Evidence map›Paper›PMID 36435726›Full record

ReviewJournal of geriatric oncology2023

Hypomethylating agent-based therapies in older adults with acute myeloid leukemia - A joint review by the Young International Society of Geriatric Oncology and European Society for Blood and Marrow Transplantation Trainee Committee.

Nina Rosa Neuendorff, Nico Gagelmann, Surbhi Singhal, Shelby Meckstroth, Vincent Thibaud, Yue Zhao, Nabiel Mir, Yung-Yu Shih, Danielle M C Amaro, Mukul Roy and 3 more

Open access · greenAbstract readReview
In one paragraph

Review in Journal of geriatric oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Allogeneic Transplant for CMML.Current hematologic malignancy reports · 2025
    Review
  7. Article
  8. 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

13 authors at 12 institutions in 6 countries.

Nina Rosa NeuendorffClinic for Hematology and Stem-Cell Transplantation, University Hospital Essen, Hufelandstrasse 55, D-45147 Essen, Germany. Electronic address: nina.neuendorff@uk-essen.de.
Nico GagelmannDepartment of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Surbhi SinghalDivision of Hematology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Shelby MeckstrothLouisiana State University Health Sciences Center, School of Medicine, New Orleans, LA, USA.
Vincent ThibaudDepartment of Hematology, Hôpital Saint-Vincent, Université Catholique de Lille, 59000 Lille, France.
Yue ZhaoDepartment of General, Visceral, Cancer and Transplantation Surgery, University Hospital Cologne, 50937 Cologne, Germany.
Nabiel MirSection of Geriatrics and Palliative Medicine, The University of Chicago Medical Center, Chicago, USA.
Yung-Yu ShihDepartment of Hematology and Oncology, Clinic Favoriten Vienna, Austria.
Danielle M C AmaroDepartment of Oncology and Hematology, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Mukul RoyDepartment of Radiation Oncology, Jaslok Hospital, Mumbai, India.
Joseph LombardoDepartment of Radiation Oncology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.
Lars Klingen GjærdeDepartment of Hematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Kah Poh LohDivision of Hematology/Oncology, Department of Medicine, James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA.
Copenhagen University Hospital · DKEssen University Hospital · DEHospital Israelita Albert Einstein · BRJaslok Hospital · INLouisiana State University Health Sciences Center New Orleans · USStanford University · USThomas Jefferson University · USUniversität Hamburg · DEUniversité Catholique de Lille · FRUniversity Hospital Cologne · DEUniversity of Chicago Medical Center · USUniversity of Rochester Medical Center · US

Funding

A novel mobile health exercise intervention for older patients with myeloid neoplasmsR00CA237744 · NCI · UNIVERSITY OF ROCHESTER · PI LOH, KAH POH · 2021 to 2023
$747k
Epigenetic markers, functional status, and exercise in older adults with myeloid neoplasmsR03AG073985 · NIA · UNIVERSITY OF ROCHESTER · PI LOH, KAH POH · 2022 to 2023
$308k
NCI NIH HHS R00 CA237744NIA NIH HHS R03 AG073985
6 · The paper itself

Abstract

Acute myeloid leukemia (AML) is associated with poor outcomes in older adults. A major goal of treatment is to balance quality of life and functional independence with disease control. With the approval of new, more tolerable regimens, more older adults are able to receive AML-directed therapy. Among these options are hypomethylating agents (HMAs), specifically azacitidine and decitabine. HMAs have become an integral part of AML therapy over the last two decades. These agents are used either as monotherapy or nowadays more commonly in combination with other agents such as the Bcl-2 inhibitor venetoclax. Biological AML characteristics, such as molecular and cytogenetic risk factors, play crucial roles in guiding treatment decisions. In patients with high-risk AML, HMAs are increasingly used rather than intensive chemotherapy, although further trials based on a risk-adapted approach using patient- and disease-related factors are needed. Here, we review trials and evidence for the use of HMA monotherapy and combination therapy in the management of older adults with AML. Furthermore, we discuss the use of HMAs and HMA combination therapies in AML, mechanisms of action, their incorporation into hematopoietic stem cell transplantation strategies, and their use in patients with comorbidities and reduced organ function.

Indexed as

Antineoplastic AgentsLeukemia, Myeloid, AcuteAgedAntineoplastic Combined Chemotherapy ProtocolsAzacitidineBone MarrowDecitabineHumansQuality of LifeAntineoplastic AgentsAzacitidineDecitabineAcute myeloid leukemiaAzacitidineDecitabineGuadecitabineHypomethylating agentsOlder adults

Identifiers

PMID36435726
PMCPMC10106360
OpenAlexW4309862740

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.