Evidence map›Paper›PMID 34625784›Full record

Trial reportBlood advances2021

Early detection of WT1 measurable residual disease identifies high-risk patients, independent of transplantation in AML.

Juliette Lambert, Jerome Lambert, Xavier Thomas, Alice Marceau-Renaut, Jean-Baptiste Micol, Aline Renneville, Emmanuelle Clappier, Sandrine Hayette, Christian Récher, Emmanuel Raffoux and 10 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
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  3. Review
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  5. Article
  6. Acute Myeloid Leukemia-Use of Measurable Residual Disease to Improve Outcomes.Advances in experimental medicine and biology · 2025
    Review
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  10. Efficacy ofZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Article
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  12. Article
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  15. Article
  16. 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

20 authors at 9 institutions in 2 countries.

Juliette LambertDepartment of Hematology-Oncology, Versailles Hospital, University Versailles-Saint-Quentin-en-Yvelines, Le Chesnay, France.ORCID 0000-0001-5142-0310
Jerome LambertDepartment of Biostatistics, Saint-Louis University Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.
Xavier ThomasDepartment of Hematology, Lyon-Sud University Hospital, Pierre Bénite, France.
Alice Marceau-RenautLaboratory of Hematology, Centre Hospitalier Universitaire (CHU) Lille, INSERM UMR-S 1277, Lille, France.
Jean-Baptiste MicolDepartment of Hematology, Gustave Roussy Institute, Villejuif, France.
Aline RennevilleLaboratory of Hematology, Centre Hospitalier Universitaire (CHU) Lille, INSERM UMR-S 1277, Lille, France.ORCID 0000-0003-0805-9640
Emmanuelle ClappierLaboratory of Hematology, Saint-Louis University Hospital, AP-HP, Paris, France.
Sandrine HayetteDepartment of Hematology, Lyon-Sud University Hospital, Pierre Bénite, France.
Christian RécherDepartment of Hematology, Toulouse University Hospital, University Toulouse III, Toulouse, France.ORCID 0000-0002-3332-4525
Emmanuel RaffouxDepartment of Hematology, Saint-Louis University Hospital, AP-HP, Paris, France.
Arnaud PigneuxDepartment of Hematology, Bordeaux University Hospital, INSERM 1035, Bordeaux, France.
Celine BerthonDepartment of Hematology, CHU Lille, Lille, France.ORCID 0000-0002-3474-2577
Christine TerréLaboratory of Cytogenetic, Versailles Hospital, Le Chesnay, France; and.
Karine Celli-LebrasCoordination Office, Acute Leukemia French Association (ALFA), University Hematology Institute, Paris, France.
Sylvie CastaigneDepartment of Hematology-Oncology, Versailles Hospital, University Versailles-Saint-Quentin-en-Yvelines, Le Chesnay, France.
Nicolas BoisselDepartment of Hematology, Saint-Louis University Hospital, AP-HP, Paris, France.
Philippe RousselotDepartment of Hematology-Oncology, Versailles Hospital, University Versailles-Saint-Quentin-en-Yvelines, Le Chesnay, France.
Claude PreudhommeLaboratory of Hematology, Centre Hospitalier Universitaire (CHU) Lille, INSERM UMR-S 1277, Lille, France.ORCID 0000-0002-1267-9546
Hervé DombretDepartment of Hematology, Saint-Louis University Hospital, AP-HP, Paris, France.ORCID 0000-0002-5454-6768
Nicolas DuployezLaboratory of Hematology, Centre Hospitalier Universitaire (CHU) Lille, INSERM UMR-S 1277, Lille, France.ORCID 0000-0002-3927-1022
Inserm · FRSaint Louis University Hospital · USUniversité de Versailles Saint-Quentin-en-Yvelines · FRHôpital Lyon Sud · FRAcute Leukemia French Association · FRCentre Hospitalier de Versailles · FRCentre Hospitalier Universitaire de Lille · FRInstitut Gustave Roussy · FRUniversité Toulouse III - Paul Sabatier · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

WT1 overexpression is frequently identified in acute myeloid leukemia (AML) and has been reported to be a potential marker for monitoring measurable residual disease (MRD). We evaluated the use of postinduction WT1 MRD level as a prognostic factor, as well as the interaction between postinduction WT1 MRD response and the effect of allogeneic stem cell transplantation (allo-SCT) in the first complete remission (CR). In the ALFA-0702 trial, patients with AML, aged 18 to 59, had a prospective quantification of WT1 MRD. The occurrence of a WT1 MRD ratio >2.5% in bone marrow or >0.5% in peripheral blood was defined as MRDhigh, and ratios below these thresholds were defined as MRDlow. The prognostic value of MRD after induction chemotherapy was assessed in 314 patients in first CR by comparing the risk of relapse, the relapse-free survival (RFS), and the overall survival (OS). Interaction between MRD response and the allo-SCT effect was evaluated in patients by comparing the influence of allo-SCT on the outcomes of patients with MRDhigh with those with MRDlow. The results showed that patients with MRDhigh after induction had a higher risk of relapse and a shorter RFS and OS. The MRD response remained of strong prognostic value in the subset of 225 patients with intermediate-/unfavorable-risk AML who were eligible for allo-SCT, because patients with MRDhigh had a significantly higher risk of relapse resulting in worse RFS and OS. The effect of allo-SCT was higher in patients with MRDlow than in those with MRDhigh, but not significantly different. The early WT1 MRD response highlights a population of high-risk patients in need of additional therapy.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteAdolescentAdultHumansMiddle AgedNeoplasm, ResidualPrognosisWT1 ProteinsYoung AdultWT1 protein, humanWT1 Proteins

Identifiers

PMID34625784
PMCPMC9153044
OpenAlexW3204879870

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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.