Evidence map›Paper›PMID 37535164›Full record

ArticleJournal of cancer research and clinical oncology2023

AML consolidation therapy: timing matters.

Adrian-Manuel Reimann, Enrico Schalk, Felix Jost, Dimitrios Mougiakakos, Daniela Weber, Hartmut Döhner, Christian Récher, Pierre-Yves Dumas, Marc Ditzhaus, Thomas Fischer and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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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

11 authors at 5 institutions in 2 countries.

Adrian-Manuel ReimannDepartment of Mathematics, Otto von Guericke University (OVGU), Magdeburg, Germany.
Enrico SchalkClinics of Hematology and Oncology, Otto von Guericke University (OVGU), Magdeburg, Germany.
Felix JostDepartment of Mathematics, Otto von Guericke University (OVGU), Magdeburg, Germany.
Dimitrios MougiakakosClinics of Hematology and Oncology, Otto von Guericke University (OVGU), Magdeburg, Germany.
Daniela WeberDepartment of Internal Medicine III, University Hospital, Ulm, Germany.
Hartmut DöhnerDepartment of Internal Medicine III, University Hospital, Ulm, Germany.
Christian RécherService d'Hématologie, Institut Universitaire du Cancer de Toulouse Oncopole, Centre Hospitalier Universitaire, Toulouse, France.
Pierre-Yves DumasService d'Hématologie Clinique et de Thérapie Cellulaire, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
Marc DitzhausDepartment of Mathematics, Otto von Guericke University (OVGU), Magdeburg, Germany.
Thomas FischerClinics of Hematology and Oncology, Otto von Guericke University (OVGU), Magdeburg, Germany.
Sebastian SagerDepartment of Mathematics, Otto von Guericke University (OVGU), Magdeburg, Germany. sager@ovgu.de.
Otto-von-Guericke University Magdeburg · DEUniversity Hospital Ulm · DECentre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Universitaire de Toulouse · FRSanofi (France) · FR

Funding

FP7 Ideas: European Research Council Consolidator Grant MODEST-647573
6 · The paper itself

Abstract

purposeInfections due to severe neutropenia are the most common therapy-associated causes of mortality in patients with acute myeloid leukemia (AML). New strategies to lessen the severity and duration of neutropenia are needed.

methodsCytarabine is commonly used for AML consolidation therapy; we compared high- and intermediate-dose cytarabine administration on days 1, 2, and 3 (AC-123) versus days 1, 3, and 5 (AC-135) in consolidation therapy of AML. Recently, clinical trials demonstrated that high-dose AC-123 resulted in a shortened white blood cell (WBC) recovery time compared with high-dose AC-135. Our main hypothesis is that this is also the case for different cytarabine dosage, granulocyte colony-stimulating factor (G-CSF) administration, and cycle lengths. We analyzed 334 treatment schedules on virtual cohorts of digital twins.

resultsComparison of 32,565 simulated consolidation cycles resulted in a reduction in the WBC recovery time for AC-123 in 99.6% of the considered cycles (median reduction 3.5 days) without an increase in the number of leukemic blasts (lower value in 94.2% of all cycles), compared to AC-135.

conclusionOur numerical study supports the use of AC-123 plus G-CSF as standard conventional AML consolidation therapy to reduce the risk for life-threatening infectious complications.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsConsolidation ChemotherapyCytarabineLeukemia, Myeloid, AcuteDrug Administration ScheduleGranulocyte Colony-Stimulating FactorHumansNeutropeniaTime FactorsCytarabineGranulocyte Colony-Stimulating FactorAcute myeloid leukemiaChemotherapyDigital twinMathematical modelingMyelosuppressionNeutropenia

Identifiers

PMID37535164
PMCPMC10590325
OpenAlexW4385514396

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.