Evidence map›Paper›PMID 39556780›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2025

Treatment Intensification With Either Fludarabine, AraC, G-CSF and Idarubicin, or Cladribine Plus Daunorubicin and AraC on the Basis of Residual Disease Status in Older Patients With AML: Results From the NCRI AML18 Trial.

Nigel H Russell, Abin Thomas, Robert K Hills, Ian Thomas, Amanda Gilkes, Nuria Marquez Almuina, Sarah Burns, Lucy Marsh, Paresh Vyas, Marlen Metzner and 11 more

Erratum issuedAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Trial
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  3. Article
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  5. Article
  6. Article
  7. Review
  8. The Challenge of Treating Anti-PD-1-Resistant Advanced Melanoma.American journal of clinical dermatology · 2025
    Review
  9. Review
  10. Review
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Nigel H RussellGuy's and St Thomas' NHS Foundation Trust, London, United Kingdom.ORCID 0000-0003-1893-8155
Abin ThomasCentre for Trials Research, Cardiff University, Cardiff, United Kingdom.ORCID 0000-0002-8283-6762
Robert K HillsNuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.
Ian ThomasCentre for Trials Research, Cardiff University, Cardiff, United Kingdom.
Amanda GilkesCardiff University School of Medicine, Cardiff, United Kingdom.ORCID 0009-0006-2236-8852
Nuria Marquez AlmuinaCentre for Trials Research, Cardiff University, Cardiff, United Kingdom.
Sarah BurnsCentre for Trials Research, Cardiff University, Cardiff, United Kingdom.
Lucy MarshCentre for Trials Research, Cardiff University, Cardiff, United Kingdom.
Paresh VyasWeatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.ORCID 0000-0003-3931-0914
Marlen MetznerWeatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.ORCID 0000-0003-1806-0952
Nicholas McCarthyUniversity of Birmingham College of Medicine and Health, Birmingham, United Kingdom.
Georgia AndrewLaboratory of Myeloid Malignancies, National Heart Lung and Blood Institute, Bethesda, MD.ORCID 0000-0001-5871-2885
Jennifer ByrneNottingham University Hospitals NHS Trust, Nottingham, United Kingdom.
Rob S SellarUCL Cancer Institute and University College London Hospital, London, United Kingdom.
Richard KellySt James University Hospital, Leeds, United Kingdom.
Paul CahalinBlackpool Teaching Hospitals NHS Foundation Trust, Blackpool, United Kingdom.
Ulrik Malthe OvergaardUniversity Hospital Rigshospitalet, Copenhagen, Denmark.
Priyanka MehtaThe University of Bristol and Weston NHS Trust, Bristol, United Kingdom.ORCID 0000-0001-8561-1705
Mike DennisThe Christie NHS Foundation Trust, Manchester, United Kingdom.
Steven KnapperCardiff University School of Medicine, Cardiff, United Kingdom.ORCID 0000-0002-6405-4441
Sylvie D FreemanUniversity of Birmingham College of Medicine and Health, Birmingham, United Kingdom.ORCID 0000-0003-1869-180X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the survival benefit of chemotherapy intensification in older patients with AML who have not achieved a measurable residual disease (MRD)-negative remission.

methodsFive hundred twenty-three patients with AML (median age, 67 years; range, 51-79) without a flow cytometric MRD-negative remission response after a first course of daunorubicin and AraC (DA; including 165 not in remission) were randomly assigned between up to two further courses of DA or intensified chemotherapy-either fludarabine, cytarabine, granulocyte colony-stimulating factor and idarubicin (FLAG-Ida) or DA with cladribine (DAC).

resultsOverall survival (OS) was not improved in the intensification arms (DAC

conclusionIn this study of older patients with AML considered fit and with evidence of residual disease after first induction, chemotherapy intensification improved survival. DAC intensification was better tolerated than FLAG-Ida.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsLeukemia, Myeloid, AcuteAgedCladribineCytarabineDaunorubicinFemaleGranulocyte Colony-Stimulating FactorHumansIdarubicinMaleMiddle AgedNeoplasm, ResidualVidarabineCladribineCytarabineDaunorubicinfludarabineGranulocyte Colony-Stimulating FactorIdarubicinVidarabine

Identifiers

PMID39556780
PMCPMC11825491

What OpenQuestion holds

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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.