Evidence map›Paper›PMID 37147301›Full record

ArticleBlood cancer journal2023

Survival improvement of patients with FLT3 mutated acute myeloid leukemia: results from a prospective 9 years cohort.

Guadalupe Oñate, Marta Pratcorona, Ana Garrido, Alicia Artigas-Baleri, Alex Bataller, Mar Tormo, Montserrat Arnan, Susana Vives, Rosa Coll, Olga Salamero and 11 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Blood cancer journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04687098 (Risk-adapted Therapy for Primary Acute Myeloid Leukemia), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.2field-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.

NCT04687098 phase2completednot on this map

Risk-adapted Therapy for Primary Acute Myeloid Leukemia (AML) in Adult Patients up to 70 Years Old

TypeinterventionalSponsorGrupo Cooperativo de Estudio y Tratamiento de las Leucemias Agudas y MielodisplasiasRan2012 to 2022Enrolled1,034ConditionsLeukemia, Myeloid, AcuteArmsIdarubicin, Ara-C, G-CSF, Allogeneic matched or unrelated donor transplant., Autologous peripheral blood stem cell transplant
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Article
  4. Review
  5. Article
  6. Article
  7. Novel juxtamembraneFrontiers in oncology · 2026
    Article
  8. Article
  9. Targeting p16Leukemia · 2025
    Article
  10. Observational
  11. Real-World Outcomes inJournal of clinical medicine · 2025
    Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. A Review of FLT3 Kinase Inhibitors in AML.Journal of clinical medicine · 2023
    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

21 authors at 12 institutions in 1 country.

Guadalupe OñateHospital de la Santa Creu i Sant Pau. Institut d'investigació Biomèdica Sant Pau (IIB SANT PAU) Department of Medicine, Universitat Autonoma of Barcelona, Barcelona, Spain.ORCID 0000-0003-2180-2371
Marta PratcoronaHospital de la Santa Creu i Sant Pau. Institut d'investigació Biomèdica Sant Pau (IIB SANT PAU) Department of Medicine, Universitat Autonoma of Barcelona, Barcelona, Spain.
Ana GarridoHospital de la Santa Creu i Sant Pau. Institut d'investigació Biomèdica Sant Pau (IIB SANT PAU) Department of Medicine, Universitat Autonoma of Barcelona, Barcelona, Spain.
Alicia Artigas-BaleriHospital de la Santa Creu i Sant Pau. Institut d'investigació Biomèdica Sant Pau (IIB SANT PAU) Department of Medicine, Universitat Autonoma of Barcelona, Barcelona, Spain.
Alex BatallerHospital Clinic. August Pi i Sunyer Biomedical Research Institute (IDIBAPS), University of Barcelona, Barcelona, Spain.
Mar TormoHospital Clinico Universitario, Biomedical Research Institute INCLIVA, Valencia, Spain.ORCID 0000-0001-9622-1649
Montserrat ArnanInstitut Catala d'Oncologia, Hospital Duran i Reynals, Institut d'Investigacio Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, University of Barcelona, Barcelona, Spain.
Susana VivesInstitut Catala d'Oncologia, Hospital Germans Trias i Pujol. Josep Carreras Leukemia Research Institute, Badalona, Universitat Autonoma of Barcelona, Barcelona, Spain.
Rosa CollInstitut Català d'Oncologia, Hospital Josep Trueta, Girona, Spain.
Olga SalameroHospital Universitari Vall d'Hebron and Institute of Oncology (VHIO), Universitat Autonoma of Barcelona, Barcelona, Spain.ORCID 0000-0003-3237-0025
Ferran Vall-LloveraHospital Universitari Mutua de Terrassa, Barcelona, Spain.
Antònia SampolHospital Universitari Son Espases, Palma de Mallorca, Spain.ORCID 0000-0001-7465-6203
Antoni GarciaHospital Arnau de Vilanova, Lleida, Spain.
Marta CerveraInstitut Catala d'Oncologia, Hospital Joan XXIII, Tarragona, Spain.
Sara Garcia AvilaHospital del Mar, Barcelona, Spain.
Joan BargayHospital Son Llatzer, Palma de Mallorca, Spain.
Xavier OrtínHospital Verge de la Cinta, Tortosa, Spain.
Josep F NomdedéuHospital de la Santa Creu i Sant Pau. Institut d'investigació Biomèdica Sant Pau (IIB SANT PAU) Department of Medicine, Universitat Autonoma of Barcelona, Barcelona, Spain.ORCID 0000-0003-3399-346X
Jordi Esteve *Hospital Clinic. August Pi i Sunyer Biomedical Research Institute (IDIBAPS), University of Barcelona, Barcelona, Spain.ORCID 0000-0002-8056-648X
Jorge Sierra *Hospital de la Santa Creu i Sant Pau. Institut d'investigació Biomèdica Sant Pau (IIB SANT PAU) Department of Medicine, Universitat Autonoma of Barcelona, Barcelona, Spain. jsierra@santpau.cat.ORCID 0000-0002-7966-0356
Spanish Cooperative Group for the Study and Treatment of Acute Leukemias and Myelodysplasias (CETLAM)
Universitat Autònoma de Barcelona · ESConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESInstitut Català d'Oncologia · ESHospital Arnau de Vilanova · ESHospital Del Mar · ESHospital Son Llatzer · ESHospital Universitari de Tortosa Verge de la Cinta · ESHospital Universitario Son Espases · ESINCLIVA Health Research Institute · ESInstitut d'Investigació Biomédica de Bellvitge · ESJosep Carreras Leukaemia Research Institute · ESMútua Terrassa · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Midostaurin added to intensive chemotherapy is the standard of care for acute myeloid leukemia (AML) with FLT3 mutations (FLT3mut). We analyzed the impact of midostaurin in 227 FLT3mut-AML patients included in the AML-12 prospective trial for fit patients ≤70 years (#NCT04687098). Patients were divided into an early (2012-2015) and late (2016-2020) cohorts. They were uniformly treated except for the addition of midostaurin in 71% of late group patients. No differences were observed in response rates or the number of allotransplants between groups. Outcome was improved in the late period: 2-year relapse incidence decreased from 42% vs 29% in early vs late group (p = 0.024) and 2-year overall survival (OS) improved from 47% vs 61% (p = 0.042), respectively. The effect of midostaurin was evident in NPM1mut patients (n = 151), with 2-yr OS of 72% (exposed) vs 50% (naive) patients (p = 0.011) and mitigated FLT3-ITD allelic ratio prognostic value: 2-yr OS with midostaurin was 85% and 58% in low and high ratio patients (p = 0.049) vs 67% and 39% in naive patients (p = 0.005). In the wild-type NPM1 subset (n = 75), we did not observe significant differences between both study periods. In conclusion, this study highlights the improved outcome of FLT3mut AML fit patients with the incorporation of midostaurin.

Indexed as

Leukemia, Myeloid, AcuteNucleophosminfms-Like Tyrosine Kinase 3HumansMutationPrognosisProspective StudiesFLT3 protein, humanfms-Like Tyrosine Kinase 3Nucleophosmin

Identifiers

PMID37147301
PMCPMC10162955
OpenAlexW4372336317

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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.