Evidence map›Paper›PMID 34480598›Full record

ArticleJournal of cancer research and clinical oncology2022

Improved outcome in children compared to adolescents and young adults after allogeneic hematopoietic stem cell transplant for acute myeloid leukemia: a retrospective study from the Francophone Society of Bone Marrow Transplantation and Cell Therapy (SFGM-TC).

Cécile Pochon, Marie Detrait, Jean-Hugues Dalle, Gérard Michel, Nathalie Dhédin, Yves Chalandon, Eolia Brissot, Edouard Forcade, Anne Sirvent, Faezeh Izzadifar-Legrand and 24 more

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In one paragraph

Article in Journal of cancer research and clinical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

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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

34 authors at 20 institutions in 7 countries.

Cécile Pochon *CHRU de Nancy, hôpitaux de Brabois, service d'oncohématologie pédiatrique, 54500, Vandœuvre-lès-Nancy, France. c.pochon@chru-nancy.fr.ORCID http://orcid.org/0000-0003-0277-5611
Marie Detrait *CHRU de Nancy, hôpitaux de Brabois, service d'hématologie, 54500, Vandœuvre-lès-Nancy, France.
Jean-Hugues DalleHôpital Robert-Debré, Université Paris, département d'hémato-immunologie pédiatrique7-Paris Diderot, 5, rue Thomas-Mann, 75013, Paris, France.
Gérard MichelPediatric Hematology Department, Hopital de La Timone, Marseille, France.
Nathalie DhédinUnité d'Hématologie-Adolescents et jeunes adultes, Hôpital Saint-Louis, EA-3518, Université Paris, 7-Denis Diderot, Paris, France.
Yves ChalandonService d'Hématologie, Hôpitaux Universitaires de Genève, Université de Genève, 4, rue Gabrielle-Perret-Gentil, 1211 Genève and faculté de médecine, Geneva, Switzerland.
Eolia BrissotService d'Hematologie Clinique, Saint-Antoine Hospital, AP-HP, Sorbonne University, and INSERM UMRs 938, Paris, France.
Edouard ForcadeCHU Bordeaux, service d'hematologie et therapie Cellulaire, 33000, Bordeaux, France.
Anne SirventHôpital Arnaud-de-Villeneuve, service d'onco-hématologie pédiatrique, 371, avenue du Doyen-Gaston-Giraud, 34090, Montpellier, France.
Faezeh Izzadifar-LegrandInstitut Paoli-Calmette, unité de greffe, 232, boulevard de Sainte-Marguerite, 13009, Marseille, France.
Mauricette MichalletHematology Department, Centre Léon Bérard, Lyon, France.
Cécile RenardInstitute of Hematology and Oncology Paediatrics, Hospices Civils de Lyon, Lyon, France.
Ibrahim Yakoub-AghaCHRU de Lille, unité d'allogreffe de CSH, maladies du sang, 59037, Lille, France.
Fanny GonzalesCHU de Lille, hématologie pédiatrique, 59000, Lille, France.
Jacques-Olivier BayDepartment of Hematology, CHU de Clermont Ferrand, Clermont Ferrand, France.
Justyna KanoldDepartment of Pediatric Oncology and Hematology, Hôpital Estaing, Clermont-Ferrand, France.
Jérome CornillonInstitut de Cancérologie Lucien-Neuwirth, département d'hématologie clinique, 108 Bis, avenue Albert-Raimond, 42271, St-Priest-en-Jarez, France.
Claude Eric BulaboisCHU Grenoble, Grenoble, France.
Marie AngosoHôpital d'enfants, unité d'hématologie oncologie pédiatrique, place Amélie-Raba-Léon, 33000, Bordeaux, France.
Stéphanie NguyenSorbonne Université, Groupe Hospitalier Pitié-Salpêtrière, centre d'immunologie et des maladies infectieuses (CIMI-Paris), service d'hématologie clinique, UPMC CR7, CNRS ERL8255, Inserm U1135, 75013, Paris, France.
Marie BalzaHematology Department, HCL, Hôpitaux Lyon-Sud, Pierre-Bénite, France.
Patrice ChevallierCHU Nantes, Nantes, France.
Fanny RiallandPediatric Hematology Department, CHU de Nantes, Nantes, France.
Ali BazarbachiDepartment of Internal Medicine, American University of Beirut, Beyrouth, Lebanon.
Yves BeguinDepartment of Haematology, CHU and University of Liège, Liège, Belgium.
Anne HuynhInstitut Universitaire du Cancer, Toulouse, France.
Anne-Lise MénardCentre Henri-Becquerel, département d'hématologie clinique, rue d'Amiens, 76038, Rouen, France.
Pascale SchneiderService d'hémato-oncologie pédiatrie, Hôpital Charles-Nicolle, CHU, 1, rue Germont, 76031, Rouen cedex, France.
Bénédicte NevenService d'immuno-Hématologie Pédiatrique, Hôpital Necker-Enfants-Malades, 149-161, rue de Sèvres, 75743, Paris Cedex 15, France.
Catherine PaillardDepartment of Haematology, Hôpital de Haute-Pierre, 67200, Strasbourg, France.
Nicole RausData Management of SFGMT-TC, HCL, Hôpitaux Lyon Sud, Pierre Bénite, France.
Eliane AlbuissonCHRU-Nancy, DRCI, Département MPI, Unité de Méthodologie, Data Management et Statistique UMDS, 54000, Nancy, France.
Thomas RemenCHRU-Nancy, DRCI, Département MPI, Unité de Méthodologie, Data Management et Statistique UMDS, 54000, Nancy, France.
Marie-Thérèse RubioCHRU de Nancy, hôpitaux de Brabois, service d'hématologie, 54500, Vandœuvre-lès-Nancy, France.
Centre National de la Recherche Scientifique · FRHospices Civils de Lyon · FRCentre d’Investigation Clinique Innovation Technologique de Nancy · FRCentre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRCentre Hospitalier Universitaire de Nantes · FRDélégation Paris 7 · FRInserm · FRAmerican University of Science and Technology · LBCentre Hospitalier Universitaire de Grenoble · FRCentre Hospitalier Universitaire de Lille · FRCentre Léon Bérard · FRHôpital Arnaud de Villeneuve · FRHôpital Charles-Nicolle · FRHôpital de la Timone · FRHôpital d'Hautepierre · FRHôpital Necker-Enfants Malades · FRInstitut d’Hématologie et d’Oncologie Pédiatrique · FRInstitute Cancer De La Loire Lucien Neuwirth · FRInstitut Paoli-Calmettes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are currently few data on the outcome of acute myeloid leukemia (AML) in adolescents after allogeneic HSCT. The aim of this study is to describe the outcome and its specific risk factors for children, adolescents and young adults after a first allogeneic HSCT for AML.

methodsIn this retrospective study, we compared the outcome of AML patients receiving a first allogeneic HSCT between 2005 and 2017 according to their age at transplantation's time: children (< 15 years, n = 564), adolescent and post-adolescent (APA) patients (15-25 years, n = 647) and young adults (26-40 years; n = 1434).

resultsWith a median follow-up of 4.37 years (min-max 0.18-14.73 years), the probability of 2-year overall survival (OS) was 71.4% in children, 61.1% in APA patients and 62.9% in young adults (p = 0.0009 for intergroup difference). Both relapse and non-relapse mortality (NRM) Cumulative Incidence (CI) estimated at 2 years were different between the age groups (30.8% for children, 35.2% for APA patients and 29.4% for young adults-p = 0.0254, and 7.0% for children, 10.6% for APA patients and 14.2% for young adults, p < 0.0001; respectively). Whilst there was no difference between the three groups for grade I to IV acute GVHD CI at 3 months, the chronic GVHD CI at 2 years was higher in APA patients and young adults (31.4% and 36.4%, respectively) in comparison to the children (17.5%) (p < 0.0001). In multivariable analysis, factors associated with death were AML cytogenetics (HR1.73 [1.29-2.32] for intermediate risk 1, HR 1.50 [1.13-2.01] for intermediate risk 2, HR 2.22 [1.70-2.89] for high cytogenetics risk compared to low risk), use of TBI ≥ 8 Grays (HR 1.33 [1.09-1.61]), disease status at transplant (HR 1.40 [1.10-1.78] for second Complete Remission (CR), HR 2.26 [1.02-4.98] for third CR and HR 3.07 [2.44-3.85] for active disease, compared to first CR), graft source (HR 1.26 [1.05-1.50] for Peripheral Blood Stem Cells compared to Bone Marrow) and donor age (HR 1.01 (1-1.02] by increase of 1 year).

conclusionAge is an independent risk factor for NRM and extensive chronic GVHD. This study suggests that APA patients with AML could be beneficially treated with a chemotherapy-based MAC regimen and bone marrow as a stem cells source.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteAdolescentBone Marrow TransplantationChildHumansRetrospective StudiesTransplantation ConditioningYoung AdultAcute GVHDAcute myeloblastic leukemiaAdolescent and post-adolescent patientsAllogeneic hematopoietic stem cell transplantationChildrenChronic GVHDOutcomeYoung adults

Identifiers

PMID34480598
PMCPMC9293841
OpenAlexW3196496960

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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.