Evidence map›Paper›PMID 37206255›Full record

ArticleEJHaem2023

Venetoclax with decitabine or azacitidine in the first-line treatment of acute myeloid leukemia.

Ian M Bouligny, Graeme Murray, Michael Doyel, Tilak Patel, Josh Boron, Valerie Tran, Juhi Gor, Yiwei Hang, Yanal Alnimer, Kyle Zacholski and 4 more

Open access · diamondAbstract read
In one paragraph

Article in EJHaem, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
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.

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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  13. Anti-CLL1 liposome loaded with miR-497-5p and venetoclax as a novel therapeutic strategy in acute myeloid leukemia.Molecular therapy : the journal of the American Society of Gene Therapy · 2024
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Ian M BoulignyDivision of Hematology and Oncology Department of Internal Medicine Virginia Commonwealth University Massey Cancer Center Richmond Virginia USA.ORCID https://orcid.org/0000-0002-4274-4249
Graeme MurrayVirginia Commonwealth University School of Medicine Richmond Virginia USA.
Michael DoyelVirginia Commonwealth University School of Medicine Richmond Virginia USA.
Tilak PatelDepartment of Internal Medicine Virginia Commonwealth University Medical Center Richmond Virginia USA.
Josh BoronDepartment of Internal Medicine Virginia Commonwealth University Medical Center Richmond Virginia USA.
Valerie TranDepartment of Internal Medicine Virginia Commonwealth University Medical Center Richmond Virginia USA.
Juhi GorDepartment of Internal Medicine Virginia Commonwealth University Medical Center Richmond Virginia USA.
Yiwei HangVirginia Commonwealth University School of Medicine Richmond Virginia USA.
Yanal AlnimerDepartment of Internal Medicine Virginia Commonwealth University Medical Center Richmond Virginia USA.
Kyle ZacholskiDepartment of Pharmacy Virginia Commonwealth University Medical Center Richmond Virginia USA.
Chad VennDepartment of Pharmacy Virginia Commonwealth University Medical Center Richmond Virginia USA.
Nolan A WagesDepartment of Biostatistics Virginia Commonwealth University School of Medicine Richmond Virginia USA.
Steven GrantDivision of Hematology and Oncology Department of Internal Medicine Virginia Commonwealth University Massey Cancer Center Richmond Virginia USA.
Keri R MaherDivision of Hematology and Oncology Department of Internal Medicine Virginia Commonwealth University Massey Cancer Center Richmond Virginia USA.
Virginia Commonwealth University · USVirginia Commonwealth University Medical Center · US

Funding

Virus Vector Shared ResourceP30CA016059 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI Kim Felder Rhoads · 1985 to 2026
$51.0M
Research Supplement to Promote Diversity in Health Related ResearchUL1TR002649 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2018 to 2022
$19.1M
NCATS NIH HHS UL1 TR002649NCI NIH HHS P30 CA016059
6 · The paper itself

Abstract

Treatment paradigms for acute myeloid leukemia (AML) have evolved at a rapid pace in recent years. The combination of venetoclax with a hypomethylating agent prolonged survival in clinical trials when compared to hypomethylating agent monotherapy. However, little is known about the performance of venetoclax-based regimens outside of clinical trials, given conflicting safety and efficacy data. Even less is known about the impact of the hypomethylating agent backbone. In this study, we demonstrate that decitabine-venetoclax is associated with a significantly higher rate of grade three or higher thrombocytopenia, but lower rates of lymphocytopenia compared to azacitidine-venetoclax. There was no difference in response or survival across ELN 2017 cytogenetic risk categories in the overall cohort. Significantly more patients succumb to relapsed or refractory disease than death from any other cause. We demonstrated that a Charlson comorbidity index score threshold of seven identifies exceptionally high-risk patients, providing evidence for clinical use to reduce the risk of early treatment-related mortality. Lastly, we provide evidence that measurable residual disease negativity and an

Indexed as

acute leukemiaAMLBCL2chemotherapyclinical researchmalignant hematology

Identifiers

PMID37206255
PMCPMC10188504
OpenAlexW4321785455

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.