Evidence map›Paper›PMID 34778801›Full record

Trial reportBlood cancer discovery2021

Phase II Trial of Pembrolizumab after High-Dose Cytarabine in Relapsed/Refractory Acute Myeloid Leukemia.

Joshua F Zeidner, Benjamin G Vincent, Anastasia Ivanova, Dominic Moore, Karen P McKinnon, Alec D Wilkinson, Rupkatha Mukhopadhyay, Francesco Mazziotta, Hanna A Knaus, Matthew C Foster and 12 more

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Blood cancer discovery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
9.4field-weighted citation impact, top 2% 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

62 citing papers in PubMed, 87 citations in OpenAlex.

  1. Trial
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  9. Pandora's Box of AML: HowBiomedicines · 2025
    Review
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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 3 institutions in 2 countries.

Joshua F ZeidnerUniversity of North Carolina School of Medicine, Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina. Joshua_Zeidner@med.unc.edu.ORCID 0000-0002-9014-1514
Benjamin G VincentUniversity of North Carolina School of Medicine, Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina.ORCID 0000-0002-1762-2282
Anastasia IvanovaUniversity of North Carolina School of Medicine, Department of Biostatistics, Chapel Hill, North Carolina.
Dominic MooreUniversity of North Carolina School of Medicine, Department of Biostatistics, Chapel Hill, North Carolina.
Karen P McKinnonUniversity of North Carolina School of Medicine, Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina.
Alec D WilkinsonUniversity of North Carolina School of Medicine, Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina.
Rupkatha MukhopadhyayJohns Hopkins School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland.
Francesco MazziottaJohns Hopkins School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland.
Hanna A KnausJohns Hopkins School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland.
Matthew C FosterUniversity of North Carolina School of Medicine, Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina.ORCID 0000-0002-6652-3838
Catherine C CoombsUniversity of North Carolina School of Medicine, Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina.
Katarzyna JamiesonUniversity of North Carolina School of Medicine, Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina.
Hendrik Van DeventerUniversity of North Carolina School of Medicine, Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina.
Jonathan A WebsterJohns Hopkins School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland.
Gabrielle T PrinceJohns Hopkins School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland.
Amy E DeZernJohns Hopkins School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland.
B Douglas SmithJohns Hopkins School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland.ORCID 0000-0002-0903-7390
Mark J LevisJohns Hopkins School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland.
Nathan D MontgomeryUniversity of North Carolina School of Medicine, Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina.
Leo LuznikJohns Hopkins School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland.
Jonathan S Serody *University of North Carolina School of Medicine, Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina.
Ivana Gojo *Johns Hopkins School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland.ORCID 0000-0003-0312-3412
University of North Carolina at Chapel Hill · USJohns Hopkins University · USUniversity of Siena · IT

Funding

Tissue Procurement & PathologyP50CA058223 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CHARLES M PEROU · 1992 to 2026
$59.3M
Gvl mHA Specific T Cell Responses Prevent AML Relapse Following Allogeneic Stem Cell Transplantation.R37CA247676 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI VINCENT, BENJAMIN G · 2020 to 2025
$3.6M
NCI NIH HHS P50 CA058223NCI NIH HHS R37 CA247676
6 · The paper itself

Abstract

Immune suppression, exhaustion, and senescence are frequently seen throughout disease progression in acute myeloid leukemia (AML). We conducted a phase II study of high-dose cytarabine followed by pembrolizumab 200 mg i.v. on day 14 to examine whether PD-1 inhibition improves clinical responses in relapsed/refractory (R/R) AML. Overall responders could receive pembrolizumab maintenance up to 2 years. Among 37 patients enrolled, the overall response rate, composite complete remission (CRc) rate (primary endpoint), and median overall survival (OS) were 46%, 38%, and 11.1 months, respectively. Patients with refractory/early relapse and those receiving treatment as first salvage had encouraging outcomes (median OS, 13.2 and 11.3 months, respectively). Grade ≥3 immune-related adverse events were rare (14%) and self-limiting. Patients who achieved CRc had a higher frequency of progenitor exhausted CD8 SIGNIFICANCE: Immune-checkpoint blockade with pembrolizumab was tolerable and feasible after high-dose cytarabine in R/R AML, with encouraging clinical activity, particularly in refractory AML and those receiving treatment as first salvage regimen. Further study of pembrolizumab and other immune-checkpoint blockade strategies after cytotoxic chemotherapy is warranted in AML.

Indexed as

CytarabineLeukemia, Myeloid, AcuteAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCD8-Positive T-LymphocytesDrug Resistance, NeoplasmHumansAntibodies, Monoclonal, HumanizedCytarabinepembrolizumab

Identifiers

PMID34778801
PMCPMC8580622
OpenAlexW3199415367

What OpenQuestion holds

Textmetadata
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.