Evidence map›Paper›PMID 34596937›Full record

ArticlePediatric blood & cancer2021

Outcomes of intensification of induction chemotherapy for children with high-risk acute myeloid leukemia: A report from the Children's Oncology Group.

Caitlin W Elgarten, Andrew C Wood, Yimei Li, Todd A Alonzo, Lisa Eidenschink Brodersen, Robert B Gerbing, Kelly D Getz, Y-S Vera Huang, Michael Loken, Soheil Meshinchi and 6 more

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Pediatric blood & cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 19% 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.

NCT00372593 phase3completednot on this map

A Phase III Randomized Trial of Gemtuzumab Ozogamicin (Mylotarg) Combined With Conventional Chemotherapy for De Novo Acute Myeloid Leukemia (AML) in Children, Adolescents, and Young Adults

TypeinterventionalSponsorChildren's Oncology GroupRan2006 to 2020Enrolled1,070ConditionsLeukemiaArmsasparaginase, cytarabine, daunorubicin hydrochloride, etoposide, gemtuzumab ozogamicin
NCT01371981 phase3completednot on this map

A Phase III Randomized Trial for Patients With De Novo AML Using Bortezomib and Sorafenib (NSC# 681239, NSC# 724772) for Patients With High Allelic Ratio FLT3/ITD

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2011 to 2026Enrolled1,645ConditionsAcute Myeloid Leukemia, Leukemia Cutis, Myeloid Neoplasm, Myeloid SarcomaArmsAsparaginase, Bortezomib, Cytarabine, Daunorubicin Hydrochloride, Etoposide
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
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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

16 authors at 12 institutions in 3 countries.

Caitlin W ElgartenDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-2474-3031
Andrew C WoodUniversity of Auckland, Auckland, New Zealand.
Yimei LiDepartment of Biostatistics, Epidemiology, and Informatics, Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Todd A AlonzoUniversity of Southern California, Los Angeles, California, USA.
Lisa Eidenschink BrodersenHematologics, Inc., Seattle, Washington, USA.
Robert B GerbingChildren's Oncology Group, Monrovia, California, USA.
Kelly D GetzCenter for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-2020-5153
Y-S Vera HuangDepartment of Biomedical Health Informatics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Michael LokenHematologics, Inc., Seattle, Washington, USA.
Soheil MeshinchiFred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Jessica A PollardDana-Farber Cancer Institute, Boston, Massachusetts, USA.
Lillian SungThe Hospital for Sick Children, Toronto, Ontario, Canada.
William G WoodsAflac Cancer and Blood Disorders Center, Emory University/Children's Healthcare of Atlanta, Atlanta, Georgia, USA.
E Anders KolbAlfred I. duPont Hospital for Children, Wilmington, Delaware, USA.
Alan S GamisChildren's Mercy Hospital and Clinics, Kansas City, Missouri, USA.
Richard AplencDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Children's Hospital of Philadelphia · USChromoLogic (United States) · USAlfred I. duPont Hospital for Children · USBoston Children's Hospital · USChildren's Mercy Hospital · USChildren's Oncology Group · USEmory University · USFred Hutch Cancer Center · USHospital for Sick Children · CAUniversity of Auckland · NZUniversity of Pennsylvania · USUniversity of Southern California · US

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
Early Treatment-Related Cardiotoxicity and Subsequent Outcomes in Pediatric Acute Myeloid Leukemia: an Assessment of Development, Progression and MitigationK01HL143153 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI GETZ, KELLY DIRINGER · 2018 to 2022
$716k
NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899NHLBI NIH HHS K01 HL143153
6 · The paper itself

Abstract

backgroundHigh-risk pediatric acute myeloid leukemia confers a poor prognosis, and alternative strategies are needed to improve outcomes. We hypothesized that intensifying induction on the AAML1031 clinical trial would improve outcomes compared to the predecessor trial AAML0531.

methodsPatients on AAML0531 received cytarabine (1600 mg/m

resultsMA provided no benefit over ADE at: induction II response (complete response [CR]: 64% vs. 62%, p = .87; measurable residual disease [MRD]+: 57% vs. 46%, p = .34); or intensification I response (CR: 79% vs. 94%, p = .27; MRD+: 27% vs. 20%, p = 1.0). When considered with altered SCT approach, MA did not improve 5-year disease-free survival (24% ± 9% vs. 18% ± 15%, p = .63) or 5-year overall survival (35% ± 10% vs. 38% ± 18%, p = .66). MA was associated with slower neutrophil recovery (median 34 vs. 27 days, p = .007) and platelet recovery (median 29 vs. 24.5 days, p = .04) and longer hospital stay (32 vs. 28 days, p = .01) during induction II.

conclusionIntensification of induction II did not improve treatment response or survival, but did increase toxicity and resource utilization. Alternative strategies are urgently needed to improve outcomes for pediatric patients with high-risk acute myeloid leukemia (trials registered at clinicaltrials.gov NCT01371981, NCT00372593).

Indexed as

Induction ChemotherapyLeukemia, Myeloid, AcuteAntineoplastic Combined Chemotherapy ProtocolsBusulfanChildClinical Trials as TopicCytarabineDisease-Free SurvivalHumansNeoplasm, ResidualTreatment OutcomeBusulfanCytarabineacute leukemiaChildren's Oncology Groupinductionmitoxantronemyeloid leukemiapediatric oncology

Identifiers

PMID34596937
PMCPMC8717610
OpenAlexW3204954172

What OpenQuestion holds

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Registered trials

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.