Evidence map›Paper›PMID 35061885›Full record

ArticleBlood advances2022

Characteristics and outcomes of patients with blastic plasmacytoid dendritic cell neoplasm treated with frontline HCVAD.

Naveen Pemmaraju, Nathaniel R Wilson, Guillermo Garcia-Manero, Koji Sasaki, Joseph D Khoury, Nitin Jain, Gautam Borthakur, Farhad Ravandi, Naval Daver, Tapan Kadia and 6 more

Open access · goldAbstract read
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 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
8.7field-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

25 citing papers in PubMed, 41 citations in OpenAlex.

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  12. BPDCN: state of the art.Hematology. American Society of Hematology. Education Program · 2024
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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

16 authors at 2 institutions in 1 country.

Naveen PemmarajuDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-1670-6513
Nathaniel R WilsonDepartment of Internal Medicine, The University of Texas McGovern Medical School, Houston, TX.ORCID 0000-0002-9123-1781
Guillermo Garcia-ManeroDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX.
Koji SasakiDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-9140-0610
Joseph D KhouryDepartment of Hematopathology, and.ORCID 0000-0003-2621-3584
Nitin JainDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX.
Gautam BorthakurDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX.
Farhad RavandiDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX.
Naval DaverDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0001-7103-373X
Tapan KadiaDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX.
Courtney DiNardoDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0001-9003-0390
Elias JabbourDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX.
Sherry PierceDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX.
Muzaffar QazilbashDepartment of Stem Cell Transplantation, The University of Texas MD Anderson Cancer Center, Houston, TX.
Marina KonoplevaDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-9347-2212
Hagop KantarjianDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX.
The University of Texas MD Anderson Cancer Center · USThe University of Texas Health Science Center at Houston · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a clinically aggressive blood cancer, often involving the skin, bone marrow, lymph nodes, and central nervous system (CNS) in 20% to 30% of patients. Despite significant progress in CD123- and BCL-2-targeted therapy, most patients are not cured without hematopoietic stem cell transplant (HSCT), and CNS relapses occur quite frequently. Combination approaches with targeted and chemotherapy agents plus incorporation of prophylactic CNS-directed therapy are urgently needed. In this setting, we sought to analyze outcomes using the cytotoxic chemotherapy backbone regimen hyperfractionated cyclophosphamide, vincristine, adriamycin, and dexamethasone (HCVAD). We conducted a retrospective analysis of patients with BPDCN (n = 100), evaluating complete remission (CR) and median overall survival (OS) among 3 groups: those who received frontline HCVAD-based therapy (n = 35), SL-401 (n = 37), or other regimens (n = 28). HCVAD-based regimens yielded higher CR (80% vs 59% vs 43%; P = .01). There was no significant difference in OS (28.3 vs 13.7 vs 22.8 months; P = .41) or remission duration probability among treatment groups (38.6 vs not reached vs 10.2 months; P = .24). HSCT was performed in 51% vs 49% vs 38%, respectively (P = .455). These results suggest a continued important role for HCVAD-based chemotherapy in BPDCN, even in the modern targeted-therapy era, with high CR rates in the frontline setting. Further studies must establish the clinical activity, feasibility, and safety of doublet/triplet combinations of targeted therapies plus cytotoxic agents and the addition of CNS prophylaxis, with the ultimate goal of durable long-term remission for patients with BPDCN.

Indexed as

Antineoplastic AgentsMyeloproliferative DisordersSkin NeoplasmsCyclophosphamideDendritic CellsDoxorubicinHumansNeoplasm Recurrence, LocalRetrospective StudiesVincristineAntineoplastic AgentsCyclophosphamideDoxorubicinVincristine

Identifiers

PMID35061885
PMCPMC9131912
OpenAlexW4206915744

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.