Evidence map›Paper›PMID 38378841›Full record

ArticleLeukemia2024

Hypomethylating agents plus venetoclax compared with intensive induction chemotherapy regimens in molecularly defined secondary AML.

Shai Shimony, Jan Philipp Bewersdorf, Rory M Shallis, Yiwen Liu, Eva J Schaefer, Amer M Zeidan, Aaron D Goldberg, Eytan M Stein, Guido Marcucci, R Coleman Lindsley and 8 more

Abstract read
PubMed Publisher
In one paragraph

Article in Leukemia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Article
  8. AML, Myelodysplasia-Related: Beyond Classification-Toward Precision Decision-Making.Mediterranean journal of hematology and infectious diseases · 2026
    Review
  9. Article
  10. Article
  11. A Network-Driven Framework for Drug Response Precision Prediction of Acute Myeloid Leukemia.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
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  14. 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

18 authors.

Shai Shimony *Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. shai_shimony@dfci.harvard.edu.ORCID 0000-0001-7245-9652
Jan Philipp Bewersdorf *Department of Medicine, Leukemia Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-3352-0902
Rory M Shallis *Yale Cancer Center and Smilow Cancer Hospital, New Haven, CT, USA.ORCID 0000-0002-8542-2944
Yiwen LiuDepartment of Data Science, Dana Farber Cancer Institute, Boston, MA, USA.
Eva J SchaeferDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Amer M ZeidanYale Cancer Center and Smilow Cancer Hospital, New Haven, CT, USA.
Aaron D GoldbergDepartment of Medicine, Leukemia Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Eytan M SteinDepartment of Medicine, Leukemia Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Guido MarcucciDepartment of Hematology and HCT, City of Hope National Medical Center, Duarte, CA, USA.ORCID 0000-0002-3983-5908
R Coleman LindsleyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Evan C ChenDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Jorge Ramos PerezDepartment of Hematology and HCT, City of Hope National Medical Center, Duarte, CA, USA.
Anthony SteinDepartment of Hematology and HCT, City of Hope National Medical Center, Duarte, CA, USA.
Daniel J DeAngeloDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID 0000-0001-7865-2306
Donna S NeubergDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID 0000-0003-2566-3145
Richard M StoneDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID 0000-0002-7526-2633
Brian BallDepartment of Hematology and HCT, City of Hope National Medical Center, Duarte, CA, USA.
Maximilian StahlDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. maximilian_stahl@dfci.harvard.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Molecularly defined secondary acute myeloid leukemia is associated with a prior myeloid neoplasm and confers a worse prognosis. We compared outcomes of molecularly defined secondary AML patients (n = 395) treated with daunorubicin and cytarabine (7 + 3, n = 167), liposomal daunorubicin and cytarabine (CPX-351, n = 66) or hypomethylating agents (HMA) + venetoclax (VEN) (n = 162). Median overall survival (OS) was comparable between treatment groups among patients aged >60 years. In a multivariable model HMA + VEN vs. 7 + 3 was associated with better OS (hazard ratio [HR] 0.64 [95% confidence interval (CI) 0.42-0.98, p = 0.041]), whereas CPX-351 vs. 7 + 3 was not (HR 0.79 [CI 95% 0.50-1.25, p = 0.31]). Allogeneic hematopoietic stem cell transplantation, BCOR and IDH mutations were associated with improved OS; older age, prior myeloid disease, NRAS/KRAS mutations, EZH2 mutation, and monosomal karyotype were associated with worse OS. When analyzed in each treatment separately, the IDH co-mutations benefit was seen with 7 + 3 and the detrimental effect of NRAS/KRAS co-mutations with HMA + VEN and CPX-351. In pairwise comparisons adjusted for age, HMA + VEN was associated with improved OS vs. 7 + 3 in patients with SF3B1 mutation and improved OS vs. CPX-351 in those with RNA splicing factor mutations. In molecularly defined secondary AML treatment with HMA + VEN might be preferred but could further be guided by co-mutations.

Indexed as

Leukemia, Myeloid, AcuteNeoplasms, Second PrimarySulfonamidesAntineoplastic Combined Chemotherapy ProtocolsBridged Bicyclo Compounds, HeterocyclicCytarabineDaunorubicinHumansInduction ChemotherapyProto-Oncogene Proteins p21(ras)Retrospective StudiesBridged Bicyclo Compounds, HeterocyclicCPX-351CytarabineDaunorubicinProto-Oncogene Proteins p21(ras)Sulfonamidesvenetoclax

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What OpenQuestion holds

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Registered trials

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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.