Evidence map›Paper›PMID 37185873›Full record

ArticleCancer2023

Obesity in adult acute myeloid leukemia is not associated with inferior response or survival even when dose capping anthracyclines: An ECOG-ACRIN analysis.

James M Foran, Zhuoxin Sun, Catherine Lai, Hugo F Fernandez, Larry D Cripe, Rhett P Ketterling, Janis Racevskis, Selina M Luger, Elisabeth Paietta, Hillard M Lazarus and 6 more

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.3field-weighted citation impact, top 11% 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.

NCT00046930 phase3completednot on this map

A Randomized, Placebo-Controlled, Double Blind, Trial of the Administration of the MDR Modulator, Zosuquidar Trihydrochloride (LY335979), During Conventional Induction and Post-Remission Therapy in Patients Greater Than 60 Years of Age With Newly Diagnosed Acute Myeloid Leukemia, Refractory Anemia With Excess Blasts in Transformation or High-Risk Refractory Anemia With Excess Blasts

TypeinterventionalSponsorEastern Cooperative Oncology GroupRan2002Enrolled449ConditionsLeukemia, Myelodysplastic SyndromesArmsfilgrastim, sargramostim, cytarabine, daunorubicin hydrochloride, zosuquidar trihydrochloride
NCT00049517 phase3completednot on this map

A Phase III Trial in Adult Acute Myeloid Leukemia: Daunorubicin Dose-Intensification Prior to Risk-Allocated Autologous Stem Cell Transplantation

TypeinterventionalSponsorEastern Cooperative Oncology GroupRan2002 to 2019Enrolled657ConditionsLeukemiaArmssargramostim, busulfan, cyclophosphamide, cytarabine, gemtuzumab ozogamicin (GO)
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. The global epidemiology of acute myeloid leukaemia.Nature reviews. Clinical oncology · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. 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

16 authors at 12 institutions in 2 countries.

James M ForanDivision of Hematology and Medical Oncology and Mayo Clinic Cancer Center, Mayo Clinic, Jacksonville, Florida, USA.ORCID 0000-0003-1673-1708
Zhuoxin SunEastern Cooperative Oncology Group-American College of Radiology Imaging Network (ECOG-ACRIN) Biostatistics Center, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Catherine LaiAbramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-8861-0281
Hugo F FernandezBlood & Marrow Transplantation, H. Lee Moffitt Cancer Center, Tampa, Florida, USA.
Larry D CripeIndiana University Melvin and Bren Simon Cancer Center, Indianapolis, Indiana, USA.
Rhett P KetterlingDepartment of Laboratory Medicine and Pathology and Division of Hematology, Mayo Clinic, Rochester, Minnesota, USA.
Janis RacevskisDepartment of Oncology, Montefiore Medical Center, Bronx, New York, USA.
Selina M LugerAbramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Elisabeth PaiettaDepartment of Oncology, Montefiore Medical Center, Bronx, New York, USA.
Hillard M LazarusDepartment of Medicine, Division of Hematology-Oncology, Case Comprehensive Cancer Center, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.
Yanming ZhangCytogenetics Laboratory, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
John M BennettHematopathology Division, Department of Pathology, James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA.
Ross L LevineCytogenetics Laboratory, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Jacob M RoweShaare Zedek Medical Center, Jerusalem, Israel.
Mark R LitzowDepartment of Laboratory Medicine and Pathology and Division of Hematology, Mayo Clinic, Rochester, Minnesota, USA.
Martin S TallmanNorthwestern University Feinberg School of Medicine, Robert H. Lurie Comprehensive Cancer Center, Chicago, Illinois, USA.
Mayo Clinic · USMemorial Sloan Kettering Cancer Center · USMontefiore Medical Center · USUniversity of Pennsylvania · USAmerican College of Radiology · USIndiana University Health · USJacksonville College · USMoffitt Cancer Center · USNorthwestern University · USShaare Zedek Medical Center · ILUniversity Hospitals Cleveland Medical Center · USUniversity of Rochester Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Project-006U10CA180820 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer · 2014 to 2026
$167.6M
Statistics CoreU10CA180794 · NCI · DANA-FARBER CANCER INST · PI PAUL J CATALANO, CONSTANTINE A. GATSONIS · 2014 to 2026
$111.2M
Tissue BankP01CA108671 · NCI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI Ronald Hoffman · 2006 to 2026
$82.0M
Case Comprehensive Cancer Center NCTN Lead Academic Participating SiteUG1CA233234 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI Aaron Thomas Gerds, Daniel Eidelberg Spratt · 2019 to 2026
$11.1M
Montefiore Academic Community NCORP ProgramUG1CA189859 · NCI · MONTEFIORE MEDICAL CENTER (BRONX, NY) · PI Balazs Halmos, Della Makower · 2014 to 2026
$10.8M
Network Lead Academic Participating Site: Memorial Sloan Kettering Cancer CenterUG1CA233290 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI CAROL AGHAJANIAN, Darren Feldman · 2019 to 2026
$10.2M
NCI, National Clinical Trials Network Lead Academic Participating Site (LAPS) UG1 (funded extension)UG1CA232760 · NCI · MAYO CLINIC ROCHESTER · PI Judy Caroline Boughey, Aaron Scott Mansfield · 2019 to 2026
$8.5M
Rochester Network Lead Academic Participating SiteUG1CA233230 · NCI · UNIVERSITY OF ROCHESTER · PI Paul M Barr · 2019 to 2026
$6.9M
NCI NIH HHS P01 CA108671NCI NIH HHS P30 CA008748NCI NIH HHS U10 CA180794NCI NIH HHS U10 CA180820NCI NIH HHS UG1 CA189859NCI NIH HHS UG1 CA232760NCI NIH HHS UG1 CA233230NCI NIH HHS UG1 CA233234NCI NIH HHS UG1 CA233290
6 · The paper itself

Abstract

backgroundObesity (body mass index [BMI] ≥30 kg/m

methodsThe authors analyzed BMI in 1088 adults who were receiving intensive remission induction and consolidation therapy in two prospective, randomized therapeutic clinical trials of the Eastern Cooperative Oncology Group-American College of Radiology Imaging Network: E1900 (ClinicalTrials.gov identifier NCT00049517; patients younger than 60 years) and E3999 (ClinicalTrials.gov identifier NCT00046930; patients aged 60 years or older).

resultsObesity was prevalent at diagnosis (33%) and, compared with nonobesity, was associated with intermediate-risk cytogenetics group (p = .008), poorer performance status (p = .01), and a trend toward older age (p = .06). Obesity was not associated with somatic mutations among a selected 18-gene panel that was tested in a subset of younger patients. Obesity was not associated with clinical outcome (including complete remission, early death, or overall survival), and the authors did not identify any patient subgroup that had inferior outcomes based on BMI. Obese patients were significantly more likely to receive <90% of the intended daunorubicin dose despite protocol specification, particularly in the E1900 high-dose (90 mg/m

conclusionsObesity is associated with unique clinical and disease-related phenotypic features in AML and may influence physician treatment decisions regarding daunorubicin dosing. However, the current study demonstrates that obesity is not a factor in survival, and strict adherence to body surface area-based dosing is not necessary because dose adjustments do not affect outcomes.

Indexed as

AnthracyclinesLeukemia, Myeloid, AcuteAgedAntibiotics, AntineoplasticAntineoplastic Combined Chemotherapy ProtocolsCytarabineDaunorubicinHumansMiddle AgedObesityProspective StudiesRandomized Controlled Trials as TopicRemission InductionAnthracyclinesAntibiotics, AntineoplasticCytarabineDaunorubicinacute myeloid leukemia (AML)body mass index (BMI)daunorubicindose adjustmentepidemiologyobesity

Identifiers

PMID37185873
PMCPMC10932613
OpenAlexW4367054331

What OpenQuestion holds

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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.