Evidence map›Paper›PMID 34724563›Full record

ArticleBlood2021

2021 Update on MRD in acute myeloid leukemia: a consensus document from the European LeukemiaNet MRD Working Party.

Michael Heuser, Sylvie D Freeman, Gert J Ossenkoppele, Francesco Buccisano, Christopher S Hourigan, Lok Lam Ngai, Jesse M Tettero, Costa Bachas, Constance Baer, Marie-Christine Béné and 35 more

2 registry-linked trialsOpen access · hybridAbstract readConsensus Statement
In one paragraph

Article in Blood, 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 465 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
465citing papers in PubMed, 1 pooled it
70.2field-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.

NCT06845592 narecruitingnot on this mapstarted 2025, after this paper: background citation

SHARP - Safely Delivered Targeted High-dose Irradiation Followed by Adoptive Immunotherapy with Regulatory and Conventional T Cells to Increase Potency of Hematopoietic Stem Cell Transplantation in High-risk Acute Leukemia

TypeinterventionalSponsorUniversity Of PerugiaRan2025 to 2031Enrolled51ConditionsAcute Myeloid Leukaemia (AML), Acute Lymphoblastic Leukemia ALL, High Risk Leukaemia, Leukaemia RelapseArmstotal marrow/lymphoid irradiation
NCT07060001 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluation of the Efficacy of Hypomethylating Agent Versus Standard Intensive Chemotherapy Induction Based on 5hmC - a Novel, Blood Epigenetic Marker for Assessing Measurable Residual Disease in Patients With Acute Myeloid Leukemia

TypeinterventionalSponsorThe Methodist Hospital Research InstituteRan2026 to 2029Enrolled112ConditionsAcute Myeloid Leukemia (AML), Acute Myeloid Leukaemia (AML)Arms5hmC Biomarker, Venetoclax, Decitabine 20 mg/m²/day for 5 days, Azacitidine (AZA), Cytarabine (Ara-C)
3 · Its place in the literature

Who cites it

465 citing papers in PubMed, 1 synthesis or guideline pooled it, 681 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Ziftomenib in Relapsed or RefractoryJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Measurable Residual Disease.Methods in molecular biology (Clifton, N.J.) · 2027
    Article
  18. Article
  19. Observational
  20. Article

405 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

45 authors at 20 institutions in 9 countries.

Michael HeuserDepartment of Hematology, Hemostasis, Oncology, and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.ORCID 0000-0001-5318-9044
Sylvie D FreemanInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0003-1869-180X
Gert J OssenkoppeleDepartment of Hematology, Amsterdam University Medical Center (UMC), Vrije Universiteit Amsterdam, Cancer Center Amsterdam, Amsterdam, The Netherlands.
Francesco BuccisanoDepartment of Biomedicine and Prevention, Hematology, University Tor Vergata, Rome, Italy.ORCID 0000-0003-4320-9253
Christopher S HouriganLaboratory of Myeloid Malignancy, Hematology Branch, National Heart, Lung, and Blood Institute, Bethesda, MD.ORCID 0000-0002-6189-8067
Lok Lam NgaiDepartment of Hematology, Amsterdam University Medical Center (UMC), Vrije Universiteit Amsterdam, Cancer Center Amsterdam, Amsterdam, The Netherlands.
Jesse M TetteroDepartment of Hematology, Amsterdam University Medical Center (UMC), Vrije Universiteit Amsterdam, Cancer Center Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-0811-0824
Costa BachasDepartment of Hematology, Amsterdam University Medical Center (UMC), Vrije Universiteit Amsterdam, Cancer Center Amsterdam, Amsterdam, The Netherlands.
Constance BaerMLL Munich Leukemia Laboratory, Munich, Germany.
Marie-Christine BénéDepartment of Hematology and Biology, Centre Hospitalier Universitaire (CHU) Nantes, Nantes, France.ORCID 0000-0002-6569-7414
Veit BückleinDepartment of Medicine III, University Hospital, Ludwig Maximilian University Munich, Munich, Germany.ORCID 0000-0001-7391-7280
Anna CzyzDepartment of Hematology, Blood Neoplasms, and Bone Marrow Transplantation, Wrocław Medical University, Wrocław, Poland.
Barbara DenysDepartment of Diagnostic Sciences, Faculty of Medicine and Health Sciences, Ghent University.
Richard DillonDepartment of Medical and Molecular Genetics, King's College, London, United Kingdom.ORCID 0000-0001-9333-5296
Michaela Feuring-BuskeDepartment of Internal Medicine III, University Hospital of Ulm, Ulm, Germany.
Monica L GuzmanDepartment of Medicine, Division of Hematology and Oncology, Weill Cornell Medicine, New York, NY.ORCID 0000-0002-9262-8246
Torsten HaferlachMLL Munich Leukemia Laboratory, Munich, Germany.
Lina HanDepartment of Leukemia and.
Julia K HerzigDepartment of Internal Medicine III, University Hospital of Ulm, Ulm, Germany.
Jeffrey L JorgensenThe Department of Hematopathology, MD Anderson Cancer Center, Houston, TX.
Wolfgang KernMLL Munich Leukemia Laboratory, Munich, Germany.
Marina Y KonoplevaDepartment of Leukemia and.ORCID 0000-0002-9347-2212
Francis LacombeHematology Biology, Flow Cytometry, Bordeaux University Hospital, Pessac, France.
Marta LiburaMedical University of Warsaw, Warsaw, Poland.ORCID 0000-0002-5344-345X
Agata MajchrzakDepartment of Experimental Hematology, Copernicus Memorial Hospital, Lodz, Poland.
Luca MaurilloDepartment of Biomedicine and Prevention, Hematology, University Tor Vergata, Rome, Italy.ORCID 0000-0001-7297-4988
Yishai OfranDepartment of Hematology, Shaare Zedek Medical Center Faculty of Medicine Hebrew University, Jerusalem Israel.ORCID 0000-0002-5521-1337
Jan PhilippeDepartment of Diagnostic Sciences, Faculty of Medicine and Health Sciences, Ghent University.ORCID 0000-0003-4857-5746
Adriana PlesaDepartment of Hematology Laboratory, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Lyon, France.ORCID 0000-0003-2751-985X
Claude PreudhommeLaboratory of Hematology, CHU Université de Lille, Lille, France.ORCID 0000-0002-1267-9546
Farhad RavandiDepartment of Leukemia and.
Christophe RoumierLaboratory of Hematology, CHU Université de Lille, Lille, France.
Marion SubkleweDepartment of Medicine III, University Hospital, Ludwig Maximilian University Munich, Munich, Germany.ORCID 0000-0003-3905-0251
Felicitas TholDepartment of Hematology, Hemostasis, Oncology, and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Arjan A van de LoosdrechtDepartment of Hematology, Amsterdam University Medical Center (UMC), Vrije Universiteit Amsterdam, Cancer Center Amsterdam, Amsterdam, The Netherlands.
Bert A van der ReijdenDepartment of Laboratory Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-7804-8643
Adriano VendittiDepartment of Biomedicine and Prevention, Hematology, University Tor Vergata, Rome, Italy.ORCID 0000-0002-0245-0553
Agnieszka WierzbowskaDepartment of Hematology, Medical University of Lodz, Lodz, Poland.ORCID 0000-0001-7909-457X
Peter J M ValkDepartment of Hematology, Erasmus University Medical Center, Rotterdam, Netherlands.
Brent L WoodDepartment of Hematopathology, Children's Hospital Los Angeles, CA.ORCID 0000-0001-7414-3969
Roland B WalterClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.ORCID 0000-0002-9268-3341
Christian ThiedeDepartment of Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany; and.ORCID 0000-0003-1241-2048
Konstanze DöhnerDepartment of Internal Medicine III, University Hospital of Ulm, Ulm, Germany.
Gail J RobozDepartment of Medicine, Division of Hematology and Oncology, Weill Cornell Medicine, New York, NY.ORCID 0000-0002-0384-3658
Jacqueline CloosDepartment of Hematology, Amsterdam University Medical Center (UMC), Vrije Universiteit Amsterdam, Cancer Center Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0001-9150-8026
Amsterdam University Medical Centers · NLMunich Leukemia Laboratory (Germany) · DEUniversity Hospital Ulm · DEUniversity of Rome Tor Vergata · ITCornell University · USGhent University · BELudwig-Maximilians-Universität München · DEMedizinische Hochschule Hannover · DEUniversité de Lille · FRCentre Hospitalier Universitaire de Nantes · FRChildren's Hospital of Los Angeles · USCopernicus Memorial Hospital · PLErasmus MC · NLFred Hutch Cancer Center · USHospices Civils de Lyon · FRKing's College London · GBMedical University of Lodz · PLMedical University of Warsaw · PLNational Heart Lung and Blood Institute · USRadboud University Nijmegen · NL

Funding

Cancer Research UK 29806
6 · The paper itself

Abstract

Measurable residual disease (MRD) is an important biomarker in acute myeloid leukemia (AML) that is used for prognostic, predictive, monitoring, and efficacy-response assessments. The European LeukemiaNet (ELN) MRD Working Party evaluated standardization and harmonization of MRD in an ongoing manner and has updated the 2018 ELN MRD recommendations based on significant developments in the field. New and revised recommendations were established during in-person and online meetings, and a 2-stage Delphi poll was conducted to optimize consensus. All recommendations are graded by levels of evidence and agreement. Major changes include technical specifications for next-generation sequencing-based MRD testing and integrative assessments of MRD irrespective of technology. Other topics include use of MRD as a prognostic and surrogate end point for drug testing; selection of the technique, material, and appropriate time points for MRD assessment; and clinical implications of MRD assessment. In addition to technical recommendations for flow- and molecular-MRD analysis, we provide MRD thresholds and define MRD response, and detail how MRD results should be reported and combined if several techniques are used. MRD assessment in AML is complex and clinically relevant, and standardized approaches to application, interpretation, technical conduct, and reporting are of critical importance.

Indexed as

EuropeFlow CytometryHigh-Throughput Nucleotide SequencingHumansLeukemia, Myeloid, AcuteNeoplasm, ResidualPrognosis

Identifiers

PMID34724563
PMCPMC8718623
OpenAlexW3209416216

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.