Evidence map›Paper›PMID 35933523›Full record

ArticleLeukemia2022

Minimal residual disease in BCR::ABL1-positive acute lymphoblastic leukemia: different significance in typical ALL and in CML-like disease.

Jan Zuna, Lenka Hovorkova, Justina Krotka, Amelie Koehrmann, Michela Bardini, Lucie Winkowska, Eva Fronkova, Julia Alten, Rolf Koehler, Cornelia Eckert and 14 more

Abstract read
PubMed Publisher
In one paragraph

Article in Leukemia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
10.4field-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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Article
  5. CML-like biology:Haematologica · 2026
    Article
  6. Article
  7. Article
  8. Two episodes of PhHaematologica · 2026
    Article
  9. Review
  10. Observational
  11. PersistentHemaSphere · 2026
    Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. How I treat Ph+ acute lymphoblastic leukemia.Future oncology (London, England) · 2025
    Review
  20. 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

24 authors at 6 institutions in 3 countries.

Jan ZunaCLIP (Childhood Leukaemia Investigation Prague), Prague, Czech Republic. jan.zuna@lfmotol.cuni.cz.ORCID http://orcid.org/0000-0002-0887-3709
Lenka HovorkovaCLIP (Childhood Leukaemia Investigation Prague), Prague, Czech Republic.ORCID http://orcid.org/0000-0001-8980-8441
Justina KrotkaCLIP (Childhood Leukaemia Investigation Prague), Prague, Czech Republic.
Amelie KoehrmannPediatrics, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Michela BardiniTettamanti Research Center, Pediatrics, University of Milano-Bicocca/Fondazione Tettamanti, Monza, Italy.
Lucie WinkowskaCLIP (Childhood Leukaemia Investigation Prague), Prague, Czech Republic.
Eva FronkovaCLIP (Childhood Leukaemia Investigation Prague), Prague, Czech Republic.
Julia AltenPediatrics, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Rolf KoehlerDepartment of Human Genetics, University Hospital Heidelberg, Heidelberg, Germany.
Cornelia EckertCharité-Universitätsmedizin Berlin, Berlin, Germany.
Lisa BrizzolaraTettamanti Research Center, Pediatrics, University of Milano-Bicocca/Fondazione Tettamanti, Monza, Italy.
Marie TrkovaCentre for Medical Genetics and Reproductive Medicine GENNET, Prague, Czech Republic.
Jan StuchlyCLIP (Childhood Leukaemia Investigation Prague), Prague, Czech Republic.
Martin ZimmermannDepartment of Pediatric Hematology and Oncology, Medical School Hannover, Hannover, Germany.
Paola De LorenzoEsPhALL Trial Data Center, School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Maria Grazia ValsecchiEsPhALL Trial Data Center, School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Valentino ConterPediatric Hemato-Oncolgy, Fondazione MBBM/ASST-Monza, University of Milano-Bicocca, Monza, Italy.
Jan StaryDepartment of Paediatric Haematology and Oncology, Second Faculty of Medicine, Charles University, Prague, Czech Republic.
Martin SchrappePediatrics, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Andrea BiondiPediatric Hemato-Oncolgy, Fondazione MBBM/ASST-Monza, University of Milano-Bicocca, Monza, Italy.
Jan TrkaCLIP (Childhood Leukaemia Investigation Prague), Prague, Czech Republic.
Marketa Zaliova *CLIP (Childhood Leukaemia Investigation Prague), Prague, Czech Republic.ORCID http://orcid.org/0000-0002-1639-7124
Giovanni Cazzaniga *Tettamanti Research Center, Pediatrics, University of Milano-Bicocca/Fondazione Tettamanti, Monza, Italy.
Gunnar Cario *Pediatrics, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Charles University · CZUniversity of Milano-Bicocca · ITUniversity Hospital Schleswig-Holstein · DECharité - Universitätsmedizin Berlin · DEHeidelberg University · DEMedizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recently, we defined "CML-like" subtype of BCR::ABL1-positive acute lymphoblastic leukemia (ALL), resembling lymphoid blast crisis of chronic myeloid leukemia (CML). Here we retrospectively analyzed prognostic relevance of minimal residual disease (MRD) and other features in 147 children with BCR::ABL1-positive ALL (diagnosed I/2000-IV/2021, treated according to EsPhALL (n = 133) or other (n = 14) protocols), using DNA-based monitoring of BCR::ABL1 genomic breakpoint and clonal immunoglobulin/T-cell receptor gene rearrangements. Although overall prognosis of CML-like (n = 48) and typical ALL (n = 99) was similar (5-year-EFS 60% and 49%, respectively; 5-year-OS 75% and 73%, respectively), typical ALL presented more relapses while CML-like patients more often died in the first remission. Prognostic role of MRD was significant in the typical ALL (p = 0.0005 in multivariate analysis for EFS). In contrast, in CML-like patients MRD was not significant (p values > 0.2) and inapplicable for therapy adjustment. Moreover, in the typical ALL, risk-prediction could be further improved by considering initial hyperleukocytosis. Early distinguishing typical BCR::ABL1-positive ALL and CML-like patients is essential to enable optimal treatment approach in upcoming protocols. For the typical ALL, tyrosine-kinase inhibitors and concurrent chemotherapy with risk-directed intensity should be recommended; in the CML-like disease, no relevant prognostic feature applicable for therapy tailoring was found so far.

Indexed as

Leukemia, Myelogenous, Chronic, BCR-ABL PositivePrecursor Cell Lymphoblastic Leukemia-LymphomaAcute DiseaseChildFusion Proteins, bcr-ablHumansNeoplasm, ResidualRetrospective StudiesFusion Proteins, bcr-abl

Identifiers

PMID35933523
OpenAlexW4290072529

What OpenQuestion holds

Textmetadata
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.