Evidence map›Paper›PMID 34610123›Full record

ArticleBlood advances2021

Venetoclax and azacitidine compared with induction chemotherapy for newly diagnosed patients with acute myeloid leukemia.

Evan M Cherry, Diana Abbott, Maria Amaya, Christine McMahon, Marc Schwartz, Julie Rosser, Audrey Sato, Jeffrey Schowinsky, Anagha Inguva, Mohd Minhajuddin and 7 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 115 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
115citing papers in PubMed, 8 pooled it
18.1field-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

115 citing papers in PubMed, 8 syntheses or guidelines pooled it, 164 citations in OpenAlex.

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  14. Review
  15. Risk Prognostication After Hypomethylating Agents Combined With Venetoclax in AML: The PRISM Risk Model.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
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55 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

17 authors at 1 institution in 1 country.

Evan M CherryDivision of Hematology, Department of Medicine.ORCID 0000-0001-6416-8855
Diana AbbottCenter for Innovative Design and Analysis, Department of Biostatistics and Informatics, and.
Maria AmayaDivision of Hematology, Department of Medicine.ORCID 0000-0001-9503-5019
Christine McMahonDivision of Hematology, Department of Medicine.
Marc SchwartzDivision of Hematology, Department of Medicine.
Julie RosserDepartment of Pathology, University of Colorado, Aurora, CO.
Audrey SatoDepartment of Pathology, University of Colorado, Aurora, CO.
Jeffrey SchowinskyDepartment of Pathology, University of Colorado, Aurora, CO.
Anagha InguvaDivision of Hematology, Department of Medicine.
Mohd MinhajuddinDivision of Hematology, Department of Medicine.
Shanshan PeiDivision of Hematology, Department of Medicine.
Brett StevensDivision of Hematology, Department of Medicine.
Amanda WintersDivision of Hematology, Department of Medicine.ORCID 0000-0001-7916-7505
Craig T JordanDivision of Hematology, Department of Medicine.
Clayton SmithDivision of Hematology, Department of Medicine.
Jonathan A GutmanDivision of Hematology, Department of Medicine.
Daniel A PollyeaDivision of Hematology, Department of Medicine.ORCID 0000-0001-6519-4860
University of Colorado Anschutz Medical Campus · US

Funding

Research Training in Pediatric OncologyT32CA136432 · NCI · DANA-FARBER CANCER INST · PI SCOTT A ARMSTRONG · 2009 to 2026
$7.9M
Training Program in Cancer BiologyT32CA190216 · NCI · UNIVERSITY OF COLORADO DENVER · PI Craig T. Jordan · 2016 to 2026
$3.5M
NCI NIH HHS T32 CA136432NCI NIH HHS T32 CA190216
6 · The paper itself

Abstract

Venetoclax (ven) plus azacitidine (aza) is the standard of care for patients with newly diagnosed acute myeloid leukemia (AML) who are not candidates for intensive chemotherapy (IC). Some patients who are IC candidates instead receive ven/aza. We retrospectively analyzed patients with newly diagnosed AML who received ven/aza (n = 143) or IC (n = 149) to compare outcomes, seek variables that could predict response to 1 therapy or the other, and ascertain whether treatment recommendations could be refined. The response rates were 76.9% for ven/aza and 70.5% for IC. The median overall survival (OS) was 884 days for IC compared with 483 days for ven/aza (P = .0020). A propensity-matched cohort was used to compare outcomes in the setting of equivalent baseline variables, and when matched for age, biological risk, and transplantation, the median OS was 705 days for IC compared with not reached for ven/aza (P = .0667). Variables that favored response to ven/aza over IC included older age, secondary AML, and RUNX1 mutations. AML M5 favored response to IC over ven/aza. In the propensity-matched cohort analyzing OS, older age, adverse risk, and RUNX1 mutations favored ven/aza over IC, whereas intermediate risk favored IC over ven/aza. In conclusion, patients receiving IC have improved OS compared with those receiving ven/aza. However, in a propensity-matched cohort of patients with equivalent baseline factors, there was a trend toward favorable OS for ven/aza. Specific variables, such as RUNX1 mutations, reported here for the first time, can be identified that favor ven/aza or IC, helping to guide treatment decisions for patients who may be eligible candidates for either therapy.

Indexed as

AzacitidineLeukemia, Myeloid, AcuteAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBridged Bicyclo Compounds, HeterocyclicFemaleHumansInduction ChemotherapyMaleMiddle AgedRetrospective StudiesSulfonamidesYoung AdultAzacitidineBridged Bicyclo Compounds, HeterocyclicSulfonamidesvenetoclax

Identifiers

PMID34610123
PMCPMC8714726
OpenAlexW3202266999

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.