Evidence map›Paper›PMID 33661333›Full record

ArticleAnnals of hematology2021

Glasdegib in combination with low-dose Cytarabine for the outpatient treatment of relapsed or refractory acute myeloid leukemia in unfit patients.

Andrius Zucenka, Kazimieras Maneikis, Birute Pugaciute, Ugne Ringeleviciute, Austeja Dapkeviciute, Linas Davainis, Guoda Daukelaite, Paulina Burzdikaite, Vytautas Staras, Laimonas Griskevicius

Open access · bronzeAbstract read
In one paragraph

Article in Annals of hematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. New Drugs Bringing New Challenges to AML: A Brief Review.Journal of personalized medicine · 2021
    Review
  6. 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

10 authors at 1 institution in 1 country.

Andrius ZucenkaFaculty of Medicine, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania. andrius.zucenka@santa.lt.
Kazimieras ManeikisBone Marrow Transplantation Department, Hematology, Oncology and Transfusion Medicine Center, Vilnius University Hospital Santaros Klinikos, 08661, Vilnius, Lithuania.
Birute PugaciuteBone Marrow Transplantation Department, Hematology, Oncology and Transfusion Medicine Center, Vilnius University Hospital Santaros Klinikos, 08661, Vilnius, Lithuania.
Ugne RingeleviciuteBone Marrow Transplantation Department, Hematology, Oncology and Transfusion Medicine Center, Vilnius University Hospital Santaros Klinikos, 08661, Vilnius, Lithuania.
Austeja DapkeviciuteBone Marrow Transplantation Department, Hematology, Oncology and Transfusion Medicine Center, Vilnius University Hospital Santaros Klinikos, 08661, Vilnius, Lithuania.
Linas DavainisBone Marrow Transplantation Department, Hematology, Oncology and Transfusion Medicine Center, Vilnius University Hospital Santaros Klinikos, 08661, Vilnius, Lithuania.
Guoda DaukelaiteFaculty of Medicine, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania.
Paulina BurzdikaiteFaculty of Medicine, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania.
Vytautas StarasBone Marrow Transplantation Department, Hematology, Oncology and Transfusion Medicine Center, Vilnius University Hospital Santaros Klinikos, 08661, Vilnius, Lithuania.
Laimonas GriskeviciusFaculty of Medicine, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania.
Vilnius University · LT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We retrospectively collected clinical data on 31 relapsed or refractory acute myeloid leukemia (R/R AML) patients who were treated with outpatient glasdegib and low-dose Cytarabine (LDAraC) at our institution. The median age was 67 years (45-86). The median Eastern Cooperative Oncology Group performance status was 2 (1-3). The patients had previously received a median number of 2 (1-4) treatment lines, 61% (19/31) had been treated with intensive chemotherapy, 29% (9/31) had relapsed after allogeneic stem cell transplantation, and 45% (14/31) had had venetoclax exposure. Adverse cytogenetics were identified in 45% (14/31) of the cases. The CR + CRp rate was 21% (6/29) among evaluable patients. The median overall survival was 3.9 months for all patients. Different median overall survival times were observed in responders, patients achieving stable disease and those diagnosed with progressive disease: not reached vs 3.9 months vs 0.8 months, respectively (p < 0.001). The most common adverse events were pneumonia (29%, 9/31), sepsis (23%, 7/31), and febrile neutropenia (16%, 5/31). Glasdegib + LDAraC is a fairly safe, non-intensive, outpatient regimen inducing complete remission and resulting in prolonged survival in some R/R AML patients.

Indexed as

AgedAged, 80 and overAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsBenzimidazolesCytarabineFemaleHumansLeukemia, Myeloid, AcuteMaleMiddle AgedPhenylurea CompoundsRetrospective StudiesTreatment OutcomeAntineoplastic AgentsBenzimidazolesCytarabineglasdegibPhenylurea CompoundsAMLGlasdegibRefractoryRelapsedVenetoclax

Identifiers

PMID33661333
PMCPMC7930524
OpenAlexW3133695493

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.