Evidence map›Paper›PMID 34794176›Full record

ArticleBlood advances2022

Differential impact of IDH1/2 mutational subclasses on outcome in adult AML: results from a large multicenter study.

Jan M Middeke, Klaus H Metzeler, Christoph Röllig, Michael Krämer, Jan-Niklas Eckardt, Sebastian Stasik, Philipp A Greif, Karsten Spiekermann, Maja Rothenberg-Thurley, Utz Krug and 36 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Blood advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 5% 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  14. Prognostic impact of co-mutations in adults withBlood science (Baltimore, Md.) · 2025
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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

46 authors at 20 institutions in 1 country.

Jan M MiddekeMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.
Klaus H MetzelerDepartment of Medicine III, Laboratory for Leukemia Diagnostics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.ORCID 0000-0003-3920-7490
Christoph RölligMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.ORCID 0000-0002-3791-0548
Michael KrämerMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.
Jan-Niklas EckardtMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.ORCID 0000-0002-3649-2823
Sebastian StasikMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.ORCID 0000-0003-0271-4894
Philipp A GreifDepartment of Medicine III, Laboratory for Leukemia Diagnostics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.ORCID 0000-0002-3744-7936
Karsten SpiekermannDepartment of Medicine III, Laboratory for Leukemia Diagnostics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.ORCID 0000-0002-5139-4957
Maja Rothenberg-ThurleyDepartment of Medicine III, Laboratory for Leukemia Diagnostics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.
Utz KrugMedizinische Klinik III, Klinikum Leverkusen, Leverkusen, Germany.
Jan BraessKrankenhaus Barmherzige Brüder Regensburg, Regensburg, Germany.
Alwin KrämerAbteilung Innere Medizin V, Medizinische Klinik und Poliklinik, Universität Heidelberg, Heidelberg, Germany.
Andreas HochhausKlinik für Innere Medizin II, Universitätsklinikum Jena, Jena, Germany.
Tim H BrümmendorfMedizinische Klinik IV, Uniklinik Rheinisch-Westfälische Technische Hochschule Aachen, Aachen, Germany.ORCID 0000-0002-9677-3723
Ralph NaumannMedizinische Klinik III, St Marien-Krankenhaus Siegen, Siegen, Germany.
Björn SteffenHämatologie/Onkologie, Medizinische Klinik 2, Johann Wolfgang Goethe Universität, Frankfurt am Main, Germany.
Hermann EinseleMedizinische Klinik und Poliklinik II, Universitätsklinikum Würzburg, Würzburg, Germany.
Markus SchaichKlinik für Hämatologie, Onkologie und Palliativmedizin, Rems-Murr-Klinikum Winnenden, Winnenden, Germany.
Andreas BurchertSchwerpunkt Hämatologie, Onkologie und Immunologie, Klinik für Innere Medizin, Philipps Universität Marburg, Marburg, Germany.
Andreas NeubauerSchwerpunkt Hämatologie, Onkologie und Immunologie, Klinik für Innere Medizin, Philipps Universität Marburg, Marburg, Germany.ORCID 0000-0002-7606-8760
Dennis GörlichInstitut für Biometrie und Klinische Forschung, Universität Münster, Münster, Germany.ORCID 0000-0002-2574-9419
Cristina SauerlandInstitut für Biometrie und Klinische Forschung, Universität Münster, Münster, Germany.
Kerstin Schäfer-EckartKlinik für Innere Medizin 5, Klinikum Nürnberg, Paracelsus Medizinische Privatuniversität, Nürnberg, Germany.
Christoph SchliemannMedizinische Klinik A, Universitätsklinikum Münster, Münster, Germany.
Stefan W KrauseMedizinische Klinik 5, Universitätsklinikum Erlangen, Erlangen, Germany.ORCID 0000-0002-5259-4651
Mathias HänelMedizinische Klinik III, Klinikum Chemnitz, Chemnitz, Germany.
Norbert FrickhofenInnere Medizin III, Horst-Schmidt-Kliniken Wiesbaden, Wiesbaden, Germany.ORCID 0000-0001-9916-2226
Richard NoppeneyKlinik für Hämatologie, Universitätsklinikum Essen, Essen, Germany.
Ulrich KaiserMedizinische Klinik II, St Bernward Krankenhaus, Hildesheim, Germany.
Martin KaufmannAbteilung für Hämatologie, Onkologie und Palliativmedizin, Robert-Bosch-Krankenhaus, Stuttgart, Germany.
Desiree KunadtMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.ORCID 0000-0001-8750-5308
Bernhard WörmannAbteilung für Hämatologie, Onkologie und Palliativmedizin, Robert-Bosch-Krankenhaus, Stuttgart, Germany.ORCID 0000-0003-2273-5502
Katja SockelMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.
Malte von BoninMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.
Tobias HeroldDepartment of Medicine III, Laboratory for Leukemia Diagnostics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.
Carsten Müller-TidowAbteilung Innere Medizin V, Medizinische Klinik und Poliklinik, Universität Heidelberg, Heidelberg, Germany.
Uwe PlatzbeckerKlinik und Poliklinik für Hämatologie, Zelltherapie und Hämostaseologie, Universitätsklinikum Leipzig, Leipzig, Germany.ORCID 0000-0003-1863-3239
Wolfgang E BerdelMedizinische Klinik A, Universitätsklinikum Münster, Münster, Germany.ORCID 0000-0002-3030-6567
Hubert ServeHämatologie/Onkologie, Medizinische Klinik 2, Johann Wolfgang Goethe Universität, Frankfurt am Main, Germany.ORCID 0000-0001-8472-5516
Claudia D BaldusKlinik für Innere Medizin II, Universitätsklinikum Schleswig-Holstein, Kiel, Germany.
Gerhard EhningerMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.
Johannes ScheteligMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.ORCID 0000-0002-2780-2981
Wolfgang HiddemannDepartment of Medicine III, Laboratory for Leukemia Diagnostics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.
Martin BornhäuserMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.ORCID 0000-0002-5916-3029
Friedrich StölzelMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.ORCID 0000-0003-0653-5332
Christian ThiedeMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.ORCID 0000-0003-1241-2048
University Hospital Carl Gustav Carus · DELudwig-Maximilians-Universität München · DEGerman Cancer Research Center · DEGoethe University Frankfurt · DEHeidelberg University · DEPhilipps University of Marburg · DERobert Bosch Hospital · DEUniversity Hospital Leipzig · DEUniversity Hospital Münster · DEUniversity of Münster · DEEssen University Hospital · DEHelios Dr. Horst Schmidt Kliniken Wiesbaden · DEJena University Hospital · DEKlinikum Chemnitz · DEKlinikum Leverkusen · DEKrankenhaus Barmherzige Brüder · DENuremberg Hospital · DERems-Murr-Klinikum · DERWTH Aachen University · DESt. Bernward Krankenhaus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mutations of the isocitrate dehydrogenase-1 (IDH1) and IDH2 genes are among the most frequent alterations in acute myeloid leukemia (AML) and can be found in ∼20% of patients at diagnosis. Among 4930 patients (median age, 56 years; interquartile range, 45-66) with newly diagnosed, intensively treated AML, we identified IDH1 mutations in 423 (8.6%) and IDH2 mutations in 575 (11.7%). Overall, there were no differences in response rates or survival for patients with mutations in IDH1 or IDH2 compared with patients without mutated IDH1/2. However, distinct clinical and comutational phenotypes of the most common subtypes of IDH1/2 mutations could be associated with differences in outcome. IDH1-R132C was associated with increased age, lower white blood cell (WBC) count, less frequent comutation of NPM1 and FLT3 internal tandem mutation (ITD) as well as with lower rate of complete remission and a trend toward reduced overall survival (OS) compared with other IDH1 mutation variants and wild-type (WT) IDH1/2. In our analysis, IDH2-R172K was associated with significantly lower WBC count, more karyotype abnormalities, and less frequent comutations of NPM1 and/or FLT3-ITD. Among patients within the European LeukemiaNet 2017 intermediate- and adverse-risk groups, relapse-free survival and OS were significantly better for those with IDH2-R172K compared with WT IDH, providing evidence that AML with IDH2-R172K could be a distinct entity with a specific comutation pattern and favorable outcome. In summary, the presented data from a large cohort of patients with IDH1/2 mutated AML indicate novel and clinically relevant findings for the most common IDH mutation subtypes.

Indexed as

Leukemia, Myeloid, AcuteHumansIsocitrate DehydrogenaseMutationNucleophosminPhenotypeIDH1 protein, humanIDH2 protein, humanIsocitrate DehydrogenaseNucleophosmin

Identifiers

PMID34794176
PMCPMC8905706
OpenAlexW3212672299

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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.