Evidence map›Paper›PMID 34066095›Full record

ArticleCancers2021

Survival Following Relapse in Children with Acute Myeloid Leukemia: A Report from AML-BFM and COG.

Mareike Rasche, Martin Zimmermann, Emma Steidel, Todd Alonzo, Richard Aplenc, Jean-Pierre Bourquin, Heidrun Boztug, Todd Cooper, Alan S Gamis, Robert B Gerbing and 15 more

Abstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
–field-weighted citation impact
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

46 citing papers in PubMed.

  1. Trial
  2. Immunophenotypic, Cytogenetic, and Molecular Characterization of NUP98-Rearranged Pediatric Myeloid Neoplasms.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2026
    Article
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  13. Review
  14. Review
  15. Article
  16. Article
  17. Nidogen-1, a Player in KMT2A-Rearranged Pediatric Acute Myeloid Leukemia.International journal of molecular sciences · 2025
    Article
  18. Article
  19. Review
  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

25 authors.

Mareike RascheDepartment of Pediatric Hematology-Oncology, Pediatrics III, University Hospital of Essen, 45147 Essen, Germany.ORCID 0000-0002-7687-3655
Martin ZimmermannDepartment of Pediatric Hematology and Oncology, Hannover Medical School, 30625 Hannover, Germany.
Emma SteidelDepartment of Pediatric Hematology-Oncology, Pediatrics III, University Hospital of Essen, 45147 Essen, Germany.
Todd AlonzoDepartment of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.
Richard AplencDivision of Oncology, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Jean-Pierre BourquinDivision of Pediatric Hematology/Oncology, University Children's Hospital Zurich, CH-8032 Zurich, Switzerland.
Heidrun BoztugSt Anna Children's Hospital and Children's Cancer Research Institute, Department of Pediatrics, Medical University of Vienna, 1090 Vienna, Austria.
Todd CooperSeattle Children's Hospital, Seattle, WA 98105, USA.ORCID 0000-0002-1203-2371
Alan S GamisChildren's Mercy Hospitals and Clinics, Kansas City, MO 64108, USA.
Robert B GerbingChildren's Oncology Group, Monrovia, CA 91016, USA.
Iveta JanotovaDepartment of Pediatric Hematology and Oncology, 2nd Faculty of Medicine, Charles University and University Hospital Motol, 150 06 Prague, Czech Republic.
Jan-Henning KlusmannClinic for Pediatrics 1, Martin Luther University Halle-Wittenberg, 06108 Halle, Germany.
Thomas LehrnbecherDivision for Pediatric Hematology and Oncology, Hospital for Children and Adolescents, University Hospital, Goethe University Frankfurt am Main, 60590 Frankfurt, Germany.
Nora MühleggerSt Anna Children's Hospital and Children's Cancer Research Institute, Department of Pediatrics, Medical University of Vienna, 1090 Vienna, Austria.
Nils V NeuhoffDepartment of Pediatric Hematology-Oncology, Pediatrics III, University Hospital of Essen, 45147 Essen, Germany.ORCID 0000-0003-4138-5341
Naghmeh NiktorehDepartment of Pediatric Hematology-Oncology, Pediatrics III, University Hospital of Essen, 45147 Essen, Germany.ORCID 0000-0002-5032-4789
Lucie SramkovaDepartment of Pediatric Hematology and Oncology, 2nd Faculty of Medicine, Charles University and University Hospital Motol, 150 06 Prague, Czech Republic.ORCID 0000-0002-1035-422X
Jan StaryDepartment of Pediatric Hematology and Oncology, 2nd Faculty of Medicine, Charles University and University Hospital Motol, 150 06 Prague, Czech Republic.
Katharina WaackDepartment of Pediatric Hematology-Oncology, Pediatrics III, University Hospital of Essen, 45147 Essen, Germany.
Christiane WalterDepartment of Pediatric Hematology-Oncology, Pediatrics III, University Hospital of Essen, 45147 Essen, Germany.ORCID 0000-0002-7832-895X
Ursula CreutzigDepartment of Pediatric Hematology and Oncology, Hannover Medical School, 30625 Hannover, Germany.ORCID 0000-0003-0045-6668
Michael DworzakSt Anna Children's Hospital and Children's Cancer Research Institute, Department of Pediatrics, Medical University of Vienna, 1090 Vienna, Austria.
Gertjan KaspersPrincess Máxima Center for Pediatric Oncology, 3584 CS Utrecht, The Netherlands.
Edward Anders KolbNemours/Alfred I. du Pont Hospital for Children, Wilmington, DE 19803, USA.ORCID 0000-0003-2854-9014
Dirk ReinhardtDepartment of Pediatric Hematology-Oncology, Pediatrics III, University Hospital of Essen, 45147 Essen, Germany.ORCID 0000-0002-7027-4483

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
Children's Oncology Group Statistics &Data Center GrantU10CA098413 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI ANDERSON, JAMES R · 2003 to 2013
$67.5M
Deutsche Krebshilfe 50-2728, 110244, 70112486H2020 European Research Council grant agreement 714226NCI NIH HHS NCTN Operations Center Grant U10CA180886; NCTN Statistics & Data Center Grant U10CA180899; Chair's Grant U10CA098543 Statistics & Data Center Grant U10CA098413 (2003-2014)NCI NIH HHS U10 CA098413NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899
6 · The paper itself

Abstract

Post-relapse therapy remains critical for survival in children with acute myeloid leukemia (AML). We evaluated survival, response and prognostic variables following relapse in independent cooperative group studies conducted by COG and the population-based AML-BFM study group. BFM included 197 patients who relapsed after closure of the last I-BFM relapse trial until 2017, while COG included 852 patients who relapsed on the last Phase 3 trials (AAML0531, AAML1031). Overall survival at 5 years (OS) was 42 ± 4% (BFM) and 35 ± 2% (COG). Initial high-risk features (BFM 32 ± 6%, COG 26 ± 4%) and short time to relapse (BFM 29 ± 4%, COG 25 ± 2%) predicted diminished survival. In the BFM dataset, there was no difference in OS for patients who had a complete remission with full hematopoietic recovery (CR) following post-relapse re-induction compared to those with partial neutrophil and platelet recovery (CRp and CRi) only (52 ± 7% vs. 63 ± 10%,

Indexed as

acute myeloid leukemiachildhood acute myeloid leukemiapediatricrelapsesalvage therapy

Identifiers

PMID34066095
PMCPMC8151466

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Registered trials

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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.