Evidence map›Paper›PMID 36114009›Full record

Trial reportBritish journal of haematology2022

Extended vincristine and dexamethasone pulse therapy may not be necessary for children with TCF3-PBX1 positive acute lymphoblastic leukaemia.

Yang Wan, Honghong Zhang, Li Zhang, Jiaoyang Cai, Jie Yu, Shaoyan Hu, Yongjun Fang, Ju Gao, Hua Jiang, Minghua Yang and 19 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of haematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. [Optimized treatment of childhood B-lineage acute lymphoblastic leukemia].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2023
    Article
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

29 authors at 20 institutions in 3 countries.

Yang WanDepartment of Pediatrics, State Key Laboratory of Experimental Haematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, China.ORCID 0000-0002-5914-3327
Honghong ZhangDepartment of haematology/Oncology, Children's Hospital of Fudan University, Shanghai, China.
Li ZhangDepartment of Pediatrics, State Key Laboratory of Experimental Haematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, China.
Jiaoyang CaiDepartment of haematology/Oncology, Shanghai Children's Medical Centre, School of Medicine, Shanghai Jiao Tong University, National Health Committee Key Laboratory of Pediatric haematology & Oncology, Shanghai, China.ORCID 0000-0003-2051-4044
Jie YuDepartment of haematology/Oncology, Chongqing Medical University Affiliated Children's Hospital, Chongqing, China.
Shaoyan HuDepartment of haematology/Oncology, Children's Hospital of Soochow University, Suzhou, China.ORCID 0000-0002-3386-6957
Yongjun FangDepartment of haematology/Oncology, Children's Hospital of Nanjing Medical University, Nanjing, China.
Ju GaoDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Key Laboratory of Birth Defects and Related Disease of Women and Children, Ministry of Education, Chengdu, China.
Hua JiangDepartment of haematology/Oncology, Guangzhou Women and Children's Medical centre, Guangzhou, China.
Minghua YangDepartment of Pediatrics, Xiangya Hospital Central South University, Changsha, China.
Changda LiangDepartment of haematology/Oncology, Jiangxi Provincial Children's Hospital, Nanchang, China.
Runming JinDepartment of Pediatrics, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Xin TianDepartment of haematology/Oncology, KunMing Children's Hospital, Kunming, China.
Xiuli JuDepartment of Pediatrics, Qilu Hospital of Shandong University, Jinan, China.
Qun HuDepartment of Pediatrics, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.ORCID 0000-0002-1508-2796
Hui JiangDepartment of haematology/Oncology, Children's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, China.
Hui LiDepartment of haematology/Oncology, Xi'an Northwest Women's and Children's Hospital, Xi'an, China.
Ningling WangDepartment of Pediatrics, Anhui Medical University Second Affiliated Hospital, Anhui, China.
Lirong SunDepartment of Pediatrics, Affiliated Hospital of Qingdao University, Qingdao, China.
Alex W K LeungDepartment of Pediatrics, Hong Kong Children's Hospital, The Chinese University of Hong Kong, Hong Kong, SAR, China.
Xuedong WuDepartment of Pediatrics, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Junxia WangDepartment of Pediatrics, State Key Laboratory of Experimental Haematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, China.
Chi-Kong LiDepartment of Pediatrics, Hong Kong Children's Hospital, The Chinese University of Hong Kong, Hong Kong, SAR, China.
Jun YangDepartments of Oncology, Global Pediatric Medicine, Biostatistics and Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Jingyan TangDepartment of haematology/Oncology, Shanghai Children's Medical Centre, School of Medicine, Shanghai Jiao Tong University, National Health Committee Key Laboratory of Pediatric haematology & Oncology, Shanghai, China.
Shuhong ShenDepartment of haematology/Oncology, Shanghai Children's Medical Centre, School of Medicine, Shanghai Jiao Tong University, National Health Committee Key Laboratory of Pediatric haematology & Oncology, Shanghai, China.
Xiaowen ZhaiDepartment of haematology/Oncology, Children's Hospital of Fudan University, Shanghai, China.ORCID 0000-0002-3505-0302
Ching-Hon PuiDepartments of Oncology, Global Pediatric Medicine, Biostatistics and Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Xiaofan ZhuDepartment of Pediatrics, State Key Laboratory of Experimental Haematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, China.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNShanghai Jiao Tong University · CNChildren's Hospital of Fudan University · CNChinese University of Hong Kong · HKSt. Jude Children's Research Hospital · USAnhui Medical University · CNCentral South University · CNChildren's Hospital of Chongqing Medical University · CNGuangzhou Women and Children Medical Center · CNJiangxi Provincial Children's Hospital · CNKunming Children's Hospital · CNNanfang Hospital · CNNanjing Children's Hospital · CNNorthwest Women's and Children's Hospital · CNQilu Hospital of Shandong University · CNQingdao University · CNSichuan University · CNSoochow University · CNTongji Hospital · CNUnion Hospital · CN

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
NCI NIH HHS P30 CA021765
6 · The paper itself

Abstract

The effect of prolonged pulse therapy with vincristine and dexamethasone (VD) during maintenance therapy on the outcome of paediatric patients with TCF3-PBX1 positive acute lymphoblastic leukaemia (ALL) remains uncertain. We conducted non-inferiority analysis of 263 newly diagnosed TCF3-PBX1 positive ALL children who were stratified and randomly assigned (1:1) to receive seven additional VD pulses (the control group) or not (the experimental group) in the CCCG-ALL-2015 clinical trial from January 2015 to December 2019 (ChiCTR-IPR-14005706). There was no significant difference in baseline characteristics between the two groups. With a median follow-up of 4.2 years, the 5-year event-free survival (EFS) and 5-year overall survival (OS) in the control group were 90.1% (95% confidence interval [CI] 85.1-95.4) and 94.7% (95% CI, 90.9-98.6) comparable to those in the experimental group 89.2% (95% CI 84.1-94.7) and 95.6% (95% CI 91.8-99.6), respectively. Non-inferiority was established as a one-sided 95% upper confidence bound for the difference in probability of 5-year EFS was 0.003, and that for 5-year OS was 0.01 by as-treated analysis. Thus, omission of pulse therapy with VD beyond one year of treatment did not affect the outcome of children with TCF3-PBX1 positive ALL.

Indexed as

Precursor Cell Lymphoblastic Leukemia-LymphomaAntineoplastic Combined Chemotherapy ProtocolsBasic Helix-Loop-Helix ProteinsChildDexamethasoneHumansOncogene Proteins, FusionPre-B-Cell Leukemia Transcription Factor 1VincristineBasic Helix-Loop-Helix ProteinsDexamethasoneOncogene Proteins, FusionPBX1 protein, humanPre-B-Cell Leukemia Transcription Factor 1TCF3-PBX1 fusion protein, humanTCF3 protein, humanVincristineacute lymphoblastic leukaemiaCCCG-ALL-2015TCF3-PBX1vincristine plus dexamethasone pulses

Identifiers

PMID36114009
PMCPMC9649883
OpenAlexW4296163603

What OpenQuestion holds

Textmetadata
LicenceTDM
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.