Evidence map›Paper›PMID 33687434›Full record

ArticleBlood advances2021

Clinical and molecular predictors of response and survival following venetoclax therapy in relapsed/refractory AML.

Maximilian Stahl, Kamal Menghrajani, Andriy Derkach, Alexander Chan, Wenbin Xiao, Jacob Glass, Amber C King, Anthony F Daniyan, Christopher Famulare, Bernadette M Cuello and 9 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 117 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 3 pooled it
21.2field-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

117 citing papers in PubMed, 3 syntheses or guidelines pooled it, 181 citations in OpenAlex.

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57 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

19 authors at 2 institutions in 1 country.

Maximilian StahlLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Kamal MenghrajaniLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Andriy DerkachDepartment of Epidemiology and Biostatistics.
Alexander ChanDepartment of Pathology.
Wenbin XiaoDepartment of Pathology.
Jacob GlassLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Amber C KingDepartment of Pharmacy.
Anthony F DaniyanLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Christopher FamulareLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Bernadette M CuelloLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Troy Z HorvatDepartment of Pharmacy.
Omar Abdel-WahabLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Ross L LevineLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Aaron D VinyLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Eytan M SteinLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Sheng F CaiLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Mikhail RoshalDepartment of Pathology.
Martin S TallmanLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Aaron D GoldbergLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Memorial Sloan Kettering Cancer Center · USCancer Research And Biostatistics · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI MEGAN C KING · 1985 to 2026
$85.0M
The Memorial Sloan Kettering Cancer Center SPORE in LeukemiaP50CA254838 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Eytan Stein · 2021 to 2026
$16.8M
MSK Paul Calabresi Career Development Award for Clinical OncologyK12CA184746 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Omar Abdel-Wahab, Simon N. Powell · 2015 to 2026
$8.3M
CLINICAL SCHOLARS BIOMEDICAL RESEARCH TRAINING PROGRAMT32CA009512 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Ping Chi · 1985 to 2026
$6.3M
Role of the Cohesin complex in normal and malignant hematopoiesisK08CA215317 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI VINY, AARON D · 2018 to 2022
$1.3M
NCI NIH HHS K08 CA215317NCI NIH HHS K12 CA184746NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA016359NCI NIH HHS P50 CA254838NCI NIH HHS T32 CA009512
6 · The paper itself

Abstract

Azacitidine + venetoclax, decitabine + venetoclax, and low-dose cytarabine + venetoclax are now standard treatments for newly diagnosed older or unfit patients with acute myeloid leukemia (AML). Although these combinations are also commonly used in relapsed or refractory AML (RR-AML), clinical and molecular predictors of response and survival in RR-AML are incompletely understood. We retrospectively analyzed clinical and molecular characteristics and outcomes for 86 patients with RR-AML who were treated with venetoclax combinations. The complete remission (CR) or CR with incomplete hematologic recovery (CRi) rate was 24%, and the overall response rate was 31% with the inclusion of a morphologic leukemia-free state. Azacitidine + venetoclax resulted in higher response rates compared with low-dose cytarabine + venetoclax (49% vs 15%; P = .008). Median overall survival (OS) was 6.1 months, but it was significantly longer with azacitidine + venetoclax compared with low-dose cytarabine + venetoclax (25 vs 3.9 months; P = .003). This survival advantage of azacitidine + venetoclax over low-dose cytarabine + venetoclax persisted when patients were censored for subsequent allogeneic stem cell transplantation (8.1 vs 3.9 months; P = .035). Mutations in NPM1 were associated with higher response rates, whereas adverse cytogenetics and mutations in TP53, KRAS/NRAS, and SF3B1 were associated with worse OS. Relapse was driven by diverse mechanisms, including acquisition of novel mutations and an increase in cytogenetic complexity. Venetoclax combination therapy is effective in many patients with RR-AML, and pretreatment molecular characteristics may predict outcomes. Trials that evaluate novel agents in combination with venetoclax therapy in patients with RR-AML that have adverse risk genomic features are warranted.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsLeukemia, Myeloid, AcuteBridged Bicyclo Compounds, HeterocyclicDecitabineHumansNucleophosminRetrospective StudiesSulfonamidesBridged Bicyclo Compounds, HeterocyclicDecitabineNPM1 protein, humanNucleophosminSulfonamidesvenetoclax

Identifiers

PMID33687434
PMCPMC7948282
OpenAlexW3135596931

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.