Evidence map›Paper›PMID 35433414›Full record

ArticleFrontiers in oncology2022

Outcomes of Newly Diagnosed Acute Myeloid Leukemia Patients Treated With Hypomethylating Agents With or Without Venetoclax: A Propensity Score-Adjusted Cohort Study.

Moaath K Mustafa Ali, Elizabeth M Corley, Hanan Alharthy, Kathryn A F Kline, Jennie Y Law, Seung Tae Lee, Sandrine Niyongere, Vu H Duong, Ashkan Emadi, Maria R Baer

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 pooled it
3.0field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 4 syntheses or guidelines pooled it, 19 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

10 authors at 1 institution in 1 country.

Moaath K Mustafa AliGreenebaum Comprehensive Cancer Center, University of Maryland, Baltimore, MD, United States.
Elizabeth M CorleySchool of Medicine, University of Maryland, Baltimore, MD, United States.
Hanan AlharthyDepartment of Medicine, University of Maryland School of Medicine, Baltimore, MD, United States.
Kathryn A F KlineGreenebaum Comprehensive Cancer Center, University of Maryland, Baltimore, MD, United States.
Jennie Y LawGreenebaum Comprehensive Cancer Center, University of Maryland, Baltimore, MD, United States.
Seung Tae LeeGreenebaum Comprehensive Cancer Center, University of Maryland, Baltimore, MD, United States.
Sandrine NiyongereGreenebaum Comprehensive Cancer Center, University of Maryland, Baltimore, MD, United States.
Vu H DuongGreenebaum Comprehensive Cancer Center, University of Maryland, Baltimore, MD, United States.
Ashkan EmadiGreenebaum Comprehensive Cancer Center, University of Maryland, Baltimore, MD, United States.
Maria R BaerGreenebaum Comprehensive Cancer Center, University of Maryland, Baltimore, MD, United States.
University of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is a deficiency of real-world data on the impact of combining venetoclax (VEN) with hypomethylating agents (HMAs) in newly diagnosed acute myeloid leukemia (AML) patients. We conducted a single-center, propensity-adjusted retrospective cohort study to compare composite complete remission (CCR) rates, median overall survival (m-OS) and median event-free survival (m-EFS). A total of 170 adult AML patients were treated with first-line azacitidine (AZA) or decitabine (DEC) +/- VEN. Median age was 71 years and 99 (58%) were male. Median follow-up in HMA and HMA-VEN groups was 79 and 21 months. Treatments included AZA alone (n=35, 21%), DEC alone (n=84, 49%), AZA-VEN (n=24, 14%) and DEC-VEN (n=27, 16%). VEN improved CCR rates to HMAs overall (52% vs. 27%, P<0.05) and to AZA (54% vs. 10%, P<0.05), but not to DEC (43% vs. 32%, P=0.35); it did not improve OS, and only improved EFS for AZA (10.5 vs. 3.8 months, P<0.05). CCR rates were lower with AZA than with DEC (13% vs. 33%, P<0.05), but OS and EFS were not different statistically. CCR rates did not differ for AZA-VEN vs. DEC-VEN (CCR: 58% vs. 52%, P=0.66), but OS and EFS were longer for AZA-VEN (m-OS: 12.3 vs. 2.2 months, P<0.05; m-EFS: 9.2 vs. 2.1 months, P<0.05). Our analysis showed that combining VEN with AZA in newly diagnosed AML patients improved outcomes, but combining VEN with DEC did not. AZA-VEN was associated with improved outcomes compared to DEC-VEN. Further studies are needed to test the benefit of combining VEN with DEC.

Indexed as

acute myeloid leukemiaazacitidinedecitabine (451668)event-free survival (EFS)outcomesoverall survival (OS)venetoclax (ABT-199)

Identifiers

PMID35433414
PMCPMC9008336
OpenAlexW4220759354

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.