Stimulating FactorN-(2-amino-5-fluorobenzyl)-4-(N-(pyridine-3-acrylyl)aminomethyl)benzamideDNA methyltransferase inhibitorHistone deacetylase inhibitorNext-generation sequencingRelapsed/refractory acute myeloid leukemia

Identifiers

PMID32873343
PMCPMC7466805
OpenAlexW3082177268

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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.