Evidence map›Paper›PMID 37487146›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2023

Outcome for Children and Young Adults With T-Cell ALL and Induction Failure in Contemporary Trials.

Elizabeth A Raetz, Paola Rebora, Valentino Conter, Martin Schrappe, Meenakshi Devidas, Gabriele Escherich, Chihaya Imai, Barbara De Moerloose, Kjeld Schmiegelow, Melissa A Burns and 12 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06855810 (Chinese Children's Cancer Group T-cell Acute Lymphoblastic Leukemia -2025 Project), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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.

NCT06855810 phase2 / phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Chinese Children's Cancer Group T-cell Acute Lymphoblastic Leukemia -2025 Project

TypeinterventionalSponsorInstitute of Hematology & Blood Diseases Hospital, ChinaRan2025 to 2031Enrolled610ConditionsAcute Lymphoblastic Leukemia, Childhood Leukemia, Acute Lymphoblastic, T Cell Acute Lymphoblastic Leukemia/Lymphoblastic LymphomaArmsVenetoclax, Dasatinib, homoharringtonine
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  4. Genes · 2026
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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

22 authors at 19 institutions in 13 countries.

Elizabeth A RaetzDepartment of Pediatrics and Perlmutter Cancer Center, NYU Langone Health, New York, NY.ORCID 0000-0002-8547-1658
Paola ReboraBicocca Bioinformatics Biostatistics and Bioimaging Center B4, School of Medicine and Surgery, University of Milano Bicocca, Milan, Italy.ORCID 0000-0003-0606-5852
Valentino ConterTettamanti Center, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.ORCID 0000-0001-5697-4929
Martin SchrappePediatrics I, University Medical Center Schleswig-Holstein, Campus Kiel, Kiel, Germany.ORCID 0000-0003-0034-5845
Meenakshi DevidasDepartment of Global Pediatric Medicine, St Jude Children's Research Hospital, Memphis, TN.
Gabriele EscherichClinic of Paediatric Haematology and Oncology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Chihaya ImaiDepartment of Pediatrics, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.ORCID 0000-0001-7435-3464
Barbara De MoerlooseDepartment of Pediatric Hematology-Oncology and Stem Cell Transplantation, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0002-2449-539X
Kjeld SchmiegelowDepartment of Pediatrics and Adolescent Medicine, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.ORCID 0000-0002-0829-4993
Melissa A BurnsDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Sarah ElitzurSchneider Children's Medical Center and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.ORCID 0000-0002-3495-7578
Rob PietersPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.ORCID 0000-0003-2997-3570
Andishe AttarbaschiDepartment of Pediatric Hematology and Oncology, St Anna Children's Hospital, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-9285-6898
Allen YeohDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.ORCID 0000-0002-6454-976X
Ching-Hon PuiDepartment of Oncology, St Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0003-0303-5658
Jan StaryDepartment of Pediatric Hematology and Oncology, 2nd Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic.ORCID 0000-0002-6818-7743
Gunnar CarioPediatrics I, University Medical Center Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Nicole BodmerPediatric Hematology and Oncology, Kinderspital Zurich, Zurich, Switzerland.
Anthony V MoormanLeukaemia Research Cytogenetics Group, Newcastle University Centre for Cancer, Clinical and Translational Institute, Newcastle University, Newcastle, United Kingdom.ORCID 0000-0002-9781-6107
Barbara BuldiniDepartment of Woman and Child Health, University of Padua, Padua, Italy.ORCID 0000-0001-7285-2390
Ajay VoraDepartment of Haematology, Great Ormond Street Hospital, London, United Kingdom.ORCID 0000-0002-2167-4368
Maria Grazia ValsecchiBicocca Bioinformatics Biostatistics and Bioimaging Center B4, School of Medicine and Surgery, University of Milano Bicocca, Milan, Italy.ORCID 0000-0001-5574-3504
Clinical Research Center Kiel · DESt. Jude Children's Research Hospital · USAzienda Ospedaliera San Gerardo · ITCharles University · CZGhent University Hospital · BEGreat Ormond Street Hospital · GBHarvard University · USNational University of Singapore · SGNewcastle University · GBNiigata University · JPNYU Langone Health · USPrincess Máxima Center · NLSt Anna Children's Hospital · ATTel Aviv University · ILUniversität Hamburg · DEUniversity Children's Hospital Zurich · CHUniversity of Copenhagen · DKUniversity of Milano-Bicocca · ITUniversity of Padua · IT

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
Children's Oncology Group Statistics &Data Center GrantU10CA098413 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI ANDERSON, JAMES R · 2003 to 2013
$67.5M
NCI NIH HHS P30 CA021765NCI NIH HHS U10 CA098413NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899
6 · The paper itself

Abstract

purposeHistorically, patients with T-cell acute lymphoblastic leukemia (T-ALL) who fail to achieve remission at the end of induction (EOI) have had poor long-term survival. The goal of this study was to examine the efficacy of contemporary therapy, including allogeneic hematopoietic stem cell transplantation (HSCT) in first remission (CR1).

methodsInduction failure (IF) was defined as the persistence of at least 5% bone marrow (BM) lymphoblasts and/or extramedullary disease after 4-6 weeks of induction chemotherapy. Disease features and clinical outcomes were reported in 325 of 6,167 (5%) patients age 21 years and younger treated in 14 cooperative study groups between 2000 and 2018.

resultsWith a median follow-up period of 6.4 years (range, 0.3-17.9 years), the 10-year overall survival (OS) was 54.7% (SE = 2.9), which is significantly higher than the 27.6% (SE = 2.9) observed in the historical cohort from 1985 to 2000. There was no significant impact of sex, age, white blood cell count, central nervous system disease status, T-cell maturity, or BM disease burden at EOI on OS. Postinduction complete remission (CR) was achieved in 93% of patients with 10-year OS of 59.6% (SE = 3.1%) and disease-free survival (DFS) of 56.3% (SE = 3.1%). Among the patients who achieved CR, 72% underwent HSCT and their 10-year DFS (with a 190-day landmark) was significantly better than nontransplanted patients (63.8% [SE = 3.6]

conclusionOutcomes for patients age 21 years and younger with T-ALL and IF have improved in the contemporary treatment era with a DFS benefit among those undergoing HSCT in CR1. However, outcomes still lag considerably behind those who achieve remission at EOI, warranting investigation of new treatment approaches.

Indexed as

Hematopoietic Stem Cell TransplantationPrecursor Cell Lymphoblastic Leukemia-LymphomaPrecursor T-Cell Lymphoblastic Leukemia-LymphomaAdultChildDisease-Free SurvivalHumansRemission InductionRetrospective StudiesT-LymphocytesYoung Adult

Identifiers

PMID37487146
PMCPMC10642910
OpenAlexW4385220537

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.