Evidence map›Paper›PMID 36959485›Full record

ArticleAnnals of hematology2023

Multicenter retrospective analysis of clinical outcome of adult patients with mixed-phenotype acute leukemia treated with acute myeloid leukemia-like or acute lymphoblastic leukemia-like chemotherapy and impact of allogeneic stem cell transplantation: a Campus ALL study.

Davide Lazzarotto, Ilaria Tanasi, Antonella Vitale, Matteo Piccini, Michelina Dargenio, Fabio Giglio, Fabio Forghieri, Nicola Fracchiolla, Marco Cerrano, Elisabetta Todisco and 12 more

Open access · greenAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Annals of hematology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.8field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 20 citations in OpenAlex.

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  20. [Clinical characteristics of 34 adult patients with acute leukemias of ambiguous lineage].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 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

22 authors at 19 institutions in 1 country.

Davide Lazzarotto *Clinica Ematologica-Centro Trapianti e Terapie Cellulari, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy. davide.lazzarotto@asufc.sanita.fvg.it.ORCID http://orcid.org/0000-0001-7568-9656
Ilaria Tanasi *Dipartimento Di Medicina, Sezione Di Ematologia, Università Di Verona, Verona, Italy.
Antonella VitaleDipartimento Di Medicina Traslazionale E Di Precisione, "Sapienza" Università Di Roma, Rome, Italy.
Matteo PicciniSODc Ematologia, Azienda Ospedaliera Universitaria Careggi, Florence, Italy.
Michelina DargenioS.C. Ematologia, Ospedale Vito Fazzi, Lecce, Italy.
Fabio GiglioUnità Di Ematologia E Trapianto Di Midollo Osseo, IRCCS Ospedale San Raffaele Di Milano, Milan, Italy.
Fabio ForghieriS.C. Ematologia, Azienda Ospedaliero Universitaria Di Modena, Modena, Italy.
Nicola FracchiollaU.O. Ematologia, IRCCS Ca' Granda Ospedale Maggiore Policlinico Di Milano, Milan, Italy.
Marco CerranoS.C. Ematologia, AOU Città Della Salute E Della Scienza, Turin, Italy.
Elisabetta TodiscoOnco-Hematology Division, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Cristina PapayannidisIRCCS Azienda Ospedaliero-Universitaria Di Bologna, Istituto Di Ematologia "Seràgnoli", Bologna, Italy.
Matteo LeoncinUOC Ematologia, Azienda ULSS 3 Serenissima, Ospedale Dell'Angelo, Venice-Mestre, Italy.
Marzia DefinaUOC Ematologia, Azienda Ospedaliero Universitaria Senese, Siena, Italy.
Fabio GuoloClinica Ematologica, Dipartimento Di Medicina Interna (DiMI), Università Degli Studi Di Genova, Genoa, Italy.
Crescenza PasciollaU.O. Di Ematologia, IRCCS Istituto Tumori Giovanni Paolo II, Bari, Italy.
Mario DeliaU.O. Ematologia Con Trapianto, Azienda Ospedaliero-Universitaria Consorziale, Policlinico Di Bari, Bari, Italy.
Patrizia ChiusoloDipartimento Di Diagnostica Per Immagini, Radioterapia Oncologica Ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Antonino MulèDivisione Di Ematologia Ad Indirizzo Oncologico, Riuniti Villa Sofia-Cervello, A.O. Ospedali, Palermo, Italy.
Anna CandoniClinica Ematologica-Centro Trapianti e Terapie Cellulari, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy.
Massimiliano BonifacioDipartimento Di Medicina, Sezione Di Ematologia, Università Di Verona, Verona, Italy.
Giovanni PizzoloDipartimento Di Medicina, Sezione Di Ematologia, Università Di Verona, Verona, Italy.
Robin FoàDipartimento Di Medicina Traslazionale E Di Precisione, "Sapienza" Università Di Roma, Rome, Italy.
University of Verona · ITSapienza University of Rome · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITAzienda Ospedaliera Universitaria Senese · ITAzienda Ospedaliero-Universitaria Careggi · ITAzienda Ospedaliero-Universitaria di Modena · ITAzienda Unità Sanitaria Locale di Ferrara · ITAzienda Universitaria Ospedaliera Consorziale - Policlinico Bari · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITIRCCS Ospedale San Raffaele · ITIstituto di Ematologia di Bologna · ITIstituto Tumori Bari · ITOspedale dell' Angelo · ITOspedale di Circolo di Busto Arsizio · ITOspedale Policlinico San Martino · ITOspedale Vincenzo Cervello · ITOspedale Vito Fazzi · ITRegione Campania · ITUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mixed-phenotype acute leukemia (MPAL) is a rare disease. Treatment is often similar to that of acute lymphoblastic leukemia (ALL), but the outcome in adults and the role of allogeneic stem cell transplantation (AlloSCT) are not well defined. We report on 77 adult patients diagnosed with MPAL over the last 10 years and treated with a curative intent. Median age was 49 years; 7.6% of cases had a BCR::ABL1 rearrangement. Thirty patients (39%) were treated with an acute myeloid leukemia (AML)-like induction and 47 (61%) with an ALL-like scheme. The complete remission (CR) rate was 67.6% and an ALL-like therapy was associated with a better CR rate (P = 0.048). The median OS was 41.9 months; age ≤ 60 years was associated with a better OS (67 vs 26 months, P = 0.014). An AlloSCT was performed in 50 patients (65%). The 5-year OS of transplanted patients was 54%. The OS post-AlloSCT was better in patients who were minimal residual disease (MRD)-negative prior to transplant (75.8% vs 45.2%, P = 0.06). This study shows that MPAL patients respond better to an ALL-like induction therapy; that consolidation therapy should include, whenever possible, an AlloSCT and that MRD negativity should be a primary endpoint of treatment.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcutePrecursor Cell Lymphoblastic Leukemia-LymphomaAcute DiseaseHumansPhenotypeRetrospective StudiesAdultsAllogeneic stem cell transplantationMinimal residual diseaseMixed-phenotype acute leukemia

Identifiers

PMID36959485
OpenAlexW4360817402

What OpenQuestion holds

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Registered trials

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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.