Evidence map›Paper›PMID 38947228›Full record

ArticleFrontiers in cardiovascular medicine2024

Cardiotoxicity of CPX-351 in children and adolescents with relapsed AML: a Children's Oncology Group report.

Kasey J Leger, Michael J Absalon, Biniyam G Demissei, Amanda M Smith, Robert B Gerbing, Todd A Alonzo, Hari K Narayan, Betsy A Hirsch, Jessica A Pollard, Bassem I Razzouk and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04293562 (A Phase 3 Randomized Trial for Patients With De Novo AML Comparing Standard Therapy Including Gemtuzumab Ozogamicin), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

NCT04293562 phase3recruitingnot on this map

A Phase 3 Randomized Trial for Patients With De Novo AML Comparing Standard Therapy Including Gemtuzumab Ozogamicin (GO) to CPX-351 With GO, and the Addition of the FLT3 Inhibitor Gilteritinib for Patients With FLT3 Mutations

TypeinterventionalSponsorChildren's Oncology GroupRan2020 to 2029Enrolled1,186ConditionsAcute Myeloid LeukemiaArmsAllogeneic Hematopoietic Stem Cell Transplantation, Asparaginase Erwinia chrysanthemi, Biospecimen Collection, Bone Marrow Aspiration, Bone Marrow Biopsy
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. Review
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

15 authors.

Kasey J LegerDivision of Pediatric Hematology/Oncology, Seattle Children's Hospital, University of Washington, Seattle, WA, United States.
Michael J AbsalonDepartment of Pediatrics, Oregon Health Sciences University, Portland, OR, United States.
Biniyam G DemisseiDivision of Cardiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Amanda M SmithDivision of Cardiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Robert B GerbingChildren's Oncology Group, Monrovia, CA, United States.
Todd A AlonzoChildren's Oncology Group, Monrovia, CA, United States.
Hari K NarayanDepartment of Pediatrics, University of California San Diego, Rady Children's Hospital San Diego, La Jolla, CA, United States.
Betsy A HirschDepartment of Pediatrics, University of Minnesota, Minneapolis, MN, United States.
Jessica A PollardDivision of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, United States.
Bassem I RazzoukDepartment of Pediatrics, Peyton Manning Children's Hospital at Ascension St. Vincent, Indianapolis, IN, United States.
Kelly D GetzDepartments of Biostatistics, Epidemiology & Informatics and Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Richard AplencDivision of Oncology, The Children's Hospital of Philadelphia, Philadelphia, PA, United States.
E Anders KolbNemours Center for Cancer and Blood Disorders, A.I. DuPont Hospital for Children, Wilmington, DE, United States.
Bonnie KyDivision of Cardiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Todd M CooperDivision of Pediatric Hematology/Oncology, Seattle Children's Hospital, University of Washington, Seattle, WA, United States.

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
The Clinical Relevance of Anthracycline-Related Cardiac Remodeling in Childhood Cancer SurvivorsK23HL163456 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Hari Kope Narayan · 2023 to 2026
$786k
Early Treatment-Related Cardiotoxicity and Subsequent Outcomes in Pediatric Acute Myeloid Leukemia: an Assessment of Development, Progression and MitigationK01HL143153 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI GETZ, KELLY DIRINGER · 2018 to 2022
$716k
MENTORING IN PATIENT-ORIENTED RESEARCH IN DEEP PHENOTYPING IN CARDIO-ONCOLOGYK24HL167127 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Bonnie Ky · 2023 to 2026
$496k
NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899NHLBI NIH HHS K01 HL143153NHLBI NIH HHS K23 HL163456NHLBI NIH HHS K24 HL167127
6 · The paper itself

Abstract

Introduction: Anthracyclines are effective in treating acute myeloid leukemia (AML) but limited by cardiotoxicity. CPX-351, a liposomal daunorubicin and cytarabine, may provide therapeutic benefit with less cardiotoxicity. Acute changes in left ventricular systolic function and cardiac biomarkers were evaluated after a cycle of CPX-351 in children with relapsed AML treated on the phase 1/2 Children's Oncology Group study, AAML1421. Methods: Subjects received 135 units/m Results: Twenty-five of 38 heavily anthracycline pre-treated (median 348 mg/m Discussion: In this single arm study of anthracycline pre-treated children exposed to CPX-351, baseline abnormalities in cardiovascular function were prevalent. Following CPX-351, LVEF decreased, cTnT increased, and NT-proBNP did not change. Longer follow-up is needed to determine whether these changes result in clinically meaningful long-term decrements in cardiac function. An ongoing randomized trial of CPX-351 compared to standard anthracyclines in anthracycline naïve patients will provide further insight into the cardiac effects of CPX-351 (ClinicalTrials.gov; NCT04293562).

Indexed as

AAML1421cardiac biomarkerscardiotoxicityCPX-351liposomal anthracyclinepediatric acute myeloid leukemia (AML)relapse

Identifiers

PMID38947228
PMCPMC11211570

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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.