Evidence map›Paper›PMID 35511730›Full record

ArticleBlood advances2022

Treatment-free remission after ceasing venetoclax-based therapy in patients with acute myeloid leukemia.

Chong Chyn Chua, Danielle Hammond, Andrew Kent, Ing Soo Tiong, Marina Y Konopleva, Daniel A Pollyea, Courtney D DiNardo, Andrew H Wei

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 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
9.3field-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.

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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. Mutation- and MRD-informed treatments for transplant-ineligible patients.Hematology. American Society of Hematology. Education Program · 2024
    Review
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

8 authors at 5 institutions in 2 countries.

Chong Chyn ChuaThe Alfred Hospital and Monash University, Melbourne, Australia.ORCID 0000-0002-2162-3288
Danielle HammondUniversity of Texas MD Anderson Cancer Center, Houston, TX.
Andrew KentDivision of Hematology, University of Colorado School of Medicine, Aurora, CO.
Ing Soo TiongThe Alfred Hospital and Monash University, Melbourne, Australia.
Marina Y KonoplevaUniversity of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-9347-2212
Daniel A PollyeaDivision of Hematology, University of Colorado School of Medicine, Aurora, CO.
Courtney D DiNardoUniversity of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0001-9003-0390
Andrew H WeiThe Alfred Hospital and Monash University, Melbourne, Australia.ORCID 0000-0002-7514-3298
The University of Texas MD Anderson Cancer Center · USUniversity of Colorado Denver · USPeter MacCallum Cancer Centre · AUThe Royal Melbourne Hospital · AUWalter and Eliza Hall Institute of Medical Research · AU

Funding

Cell Immunotherapy and Experimental Therapeutics Program (CIETP).T32CA236734 · NCI · UNIVERSITY OF COLORADO DENVER · PI Eduardo V Davila, Antonio Jimeno · 2019 to 2026
$2.0M
Consequences of NLRC4/NAIP5 Inflammasome Signaling on Adaptive Immunity and TumorF30CA174313 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KENT, ANDREW T · 2013 to 2015
$123k
NCI NIH HHS F30 CA174313NCI NIH HHS T32 CA236734
6 · The paper itself

Abstract

The clinical benefit of adding venetoclax (VEN) to hypomethylating agents or low-dose cytarabine in older and/or unfit patients with newly diagnosed acute myeloid leukemia (AML) has been confirmed in phase 3 studies. With the increased uptake of VEN-based therapies for patients with AML, a pertinent question is whether treatment can be safely ceased among patients who have achieved sustained remission. We hypothesized that a proportion of patients opting to cease therapy may benefit from a treatment-free remission (TFR) period without indefinite treatment. We report the retrospective outcomes of 29 patients in remission for a minimum of 12 months on VEN-based therapy, with 55% continuing therapy until disease progression and 45% electively ceasing treatment (STOP). With follow-up exceeding 5 years, we observed a median TFR lasting 45.8 months among the STOP cohort, with >50% of patients still in sustained remission at the data cutoff. The risk of relapse and duration of relapse-free and overall survival were similar between the 2 cohorts. Factors favoring sustained TFR within the cohort included NPM1 and/or IDH2 mutation at diagnosis, complete remission without measurable residual disease, and at least 12 months of VEN-based combination therapy prior to treatment cessation.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsLeukemia, Myeloid, AcuteAgedBridged Bicyclo Compounds, HeterocyclicHumansRetrospective StudiesSulfonamidesBridged Bicyclo Compounds, HeterocyclicSulfonamidesvenetoclax

Identifiers

PMID35511730
PMCPMC9278306
OpenAlexW4229030810

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.