Evidence map›Paper›PMID 36167894›Full record

Trial reportJournal of cancer research and clinical oncology2023

Intensified cytarabine dose during consolidation in adult AML patients under 65 years is not associated with survival benefit: real-world data from the German SAL-AML registry.

Maher Hanoun, Leo Ruhnke, Michael Kramer, Christine Hanoun, Kerstin Schäfer-Eckart, Björn Steffen, Tim Sauer, Stefan W Krause, Christoph Schliemann, Jan-Henrik Mikesch and 24 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03188874 (Clinical AML Registry and Biomaterial Database of the Study Alliance Leukemia), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 23% 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.

NCT03188874 recruitingnot on this map

Clinical AML Registry and Biomaterial Database of the Study Alliance Leukemia (SAL)

Typeobservational_patient_registrySponsorTechnische Universität DresdenRan2010 to 2030Enrolled15,000ConditionsAcute Myeloid Leukemia (AML)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

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  6. 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

34 authors at 20 institutions in 1 country.

Maher HanounDepartment of Hematology and Stem Cell Transplantation, University Hospital Essen, Essen, Germany. maher.hanoun@uk-essen.de.
Leo RuhnkeDepartment of Internal Medicine I, University Hospital Dresden, TU Dresden, Dresden, Germany.
Michael KramerDepartment of Internal Medicine I, University Hospital Dresden, TU Dresden, Dresden, Germany.
Christine HanounDepartment of Hematology and Stem Cell Transplantation, University Hospital Essen, Essen, Germany.
Kerstin Schäfer-EckartDepartment of Internal Medicine 5, Hospital Nuernberg, Nuernberg, Germany.
Björn SteffenDepartment of Hematology and Oncology, University Hospital Frankfurt am Main, Frankfurt am Main, Germany.
Tim SauerDepartment of Hematology, Oncology and Rheumatology, University Hospital Heidelberg, Heidelberg, Germany.
Stefan W KrauseDepartment of Hematology and Medical Oncology, University Hospital Erlangen, Erlangen, Germany.
Christoph SchliemannDepartment of Medicine A, University Hospital Münster, Münster, Germany.
Jan-Henrik MikeschDepartment of Medicine A, University Hospital Münster, Münster, Germany.
Martin KaufmannDepartment of Hematology, Oncology and Palliative Medicine, Robert-Bosch-Hospital, Stuttgart, Germany.
Mathias HänelDepartment of Internal Medicine III, Chemnitz Hospital, Chemnitz, Germany.
Edgar JostDepartment of Internal Medicine IV, University Hospital RWTH, Aachen, Germany.
Tim H BrümmendorfDepartment of Internal Medicine IV, University Hospital RWTH, Aachen, Germany.
Lars FranseckyDepartment of Internal Medicine II, University Hospital Schleswig-Holstein, Kiel, Germany.
Sabrina KrausDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Hermann EinseleDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Dirk NiemannDepartment of Internal Medicine, Hematology and Oncology, Gemeinschaftsklinikum Mittelrhein, Koblenz, Germany.
Andreas NeubauerDepartment of Hematology, Oncology and Immunology, University Hospital Marburg, Marburg, Germany.
Johannes KullmerDepartment of Internal Medicine II, IAKO Bremen, Bremen, Germany.
Ruth Seggewiss-BernhardDepartment of Internal Medicine V, Sozialstiftung Bamberg, Bamberg, Germany.
Martin GörnerDepartment of Hematology, Oncology and Palliative Medicine, Klinikum Bielefeld Mitte, Bielefeld, Germany.
Gerhard HeldDepartment of Hematology, Oncology, Clinical Immunology, Rheumatology, Medical School, University of Saarland, Homburg, Germany.
Ulrich KaiserDepartment of Hematology and Oncology, St. Bernward Hospital, Hildesheim, Germany.
Sebastian SchollKlinik für Innere Medizin II, Universitätsklinikum Jena, Jena, Germany.
Andreas HochhausKlinik für Innere Medizin II, Universitätsklinikum Jena, Jena, Germany.
H Christian ReinhardtDepartment of Hematology and Stem Cell Transplantation, University Hospital Essen, Essen, Germany.
Uwe PlatzbeckerDepartment for Internal Medicine I, University Hospital Leipzig, Leipzig, Germany.
Claudia D BaldusDepartment of Internal Medicine II, University Hospital Schleswig-Holstein, Kiel, Germany.
Carsten Müller-TidowDepartment of Hematology, Oncology and Rheumatology, University Hospital Heidelberg, Heidelberg, Germany.
Martin BornhäuserDepartment of Internal Medicine I, University Hospital Dresden, TU Dresden, Dresden, Germany.
Hubert ServeDepartment of Hematology and Oncology, University Hospital Frankfurt am Main, Frankfurt am Main, Germany.
Christoph RölligDepartment of Internal Medicine I, University Hospital Dresden, TU Dresden, Dresden, Germany.
Study Alliance Leukemia (SAL)
TU Dresden · DEEssen University Hospital · DEJena University Hospital · DERWTH Aachen University · DEUniversitätsklinikum Würzburg · DEUniversity Hospital Münster · DEGemeinschaftsklinikum Mittelrhein · DEGoethe University Frankfurt · DEHeidelberg University · DEKlinikum Arnsberg · DEKlinikum Bielefeld · DEKlinikum Chemnitz · DEPhilipps University of Marburg · DERobert Bosch Hospital · DESaarland University · DESozialstiftung Bamberg · DESt. Bernward Krankenhaus · DEUniversitätsklinikum Erlangen · DEUniversity Hospital Frankfurt · DEUniversity Hospital Heidelberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHigher doses of cytarabine appear to improve long-term outcome in acute myeloid leukemia (AML), in particular for younger patients. To this end, the optimal dosage of single-agent cytarabine in consolidation therapy remains elusive. Here, we assessed the impact of different dosages of cytarabine consolidation after 7 + 3 induction on outcome in a large real-world data set from the German Study Alliance Leukemia-Acute Myeloid Leukemia (SAL-AML) registry.

methodsPatients between 18 and 64 years of age, registered between April 2005 and September 2020, who attained complete remission after intensive induction and received at least one consolidation cycle with intermediate (IDAC) or high-dose cytarabine (HiDAC) were selected. To account for differences in patient and disease characteristics between both groups, the average treatment effect was estimated by propensity score weighting.

resultsSix-hundred-forty-two patients received HiDAC consolidation with median dosage of 17.6 (IQR (interquartile range), 16.5-18.0) g/m

conclusionsThis retrospective analysis suggests no significant benefit of high-dose cytarabine compared to intermediate dosages in consolidation for AML patients under 65 years of age, independent of ELN risk group.

trial registrationNCT03188874.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteAdolescentAdultAntineoplastic Combined Chemotherapy ProtocolsCytarabineHumansMiddle AgedRemission InductionRetrospective StudiesCytarabineAcute myeloid leukemiaConsolidation therapyCytarabine dosageReal-world data

Identifiers

PMID36167894
PMCPMC10349710
OpenAlexW4297348468

What OpenQuestion holds

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Registered trials

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.