Evidence map›Paper›PMID 39779979›Full record

Observational studyLeukemia2025

A novel prognostic risk model for patients with refractory/relapsed acute myeloid leukemia receiving venetoclax plus hypomethylating agents.

Rabia Shahswar, Razif Gabdoulline, Katja Krueger, Martin Wichmann, Katharina S Götze, Krischan Braitsch, Manja Meggendorfer, Laura Schmalbrock, Lars Bullinger, Franziska Modemann and 12 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Leukemia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Article
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  7. Review
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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

22 authors.

Rabia ShahswarDepartment of Hematology, Hemostasis, Oncology, and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Razif GabdoullineDepartment of Hematology, Hemostasis, Oncology, and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Katja KruegerDepartment of Hematology, Hemostasis, Oncology, and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Martin WichmannDepartment of Hematology, Hemostasis, Oncology, and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Katharina S GötzeDepartment of Medicine III, Technical University of Munich (TUM) School of Medicine and Health, Munich, Germany.
Krischan BraitschDepartment of Medicine III, Technical University of Munich (TUM) School of Medicine and Health, Munich, Germany.
Manja MeggendorferMLL, Munich Leukemia Laboratory, Munich, Germany.ORCID http://orcid.org/0000-0002-9038-3265
Laura SchmalbrockDepartment of Hematology, Oncology, and Tumor Immunology, Charité-Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-6080-6175
Lars BullingerDepartment of Hematology, Oncology, and Tumor Immunology, Charité-Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-5890-5510
Franziska ModemannDepartment of Oncology, Hematology and Bone Marrow Transplantation, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID http://orcid.org/0000-0002-5897-3310
Walter FiedlerDepartment of Oncology, Hematology and Bone Marrow Transplantation, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Juergen KrauterDepartment of Internal Medicine, Municipal Hospital Braunschweig, Braunschweig, Germany.
Stephan KaunDepartment of Internal Medicine, Municipal Hospital Bremen-Mitte, Bremen, Germany.
Susanne RotermundDepartment of Internal Medicine, Municipal Hospital Bremen-Mitte, Bremen, Germany.
Andreas VoßDepartment of Oncology and Hematology, University Clinic Oldenburg, Oldenburg, Germany.ORCID http://orcid.org/0000-0001-9647-5024
Yvonne Lisa BehrensDepartment of Human Genetics, Hannover Medical School, Hannover, Germany.
Anke Katharina BergmannDepartment of Human Genetics, Hannover Medical School, Hannover, Germany.ORCID http://orcid.org/0000-0002-1367-2725
Elisabeth Koller3rd Medical Department, Hanusch Hospital, Vienna, Austria.
Gernot BeutelDepartment of Hematology, Hemostasis, Oncology, and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.ORCID http://orcid.org/0000-0001-6758-6104
Felicitas TholDepartment of Hematology, Hemostasis, Oncology, and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.ORCID http://orcid.org/0000-0001-5848-6152
Florian HeidelDepartment of Hematology, Hemostasis, Oncology, and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.ORCID http://orcid.org/0000-0003-2438-1955
Michael HeuserDepartment of Hematology, Hemostasis, Oncology, and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany. innere4@uk-halle.de.ORCID http://orcid.org/0000-0001-5318-9044

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) 3696/3Deutsche Forschungsgemeinschaft (German Research Foundation) BE6555/1-1Deutsche Forschungsgemeinschaft (German Research Foundation) BE6555/2-1Deutsche Forschungsgemeinschaft (German Research Foundation) HE 5240/6-2Deutsche Krebshilfe (German Cancer Aid) 70114189Deutsche Krebshilfe (German Cancer Aid) 70115044
6 · The paper itself

Abstract

Off-label hypomethylating agents and venetoclax (HMA/VEN) are often used for relapsed and refractory (R/R) AML patients. However, predictors of outcome are elusive. The objective of the current retrospective observational multicenter study of 240 adult patients (median age 68.6 years) with R/R AML was to establish a prognostic risk score. Overall response was documented in 106 (44%) patients. With a median follow-up of 31.5 months, 179 deaths were recorded. Median overall survival (mOS) was 7.9 months. In multivariate analysis of the subgroup with molecular information (n = 174), risk factors for inferior survival included the presence of extramedullary disease, HMA pretreatment and mutations in NF1, PTPN11, FLT3, and TP53, whereas mutated SF3B1 was identified as favorable risk factor. These risk factors were subsequently applied to construct an HR-weighted risk model that allocated patients to one of three risk groups with significantly different survival outcomes: favorable (n = 46; mOS 21.4 months), intermediate (n = 75; mOS 7.5 months), and adverse (n = 53; mOS 4.6 months; p < 0.001). The model was validated in 189 AML patients treated with HMA/VEN in first line. This clinical-molecular, 3-tiered venetoclax prognostic risk score (VEN-PRS) for HMA/VEN treatment outcomes in R/R AML patients will support the selection of appropriate treatment options in this high-risk population.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsDrug Resistance, NeoplasmLeukemia, Myeloid, AcuteNeoplasm Recurrence, LocalAdultAgedAged, 80 and overBridged Bicyclo Compounds, HeterocyclicFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisRetrospective StudiesRisk FactorsBridged Bicyclo Compounds, HeterocyclicSulfonamidesvenetoclax

Identifiers

PMID39779979
PMCPMC11879869

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.