Evidence map›Paper›PMID 39223244›Full record

ArticleBone marrow transplantation2024

Reduced Intensity transplantation vs chemotherapy in CR1. A prospective, pseudorandomized study in 50-70 year old AML patients.

Mats Brune, Thomas Kiss, Harald Anderson, Malin Nicklasson, Robert Delage, Jürgen Finke, Tobias Gedde-Dahl, Josée Hébert, Martin Höglund, Ain Kaare and 9 more

Abstract readMulticenter Study
In one paragraph

Article in Bone marrow transplantation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

19 authors.

Mats Brune *Section of Hematology and Coagulation, Department of Specialist Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.
Thomas Kiss *Hopital Maisonneuve-Rosemont, Division of Hematology, Oncology, Hematopoietic Cell Transplant and Cellular therapy, Université de Montréal, Montréal, QC, Canada.
Harald AndersonDept. of Oncology Lund University, Lund, Sweden.
Malin NicklassonSection of Hematology and Coagulation, Department of Specialist Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.
Robert DelageHematology Department, Centre Hospitalier Universitaire, Laval University, Quebec, QC, Canada.
Jürgen FinkeDepartment of Internal Medicine I, Hematology, Oncology and Stem Cell Transplantation, Freiburg University Medical Center, Freiburg, Germany.ORCID http://orcid.org/0000-0002-1799-5927
Tobias Gedde-DahlDepartment of hematology and Institute for Clinical Medicine, Oslo University Hospital, Oslo, Norway.
Josée HébertHopital Maisonneuve-Rosemont, Division of Hematology, Oncology, Hematopoietic Cell Transplant and Cellular therapy, Université de Montréal, Montréal, QC, Canada.
Martin HöglundDept. of Medical Sciences, Uppsala University Hospital, Uppsala, Sweden.
Ain KaareDepartment of Hematology and BMT, Tartu University Hospital, Tartu, Estonia.ORCID http://orcid.org/0000-0002-3170-1016
Vladimir LazarevicDepartment of Hematology, Oncology and Radiation Physics, Skåne University Hospital, Lund, Sweden.
Lars MöllgårdSection of Hematology and Coagulation, Department of Specialist Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.
Kari RemesDept. of Hematology, Turku University Hospital, Turku, Finland.
David RitchieBone Marrow Transplant Service, Clinical Haematology, Peter MacCallum Cancer Centre and Royal Melbourne Hospital, Melbourne, VIC, Australia.
Alexandros SpyridonidisBMT Unit and Institute of Cell Therapy, University of Patras, Patras, Greece.ORCID http://orcid.org/0000-0003-3097-2532
Mitchell SabloffDivision of Hematology, Department of Medicine, University of Ottawa and The Ottawa Hospital Research Institute, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0002-0122-6138
Ruth SpearingDepartment of Haematology, Christchurch Hospital, Christchurch, New Zealand.
Elisabeth WallhultSection of Hematology and Coagulation, Department of Specialist Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.
Per LjungmanDept. of Cellular Therapy and Allogeneic Stem Cell Transplantation, Karolinska Comprehensive Cancer Center, Karolinska University Hospital Huddinge, Div. of Hematology, Dept. of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden. Per.Ljungman@ki.se.ORCID http://orcid.org/0000-0002-8281-3245

Funding

Cancerfonden (Swedish Cancer Society) CA2017/364NordForsk 71306Vetenskapsrådet (Swedish Research Council) 2012-38102-91941-45
6 · The paper itself

Abstract

The aim of this prospective, international multicenter, pseudorandomized study comparing RICT HCT to standard-of-care chemotherapy in intermediate- or high-risk AML patients 50-70 years using the donor versus no-donor concept. Part 1 included only patients with potential family donors (RD) at the date of HLA-typing of the first potential sibling or CR-date, if later. Part 2 allowed the inclusion of patients without a possible sibling donor using the start of an unrelated donor (URD) search as inclusion date. 360 patients were registered and 309 analyzed. The median follow-up was 47 months (1-168). There was no difference in overall survival (OS) between the RD (n = 124) and the Control (n = 77) groups (p = 0.50, 3-year OS RD: 0.41(95% CI; 0.32-0.50); Controls: 0.49 (95% CI; 0.37-0.59)). The main cause of death was relapse (67% RD; 88% Controls). In Part 2, the 3-year OS was 0.60 (95% CI 0.50-0.70) for URD-HCT (n = 86) and 0.37 (95% CI 0.13-0.62) for Controls (n = 20), respectively (p = 0.10). When analyzing transplanted patients (Part 2), the OS at 3-years was higher for URD-HCT than RD-HCT (0.67 (0.55-0.76) vs. 0.42 (0.26-0.57; p = 0.005). This study doesn't support elderly HLA-identical siblings as donors for older AML patients undergoing a RICT allogeneic HCT in first CR.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteTransplantation ConditioningAgedFemaleHumansMaleMiddle AgedProspective StudiesSurvival Rate

Identifiers

PMID39223244
PMCPMC11611731

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.