Evidence map›Paper›PMID 37531592›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2023

Homoharringtonine-Based Induction Regimen Improved the Remission Rate and Survival Rate in Chinese Childhood AML: A Report From the CCLG-AML 2015 Protocol Study.

Jing Li, Ju Gao, Ansheng Liu, Wei Liu, Hao Xiong, Changda Liang, Yongjun Fang, Yunpeng Dai, Jingbo Shao, Hui Yu and 40 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
8.1field-weighted citation impact, top 2% 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

23 citing papers in PubMed, 28 citations in OpenAlex.

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  11. Cancer chemoprevention: signaling pathways and strategic approaches.Signal transduction and targeted therapy · 2025
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  18. DistinctInternational journal of molecular sciences · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

50 authors at 20 institutions in 1 country.

Jing LiHematology Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Ju GaoWest China Second University Hospital, Sichuan University, Chengdu, China.
Ansheng LiuXi'an Children's Hospital, Xian, China.
Wei LiuChildren's Hospital of Henan Province, Zhengzhou, China.
Hao XiongWuhan Children's Hospital, Wuhan, China.ORCID 0000-0002-1932-9282
Changda LiangJiangxi Provincial Children's Hospital, Nanchang, China.
Yongjun FangChildren's Hospital of Nanjing Medical University, Nanjing, China.
Yunpeng DaiShandong First Medical University Affiliated Shandong Provincial Hospital, Jinan, China.
Jingbo ShaoShanghai Children's Hospital, Shanghai, China.
Hui YuDepartment of Pediatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Lingzhen WangAffiliated Hospital of Qingdao University, Qingdao, China.
Li WangChildren's Hospital of Hebei Province, Shijiazhuang, China.
Liangchun YangDepartment of Pediatrics, Xiangya Hospital Central South University, Changsha, China.
Mei YanThe First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.
Xiaowen ZhaiChildren's Hospital of Fudan University, Shanghai, China.
Xiaodong ShiCapital Institute of Pediatrics' Children's Hospital, Beijing, China.
Xin TianKunming Children's Hospital, Kunming, China.
Xiuli JuQilu Hospital of Shandong University, Jinan, China.
Yan ChenChildren's Hospital of Guizhou Province, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Jing WangChildren's Hospital of Shanxi Province, Taiyuan, China.
Leping ZhangPeking University People's Hospital, Beijing, China.
Hui LiangWomen and Children's Hospital, Qingdao University, Qingdao, China.
Sen ChenTianjin Children's Hospital, Tianjin, China.
Jingrong ZhangGuiyang Children's Hospital, Guiyang, China.
Haixia CaoQinghai Women's and Children's Hospital, Xining, China.
Jiao JinThe Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Qun HuTongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Junlan WangNorthwest Women's and Children's Hospital, Xian, China.
Yilin WangLinyi People's Hospital, Linyi, China.
Min ZhouChengdu Women's and Children's Central Hospital, Chengdu, China.
Yueqin HanChildren's Hospital of Liaocheng, Liaocheng, China.
Rong ZhangSichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, China.
Weihong ZhaoFirst Hospital, Peking University, Beijing, China.
Xiaoli WangYantai Yuhuangding Hospital, Yantai, China.
Limin LinSecond Affiliated Hospital of Shantou University Medical College, Shantou, China.
Ruidong ZhangHematology Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Chao GaoBeijing Key Laboratory of Pediatric Hematology Oncology, Beijing, China.
Liting XuChildren's Hospital of Zhejiang University School of Medicine, the Pediatric Leukemia Diagnostic and Therapeutic Technology Research Center of Zhejiang Province, National Clinical Research Center for Child Health, Hangzhou, China.
Yuanyuan ZhangHematology Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Jia FanHematology Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Ying WuHematology Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Wei LinHematology Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Jiaole YuHematology Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Peijing QiHematology Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Pengli HuangHematology Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Xiaoxia PengCenter for Clinical Epidemiology and Evidence-Based Medicine, Beijing Children's Hospital, Capital Medical University, Beijing, China.ORCID 0000-0001-8789-469X
Yaguang PengCenter for Clinical Epidemiology and Evidence-Based Medicine, Beijing Children's Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-7987-6464
Tianyou WangHematology Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Huyong ZhengHematology Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.ORCID 0000-0002-1484-9131
Chinese Children's Leukemia Group
Ministry of Education of the People's Republic of China · CNQingdao University · CNCapital Medical University · CNNorthwest Women's and Children's Hospital · CNPeking University · CNCentral South University · CNChengdu Women's and Children's Central Hospital · CNChildren's Hospital of Capital Institute of Pediatrics · CNChildren's Hospital of Fudan University · CNChildren's Hospital of Zhejiang University · CNGuiyang Medical University · CNJiangxi Provincial Children's Hospital · CNKunming Children's Hospital · CNLiaocheng People's Hospital · CNLinyi People's Hospital · CNQilu Hospital of Shandong University · CNSecond Affiliated Hospital of Nanjing Medical University · CNShandong Provincial Hospital · CNShanghai Children's Hospital · CNShantou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHomoharringtonine (HHT) is commonly used for the treatment of Chinese adult AML, and all-trans retinoic acid (ATRA) has been verified in acute promyelocytic leukemia (APL). However, the efficacy and safety of HHT-based induction therapy have not been confirmed for childhood AML, and ATRA-based treatment has not been evaluated among patients with non-APL AML. PATIENTS AND

methodsThis open-label, multicenter, randomized Chinese Children's Leukemia Group-AML 2015 study was performed across 35 centers in China. Patients with newly diagnosed childhood AML were first randomly assigned to receive an HHT-based (H arm) or etoposide-based (E arm) induction regimen and then randomly allocated to receive cytarabine-based (AC arm) or ATRA-based (AT arm) maintenance therapy. The primary end points were the complete remission (CR) rate after induction therapy, and the secondary end points were the overall survival (OS) and event-free survival (EFS) at 3 years.

resultsWe enrolled 1,258 patients, of whom 1,253 were included in the intent-to-treat analysis. The overall CR rate was significantly higher in the H arm than in the E arm (79.9%

conclusionHHT is an alternative combination regimen for childhood AML. The effects of ATRA-based maintenance are comparable with those of cytarabine-based maintenance therapy.

Indexed as

East Asian PeopleLeukemia, Promyelocytic, AcuteAntineoplastic Combined Chemotherapy ProtocolsChildCytarabineHomoharringtonineHumansMulticenter Studies as TopicRemission InductionSurvival RateTreatment OutcomeTretinoinCytarabineHomoharringtonineTretinoin

Identifiers

PMID37531592
PMCPMC10617822
OpenAlexW4385480168

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.