Evidence map›Paper›PMID 34424318›Full record

Observational studyBlood advances2021

Concordance of peripheral blood and bone marrow measurable residual disease in adult acute lymphoblastic leukemia.

Lori Muffly, Vandana Sundaram, Connie Chen, Ilana Yurkiewicz, Eric Kuo, Sarah Burnash, Jay Y Spiegel, Sally Arai, Matthew J Frank, Laura J Johnston and 11 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

27 citing papers in PubMed, 40 citations in OpenAlex.

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  18. Measurable residual disease study through three different methods can anticipate relapse and guide early interventions in childhood acute lymphoblastic leukemia.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
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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

21 authors at 3 institutions in 1 country.

Lori MufflyDivision of Blood and Marrow Transplantation.ORCID 0000-0002-9887-6136
Vandana SundaramDepartment of Medicine, Quantitative Sciences Unit.
Connie ChenDivision of Blood and Marrow Transplantation.
Ilana YurkiewiczDivision of Hematology, and.
Eric KuoDepartment of Medicine Stanford University, Stanford CA; and.
Sarah BurnashDivision of Blood and Marrow Transplantation.
Jay Y SpiegelDivision of Blood and Marrow Transplantation.
Sally AraiDivision of Blood and Marrow Transplantation.ORCID 0000-0003-1993-4172
Matthew J FrankDivision of Blood and Marrow Transplantation.
Laura J JohnstonDivision of Blood and Marrow Transplantation.
Robert LowskyDivision of Blood and Marrow Transplantation.
Everett H MeyerDivision of Blood and Marrow Transplantation.
Robert S NegrinDivision of Blood and Marrow Transplantation.
Andrew R RezvaniDivision of Blood and Marrow Transplantation.
Surbhi SidanaDivision of Blood and Marrow Transplantation.ORCID 0000-0003-3288-7614
Parveen ShirazDivision of Blood and Marrow Transplantation.ORCID 0000-0002-6721-0358
Judith A ShizuruDivision of Blood and Marrow Transplantation.
Wen-Kai WengDivision of Blood and Marrow Transplantation.
Michaela LiedtkeDivision of Hematology, and.ORCID 0000-0001-8945-5850
Hyma T VempatyKaiser Permanente, Santa Clara, CA.
David B MiklosDivision of Blood and Marrow Transplantation.ORCID 0000-0003-0717-4305
Kaiser Permanente Santa Clara Medical Center · USQuantitative BioSciences · USStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Monitoring of measurable residual disease (MRD) is essential to the management of acute lymphoblastic leukemia (ALL) and is typically performed through repeated bone marrow (BM) assessments. Using a next-generation sequencing (NGS) MRD platform, we performed a prospective observational study evaluating the correlation between peripheral blood (PB) and BM MRD in adults with ALL receiving cellular therapies (hematopoietic cell transplantation [HCT] and chimeric antigen receptor T-cell [CAR-T] therapies). Among the study cohort (N = 69 patients; 126 paired PB/BM samples), we found strong correlation between PB and BM MRD (r = 0.87; P < .001), with a sensitivity and specificity of MRD detection in the PB of 87% and 90%, respectively, relative to MRD in the BM. MRD became detectable in the PB in 100% of patients who subsequently relapsed following HCT, with median time from MRD+ to clinical relapse of 90 days, and in 85% of patients who relapsed following CAR T, with median time from MRD+ to clinical relapse of 60 days. In adult patients with ALL undergoing cellular therapies, we demonstrate strong concordance between NGS-based MRD detected in the PB and BM. Monitoring of ALL MRD in the PB appears to be an adequate alternative to frequent invasive BM evaluations in this clinical setting.

Indexed as

Hematopoietic Stem Cell TransplantationPrecursor Cell Lymphoblastic Leukemia-LymphomaAdultBone MarrowBone Marrow ExaminationHumansNeoplasm, ResidualProspective Studies

Identifiers

PMID34424318
PMCPMC8405199
OpenAlexW3195024299

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.