Evidence map›Paper›PMID 37024571›Full record

ArticleBone marrow transplantation2023

Avapritinib is effective for treatment of minimal residual disease in acute myeloid leukemia with t (8;21) and kit mutation failing to immunotherapy after allogeneic hematopoietic stem cell transplantation.

Jun Kong, Feng-Mei Zheng, Zhi-Dong Wang, Yuan-Yuan Zhang, Yi-Fei Cheng, Hai-Xia Fu, Meng Lv, Huan Chen, Lan-Ping Xu, Xiao-Hui Zhang and 2 more

Abstract read
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In one paragraph

Article in Bone marrow transplantation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 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

12 authors at 2 institutions in 1 country.

Jun KongPeking University People's Hospital, Peking University Institute of Hematology, Beijing, China.
Feng-Mei ZhengPeking University People's Hospital, Peking University Institute of Hematology, Beijing, China.
Zhi-Dong WangPeking University People's Hospital, Peking University Institute of Hematology, Beijing, China.
Yuan-Yuan ZhangPeking University People's Hospital, Peking University Institute of Hematology, Beijing, China.
Yi-Fei ChengPeking University People's Hospital, Peking University Institute of Hematology, Beijing, China.ORCID http://orcid.org/0000-0003-2894-9034
Hai-Xia FuPeking University People's Hospital, Peking University Institute of Hematology, Beijing, China.
Meng LvPeking University People's Hospital, Peking University Institute of Hematology, Beijing, China.
Huan ChenPeking University People's Hospital, Peking University Institute of Hematology, Beijing, China.
Lan-Ping XuPeking University People's Hospital, Peking University Institute of Hematology, Beijing, China.ORCID http://orcid.org/0000-0002-0267-1081
Xiao-Hui ZhangPeking University People's Hospital, Peking University Institute of Hematology, Beijing, China.ORCID http://orcid.org/0000-0003-0245-6792
Xiao-Jun HuangPeking University People's Hospital, Peking University Institute of Hematology, Beijing, China.ORCID http://orcid.org/0000-0002-2145-6643
Yu WangPeking University People's Hospital, Peking University Institute of Hematology, Beijing, China. ywyw3172@sina.com.ORCID http://orcid.org/0000-0003-1253-7465
Peking University · CNCapital Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients with t(8;21) acute myeloid leukemia (AML) with recurrent measurable residual disease (MRD) after allogeneic hematopoietic stem cell transplantation (allo-HSCT), pre-emptive interferon-α therapy and donor lymphocyte infusion are noneffective in 30%-50% of patients. Avapritinib is a novel tyrosine kinase inhibitor targeting KIT mutations. We retrospectively report about 20 patients with t(8;21) AML and KIT mutations treated with avapritinib after allo-HSCT with MRD and most failing to respond to immunotherapy. Reduction of RUNX1-RUNX1T1 after 1 month of treatment was ≥1 log in 12 patients (60%), which became negative in 4 patients (20%). In 13 patients who received avapritinib for ≥3 months, the reduction was ≥1 log in all patients, which became negative in 7 patients (53.8%). The median follow-up time was 5.5 (2.0-10.0) months from avapritinib initiation to the last follow-up. Three patients underwent hematologic relapse and survived. Among all 20 patients, RUNX1-RUNX1T1 transcripts turned negative in 9 patients (45%). The efficacy did not differ significantly between D816 and non-D816 KIT mutation groups. The main adverse effect was hematological toxicity, which could generally be tolerated. In summary, avapritinib was effective for MRD treatment in patients with t(8;21) AML with KIT mutations failing to respond to immunotherapy after allo-HSCT.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteAvapritinibCore Binding Factor Alpha 2 SubunitHumansImmunotherapyMutationNeoplasm, ResidualPrognosisRecurrenceRetrospective StudiesTransplantation, HomologousAvapritinibCore Binding Factor Alpha 2 Subunit

Identifiers

PMID37024571
OpenAlexW4362666238

What OpenQuestion holds

Textmetadata
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.