Evidence map›Paper›PMID 36964195›Full record

ArticleNPJ precision oncology2023

Prediction model for drug response of acute myeloid leukemia patients.

Quang Thinh Trac, Yudi Pawitan, Tian Mou, Tom Erkers, Päivi Östling, Anna Bohlin, Albin Österroos, Mattias Vesterlund, Rozbeh Jafari, Ioannis Siavelis and 8 more

Open access · goldFull text read
In one paragraph

Article in NPJ precision oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 14 citations in OpenAlex.

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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

18 authors at 6 institutions in 3 countries.

Quang Thinh TracDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Yudi PawitanDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Tian MouSchool of Biomedical Engineering, Shenzhen University, Shenzhen, China.
Tom ErkersDepartment of Oncology Pathology, Karolinska Institutet, Science for Life Laboratory, Stockholm, Sweden.
Päivi ÖstlingDepartment of Oncology Pathology, Karolinska Institutet, Science for Life Laboratory, Stockholm, Sweden.
Anna BohlinDepartment of Medicine Huddinge, Karolinska Institutet, Unit for Hematology, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Albin ÖsterroosDepartment of Medical Sciences, Hematology, Uppsala University Hospital, Uppsala, Sweden.ORCID http://orcid.org/0000-0001-8749-7299
Mattias VesterlundDepartment of Oncology Pathology, Karolinska Institutet, Science for Life Laboratory, Stockholm, Sweden.ORCID http://orcid.org/0000-0001-9471-6592
Rozbeh JafariDepartment of Oncology Pathology, Karolinska Institutet, Science for Life Laboratory, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-3396-4709
Ioannis SiavelisDepartment of Oncology Pathology, Karolinska Institutet, Science for Life Laboratory, Stockholm, Sweden.
Helena BäckvallDepartment of Oncology Pathology, Karolinska Institutet, Science for Life Laboratory, Stockholm, Sweden.
Santeri KiviluotoDepartment of Oncology Pathology, Karolinska Institutet, Science for Life Laboratory, Stockholm, Sweden.
Lukas M OrreDepartment of Oncology Pathology, Karolinska Institutet, Science for Life Laboratory, Stockholm, Sweden.
Mattias RantalainenDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Janne LehtiöDepartment of Oncology Pathology, Karolinska Institutet, Science for Life Laboratory, Stockholm, Sweden.
Sören LehmannDepartment of Medicine Huddinge, Karolinska Institutet, Unit for Hematology, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Olli KallioniemiDepartment of Oncology Pathology, Karolinska Institutet, Science for Life Laboratory, Stockholm, Sweden.
Trung Nghia VuDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden. trungnghia.vu@ki.se.ORCID http://orcid.org/0000-0001-7945-5750
Science for Life Laboratory · SEKarolinska Institutet · SEKarolinska University Hospital · SEUniversity of Helsinki · FIShenzhen University · CNUppsala University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite some encouraging successes, predicting the therapy response of acute myeloid leukemia (AML) patients remains highly challenging due to tumor heterogeneity. Here we aim to develop and validate MDREAM, a robust ensemble-based prediction model for drug response in AML based on an integration of omics data, including mutations and gene expression, and large-scale drug testing. Briefly, MDREAM is first trained in the BeatAML cohort (n = 278), and then validated in the BeatAML (n = 183) and two external cohorts, including a Swedish AML cohort (n = 45) and a relapsed/refractory acute leukemia cohort (n = 12). The final prediction is based on 122 ensemble models, each corresponding to a drug. A confidence score metric is used to convey the uncertainty of predictions; among predictions with a confidence score >0.75, the validated proportion of good responders is 77%. The Spearman correlations between the predicted and the observed drug response are 0.68 (95% CI: [0.64, 0.68]) in the BeatAML validation set, -0.49 (95% CI: [-0.53, -0.44]) in the Swedish cohort and 0.59 (95% CI: [0.51, 0.67]) in the relapsed/refractory cohort. A web-based implementation of MDREAM is publicly available at https://www.meb.ki.se/shiny/truvu/MDREAM/ .

Identifiers

PMID36964195
PMCPMC10039068
OpenAlexW4360851817

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LicenceCC BY
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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.