Evidence map›Paper›PMID 35271306›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2022

Children's Oncology Group Trial AALL1231: A Phase III Clinical Trial Testing Bortezomib in Newly Diagnosed T-Cell Acute Lymphoblastic Leukemia and Lymphoma.

David T Teachey, Meenakshi Devidas, Brent L Wood, Zhiguo Chen, Robert J Hayashi, Michelle L Hermiston, Robert D Annett, J Hunter Archer, Barbara L Asselin, Keith J August and 26 more

2 registry-linked trialsOpen access · greenAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2022. 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 98 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 1 pooled it
25.7field-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.

NCT05681260 phase3recruitingnot on this mapstarted 2023, after this paper: background citation

A Randomized Trial Using a Modified COG ABFM Regimen Backbone to Investigate Capizzi Escalating Methotrexate Versus High Dose Methotrexate in Children With Newly Diagnosed T-cell Lymphoblastic Lymphoma (T-LBL)

TypeinterventionalSponsorChildren's Cancer Group, ChinaRan2023 to 2029Enrolled200ConditionsT-cell Lymphoblastic LymphomaArmsPrednisone,Vincristine, Pegylated-asparaginase, Bortezomib,Cytarabine, Cyclophosphamide, Daunorubicin, 6-mercaptopurine, methotrexate, Dexamethasone, Doxorubicin, Prednisone,Vincristine, Pegylated-asparaginase, Bortezomib,Cytarabine, Cyclophosphamide, Daunorubicin, 6-mercaptopurine, methotrexate, Dexamethasone, Doxorubicin, Vindesine, Etoposide, Ifosfamide
NCT06855810 phase2 / phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Chinese Children's Cancer Group T-cell Acute Lymphoblastic Leukemia -2025 Project

TypeinterventionalSponsorInstitute of Hematology & Blood Diseases Hospital, ChinaRan2025 to 2031Enrolled610ConditionsAcute Lymphoblastic Leukemia, Childhood Leukemia, Acute Lymphoblastic, T Cell Acute Lymphoblastic Leukemia/Lymphoblastic LymphomaArmsVenetoclax, Dasatinib, homoharringtonine
3 · Its place in the literature

Who cites it

98 citing papers in PubMed, 1 synthesis or guideline pooled it, 138 citations in OpenAlex.

  1. Guideline
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  15. Targeted therapies in pediatric oncology: A start.Molecular therapy. Oncology · 2026
    Review
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38 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

36 authors at 20 institutions in 2 countries.

David T TeacheyDepartment of Pediatrics and the Center for Childhood Cancer Research, Children's Hospital of Philadelphia and The Perelman School of Medicine at The University of Pennsylvania, Philadelphia, PA.ORCID 0000-0001-7373-8987
Meenakshi DevidasDepartment of Global Pediatric Medicine, St Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0002-1099-3478
Brent L WoodDepartment of Laboratory Medicine, University of Washington, Seattle, WA.ORCID 0000-0001-7414-3969
Zhiguo ChenDepartment of Biostatistics, University of Florida, Gainesville, FL.
Robert J HayashiDivision of Pediatric Hematology/Oncology, Department of Pediatrics, Washington University School of Medicine, St Louis Children's Hospital, St Louis, MO.ORCID 0000-0002-1140-1139
Michelle L HermistonDepartment of Pediatrics, Benioff Children's Hospital and the Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, San Francisco, CA.ORCID 0000-0003-1790-2679
Robert D AnnettDepartment of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM.
J Hunter ArcherDepartment of Biostatistics, University of Florida, Gainesville, FL.ORCID 0000-0003-2232-4500
Barbara L AsselinDepartment of Pediatrics and Wilmot Cancer Institute at URMC, University of Rochester School of Medicine and Dentistry, Rochester, NY.ORCID 0000-0001-9709-3415
Keith J AugustChildren's Mercy Hospital, Kansas City, MO.ORCID 0000-0002-5690-0855
Steve Y ChoUniversity of Wisconsin-Madison and the University of Wisconsin Carbone Cancer Center, Madison, WI.
Kimberly P DunsmoreUniversity of Virginia Children's Hospital, Charlottesville, VA.ORCID 0000-0002-6631-5174
Brian T FisherDepartment of Pediatrics and the Center for Childhood Cancer Research, Children's Hospital of Philadelphia and The Perelman School of Medicine at The University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-8224-4281
Jason L FreedmanDepartment of Pediatrics and the Center for Childhood Cancer Research, Children's Hospital of Philadelphia and The Perelman School of Medicine at The University of Pennsylvania, Philadelphia, PA.
Paul J GalardyPediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN.
Paul Harker-MurrayChildren's Wisconsin, Milwaukee, WI.
Terzah M HortonTexas Children's Hospital, Baylor College of Medicine, Houston, TX.ORCID 0000-0001-8293-4242
Alok I JajuLurie Children's Hospital, Chicago, IL.ORCID 0000-0001-5025-3709
Allison LamMiller Children's and Women's Hospital, Long Beach, CA.
Yoav H MessingerChildren's Hospitals and Clinics, Minneapolis, MN.ORCID 0000-0001-7990-1802
Rodney R MilesDepartment of Pathology and ARUP Institute for Clinical & Experimental Pathology, University of Utah, Salt Lake City, UT.
Maki OkadaMiller Children's and Women's Hospital, Long Beach, CA.
Samir I PatelDivision of Radiation Oncology, Department of Oncology, University of Alberta, Stollery Children's Hospital, Edmonton, AB, Canada.
Eric S SchaferTexas Children's Hospital, Baylor College of Medicine, Houston, TX.ORCID 0000-0002-7063-512X
Tal SchechterHaematology/Oncology, Child Health Evaluative Services (CHES) Program Research Institute, The Hospital for Sick Children, Toronto, Canada.
Neelam SinghMichigan State University Clinical Center, Lansing, MI.
Amii C SteeleCarolinas Medical Center/Levine Cancer Institute, Charlotte, NC.
Maria Luisa SulisDepartment of Pediatric Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.
Sarah L VargasChildren's Oncology Group, Monrovia, CA.
Stuart S WinterChildren's Minnesota Research Institute, Children's Minnesota Research Institute and Cancer and Blood Disorders Program, Minneapolis, MN.ORCID 0000-0003-3583-7727
Charlotte WoodDepartment of Biostatistics, University of Florida, Gainesville, FL.
Patrick Zweidler-McKayImmunoGen, Inc, Waltham, MA.
Catherine M BollardChildren's National Medical Center, Washington, DC.ORCID 0000-0001-5140-9090
Mignon L LohDepartment of Pediatrics, Benioff Children's Hospital and the Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, San Francisco, CA.ORCID 0000-0003-4099-4700
Stephen P HungerDepartment of Pediatrics and the Center for Childhood Cancer Research, Children's Hospital of Philadelphia and The Perelman School of Medicine at The University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-5492-3957
Elizabeth A RaetzDivision of Pediatric Hematology and Oncology, Department of Pediatrics, New York University Langone Health, New York, NY.
Children's Hospital of Philadelphia · USUniversity of Florida · USBaylor College of Medicine · USMiller Children's & Women's Hospital · USUniversity of California, San Francisco · USCarolinas Medical Center · USChildren's Hospital of Wisconsin · USChildren's Mercy Hospital · USChildren's Minnesota · USChildren’s Minnesota - St. Paul Hospital · USChildren's National · USChildren's Oncology Group · USHospital for Sick Children · CAImmunoGen (United States) · USLurie Children's Hospital · USMayo Clinic in Florida · USMemorial Sloan Kettering Cancer Center · USMichigan State University · USNYU Langone Health · USSt. Jude Children's Research Hospital · US

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
COG U24 Funding 2026-2027U24CA196173 · NCI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI Mignon Lee-Cheun Loh, Nilsa Del Carmen Ramirez Milan · 2015 to 2026
$62.5M
Improving risk allocation and developing novel therapies for children with T-ALL and T-LLR01CA193776 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI Terzah M Horton, ADAM B OLSHEN · 2015 to 2026
$6.2M
Biomarkers of dasatinib response and resistance in T-cell acute lymphoblastic leukemiaR01CA264837 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI TEACHEY, DAVID T., YANG, JUN J. · 2021 to 2025
$3.0M
Genomic Profiling of T-cell Acute Lymphoblastic Leukemia in ChildrenR03CA256550 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI MULLIGHAN, CHARLES G., TEACHEY, DAVID T. · 2021 to 2021
$382k
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA193776NCI NIH HHS R01 CA264837NCI NIH HHS R03 CA256550NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899NCI NIH HHS U24 CA196173
6 · The paper itself

Abstract

purposeTo improve the outcomes of patients with T-cell acute lymphoblastic leukemia (T-ALL) and lymphoblastic lymphoma (T-LL), the proteasome inhibitor bortezomib was examined in the Children's Oncology Group phase III clinical trial AALL1231, which also attempted to reduce the use of prophylactic cranial radiation (CRT) in newly diagnosed T-ALL. PATIENTS AND

methodsChildren and young adults with T-ALL/T-LL were randomly assigned to a modified augmented Berlin-Frankfurt-Münster chemotherapy regimen with/without bortezomib during induction and delayed intensification. Multiple modifications were made to the augmented Berlin-Frankfurt-Münster backbone used in the predecessor trial, AALL0434, including using dexamethasone instead of prednisone and adding two extra doses of pegaspargase in an attempt to eliminate CRT in most patients.

resultsAALL1231 accrued 824 eligible and evaluable patients from 2014 to 2017. The 4-year event-free survival (EFS) and overall survival (OS) for arm A (no bortezomib) versus arm B (bortezomib) were 80.1% ± 2.3% versus 83.8% ± 2.1% (EFS,

conclusionPatients with T-LL had significantly improved EFS and OS with bortezomib on the AALL1231 backbone. Systemic therapy intensification allowed elimination of CRT in more than 90% of patients with T-ALL without excess relapse.

Indexed as

LymphomaPrecursor Cell Lymphoblastic Leukemia-LymphomaPrecursor T-Cell Lymphoblastic Leukemia-LymphomaAntineoplastic Combined Chemotherapy ProtocolsBortezomibChildDisease-Free SurvivalHumansInfantT-LymphocytesYoung AdultBortezomib

Identifiers

PMID35271306
PMCPMC9242409
OpenAlexW4221105120

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.