Evidence map›Paper›PMID 35443031›Full record

ArticleBlood2022

Prognostic impact of DDX41 germline mutations in intensively treated acute myeloid leukemia patients: an ALFA-FILO study.

Nicolas Duployez, Laëtitia Largeaud, Matthieu Duchmann, Rathana Kim, Julie Rieunier, Juliette Lambert, Audrey Bidet, Lise Larcher, Jean Lemoine, François Delhommeau and 22 more

Erratum issuedAbstract read
In one paragraph

Article in Blood, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 64 papers.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed
–field-weighted citation impact
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

64 citing papers in PubMed.

  1. Trial
  2. Trial
  3. HemaSphere · 2026
    Article
  4. Article
  5. [Germline DDX41 mutations and myelodysplastic neoplasms].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2026
    Review
  6. Article
  7. Article
  8. Germline DDX41 mutations in myeloid neoplasms: a comprehensive review.The Korean journal of internal medicine · 2026
    Review
  9. Germline DDX41 Variants: Current Understanding and Future Directions.Current hematologic malignancy reports · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Myeloid neoplasms risks for germline DDX41 pathogenic variants carriers.European journal of human genetics : EJHG · 2025
    Article
  18. Article
  19. Review
  20. Article

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors.

Nicolas DuployezHematology Laboratory, Unité 1277-Cancer Heterogeneity Plasticity and Resistance to Therapies (CANTHER), Centre Hospitalier Universitaire (CHU) de Lille, University of Lille, INSERM, Lille, France.ORCID 0000-0002-3927-1022
Laëtitia LargeaudHematology Laboratory, CHU de Toulouse-Institut Universitaire du Cancer de Toulouse-Oncopole, Toulouse, France.ORCID 0000-0001-5341-5427
Matthieu DuchmannUniversité de Paris, Unité 944/7212-GenCellDi, INSERM and Centre National de la Recherche Scientifique (CNRS), Paris, France.ORCID 0000-0002-7299-4572
Rathana KimUniversité de Paris, Unité 944/7212-GenCellDi, INSERM and Centre National de la Recherche Scientifique (CNRS), Paris, France.ORCID 0000-0002-9987-7237
Julie RieunierHematology Laboratory, CHU de Toulouse-Institut Universitaire du Cancer de Toulouse-Oncopole, Toulouse, France.
Juliette LambertHematology Department, Versailles Hospital, Le Chesnay, France.ORCID 0000-0001-5142-0310
Audrey BidetHematology Laboratory, CHU de Bordeaux, Bordeaux, France.
Lise LarcherUniversité de Paris, Unité 944/7212-GenCellDi, INSERM and Centre National de la Recherche Scientifique (CNRS), Paris, France.ORCID 0000-0002-9461-0728
Jean LemoineHematology Department, Saint Louis Hospital, AP-HP, Paris, France.
François DelhommeauSorbonne Université, INSERM, Centre de Recherche Saint-Antoine, CRSA, AP-HP, Laboratoire d'hématologie biologique, Hôpital Saint-Antoine, Paris, France.
Pierre HirschSorbonne Université, INSERM, Centre de Recherche Saint-Antoine, CRSA, AP-HP, Laboratoire d'hématologie biologique, Hôpital Saint-Antoine, Paris, France.
Laurène FenwarthHematology Laboratory, Unité 1277-Cancer Heterogeneity Plasticity and Resistance to Therapies (CANTHER), Centre Hospitalier Universitaire (CHU) de Lille, University of Lille, INSERM, Lille, France.ORCID 0000-0003-2808-4843
Olivier KosmiderHematology Laboratory, Cochin Hospital, AP-HP, Paris, France.
Justine DecroocqHematology Department, Cochin Hospital, AP-HP, Paris, France.
Anne BouvierHematology Laboratory, CHU Angers, Angers, France.ORCID 0000-0003-0140-5360
Yannick Le BrisHematology Biology, Nantes University Hospital, Nantes, France.ORCID 0000-0002-0095-6999
Marlène OchmannHematology Department, CHU Orléans, Orléans, France.
Alberto SantagostinoHematology Department, CHU Troyes, Troyes, France.
Lionel AdèsUniversité de Paris, Unité 944/7212-GenCellDi, INSERM and Centre National de la Recherche Scientifique (CNRS), Paris, France.ORCID 0000-0002-9020-8766
Pierre FenauxUniversité de Paris, Unité 944/7212-GenCellDi, INSERM and Centre National de la Recherche Scientifique (CNRS), Paris, France.
Xavier ThomasHematology Department, Hospices Civils de Lyon, Lyon-Sud Hospital, Lyon, France.
Jean-Baptiste MicolHematology Department, Gustave Roussy Institute, University of Paris-Saclay, Villejuif, France.
Claude GardinHematology Department, Avicenne Hospital, AP-HP, Bobigny, France.
Raphael ItzyksonUniversité de Paris, Unité 944/7212-GenCellDi, INSERM and Centre National de la Recherche Scientifique (CNRS), Paris, France.ORCID 0000-0003-2139-6262
Jean SoulierUniversité de Paris, Unité 944/7212-GenCellDi, INSERM and Centre National de la Recherche Scientifique (CNRS), Paris, France.ORCID 0000-0002-8734-5356
Emmanuelle ClappierUniversité de Paris, Unité 944/7212-GenCellDi, INSERM and Centre National de la Recherche Scientifique (CNRS), Paris, France.
Christian RecherService d'Hématologie, Centre Hospitalier Universitaire de Toulouse, Institut Universitaire du Cancer de Toulouse Oncopole, Université Toulouse III Paul Sabatier, Toulouse, France; and.ORCID 0000-0002-3332-4525
Claude PreudhommeHematology Laboratory, Unité 1277-Cancer Heterogeneity Plasticity and Resistance to Therapies (CANTHER), Centre Hospitalier Universitaire (CHU) de Lille, University of Lille, INSERM, Lille, France.ORCID 0000-0002-1267-9546
Arnaud PigneuxHematology Department, CHU de Bordeaux, Bordeaux, France.
Hervé DombretHematology Department, Saint Louis Hospital, AP-HP, Paris, France.ORCID 0000-0002-5454-6768
Eric DelabesseHematology Laboratory, CHU de Toulouse-Institut Universitaire du Cancer de Toulouse-Oncopole, Toulouse, France.ORCID 0000-0002-0928-0753
Marie SébertUniversité de Paris, Unité 944/7212-GenCellDi, INSERM and Centre National de la Recherche Scientifique (CNRS), Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

DDX41 germline mutations (DDX41MutGL) are the most common genetic predisposition to myelodysplastic syndrome and acute myeloid leukemia (AML). Recent reports suggest that DDX41MutGL myeloid malignancies could be considered as a distinct entity, even if their specific presentation and outcome remain to be defined. We describe here the clinical and biological features of 191 patients with DDX41MutGL AML. Baseline characteristics and outcome of 86 of these patients, treated with intensive chemotherapy in 5 prospective Acute Leukemia French Association/French Innovative Leukemia Organization trials, were compared with those of 1604 patients with DDX41 wild-type (DDX41WT) AML, representing a prevalence of 5%. Patients with DDX41MutGL AML were mostly male (75%), in their seventh decade, and with low leukocyte count (median, 2 × 109/L), low bone marrow blast infiltration (median, 33%), normal cytogenetics (75%), and few additional somatic mutations (median, 2). A second somatic DDX41 mutation (DDX41MutSom) was found in 82% of patients, and clonal architecture inference suggested that it could be the main driver for AML progression. DDX41MutGL patients displayed higher complete remission rates (94% vs 69%; P < .0001) and longer restricted mean overall survival censored at hematopoietic stem cell transplantation (HSCT) than 2017 European LeukemiaNet intermediate/adverse (Int/Adv) DDX41WT patients (5-year difference in restricted mean survival times, 13.6 months; P < .001). Relapse rates censored at HSCT were lower at 1 year in DDX41MutGL patients (15% vs 44%) but later increased to be similar to Int/Adv DDX41WT patients at 3 years (82% vs 75%). HSCT in first complete remission was associated with prolonged relapse-free survival (hazard ratio, 0.43; 95% confidence interval, 0.21-0.88; P = .02) but not with longer overall survival (hazard ratio, 0.77; 95% confidence interval, 0.35-1.68; P = .5).

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteDEAD-box RNA HelicasesFemaleGerm-Line MutationHumansMalePrognosisProspective StudiesRetrospective StudiesDDX41 protein, humanDEAD-box RNA Helicases

Identifiers

PMID35443031
PMCPMC9389637

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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.