Evidence map›Paper›PMID 34830574›Full record

ArticleJournal of clinical medicine2021

Other (Non-CNS/Testicular) Extramedullary Localizations of Childhood Relapsed Acute Lymphoblastic Leukemia and Lymphoblastic Lymphoma-A Report from the ALL-REZ Study Group.

Andrej Lissat, Claudia van Schewick, Ingo G Steffen, Ayumu Arakawa, Jean-Pierre Bourquin, Birgit Burkhardt, Guenter Henze, Georg Mann, Christina Peters, Lucie Sramkova and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07476729 (International Study for Treatment of Childhood Relapsed Precursor B-Cell ALL 2020 A Randomized Phase III Study Conducted by the Resistant Disease Committee of the International BFM Study Group), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 18% 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.

NCT07476729 phase3not yet recruitingnot on this mapstarted 2026, after this paper: background citation

International Study for Treatment of Childhood Relapsed Precursor B-Cell ALL 2020 A Randomized Phase III Study Conducted by the Resistant Disease Committee of the International BFM Study Group

TypeinterventionalSponsorCharite University, Berlin, GermanyRan2026 to 2033Enrolled750ConditionsB-Cell Acute Lymphoblastic LeukaemiaArmsInotuzumab ozogamicin (INO), Blinatumomab
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

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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

13 authors at 5 institutions in 4 countries.

Andrej LissatDepartment of Pediatric Hematology and Oncology, Charité-Universitätsmedizin Berlin, Augstenburger Platz 1, 13353 Berlin, Germany.
Claudia van SchewickDepartment of Pediatric Hematology and Oncology, Charité-Universitätsmedizin Berlin, Augstenburger Platz 1, 13353 Berlin, Germany.
Ingo G SteffenDepartment of Pediatric Hematology and Oncology, Charité-Universitätsmedizin Berlin, Augstenburger Platz 1, 13353 Berlin, Germany.
Ayumu ArakawaDepartment of Pediatric Hematology and Oncology, Charité-Universitätsmedizin Berlin, Augstenburger Platz 1, 13353 Berlin, Germany.
Jean-Pierre BourquinEleonoren-Foundation, Pediatric Hematology Oncology Department, University Children's Hospital Zürich, Steinwiesstraße 75, CH-8032 Zürich, Switzerland.
Birgit BurkhardtDepartment of Pediatric Hematology and Oncology, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, Gebäude A1, 48149 Münster, Germany.ORCID 0000-0002-1151-829X
Guenter HenzeDepartment of Pediatric Hematology and Oncology, Charité-Universitätsmedizin Berlin, Augstenburger Platz 1, 13353 Berlin, Germany.
Georg MannDepartment of Pediatric Hematology and Oncology, St. Anna Children's Hospital, Kinderspitalgasse 6, A-1090 Vienna, Austria.
Christina PetersDepartment of Pediatric Hematology and Oncology, St. Anna Children's Hospital, Kinderspitalgasse 6, A-1090 Vienna, Austria.
Lucie SramkovaCharles University 2nd Faculty of Medicine and UH Motol V Uvalu 84, Prague 5 15006, Czech Republic.
Cornelia EckertDepartment of Pediatric Hematology and Oncology, Charité-Universitätsmedizin Berlin, Augstenburger Platz 1, 13353 Berlin, Germany.
Arend von StackelbergDepartment of Pediatric Hematology and Oncology, Charité-Universitätsmedizin Berlin, Augstenburger Platz 1, 13353 Berlin, Germany.
Christiane Chen-SantelDepartment of Pediatric Hematology and Oncology, Charité-Universitätsmedizin Berlin, Augstenburger Platz 1, 13353 Berlin, Germany.
Charité - Universitätsmedizin Berlin · DESt Anna Children's Hospital · ATCharles University · CZUniversity Children's Hospital Zurich · CHUniversity Hospital Münster · DE

Funding

Deutsche Kinderkrebsstiftung DKS 2018.13
6 · The paper itself

Abstract

Children with other extramedullary relapse of acute lymphoblastic leukemia are currently poorly characterized. We aim to assess the prevalence and the clinical, therapeutic and prognostic features of extramedullary localizations other than central nervous system or testis in children with relapse of acute lymphoblastic leukemia (ALL) and lymphoblastic lymphoma (LBL) treated on a relapsed ALL protocol. PATIENTS AND

methodsPatients with relapse of ALL and LBL, treated according to the multicentric ALL-REZ BFM trials between 1983 and 2015, were analyzed for other extramedullary relapse (OEMR) of the disease regarding clinical features, treatment and outcome. Local treatment/irradiation has been recommended on an individual basis and performed only in a minority of patients.

resultsA total of 132 out of 2323 (5.6%) patients with ALL relapse presented with an OEMR (combined bone marrow relapse

conclusionOEMR is adversely related to prognosis. However, the established risk classification can be applied for all subgroups except mediastinal relapses requiring treatment intensification. Generally, isolated OEMR of T-cell-origin needs an intensified treatment including allogeneic stem cell transplantation (HSCT) as a curative approach independent from time to relapse. Local therapy such as surgery and irradiation may be of benefit in selected cases. The indication needs to be clarified in further investigations.

Indexed as

lymphoblastic leukemiaother extramedullary relapsepediatric

Identifiers

PMID34830574
PMCPMC8621955
OpenAlexW3213862700

What OpenQuestion holds

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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.