Evidence map›Paper›PMID 39924229›Full record

ArticleInternal medicine (Tokyo, Japan)2025

Therapy-related Trilineage Mixed Phenotype Acute Leukemia Treated with Venetoclax and Azacitidine.

Jotaro Yamamoto, Kyosuke Yamaguchi, Otoya Watanabe, Kosei Kageyama, Yuki Taya, Daisuke Kaji, Aya Nishida, Hironori Uruga, Shinsuke Takagi, Kazuya Ishiwata and 7 more

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

17 authors.

Jotaro YamamotoDepartment of Hematology, Toranomon Hospital Kajigaya, Japan.
Kyosuke YamaguchiDepartment of Hematology, Toranomon Hospital Kajigaya, Japan.
Otoya WatanabeDepartment of Hematology, Toranomon Hospital, Japan.
Kosei KageyamaDepartment of Hematology, Toranomon Hospital Kajigaya, Japan.
Yuki TayaDepartment of Hematology, Toranomon Hospital, Japan.
Daisuke KajiDepartment of Hematology, Toranomon Hospital, Japan.
Aya NishidaDepartment of Hematology, Toranomon Hospital, Japan.
Hironori UrugaDepartment of Pathology, Toranomon Hospital, Japan.
Shinsuke TakagiDepartment of Hematology, Toranomon Hospital, Japan.
Kazuya IshiwataDepartment of Hematology, Toranomon Hospital Kajigaya, Japan.
Hisashi YamamotoDepartment of Hematology, Toranomon Hospital, Japan.
Akiko MasudaDepartment of Clinical Laboratory, Toranomon Hospital Kajigaya, Japan.
Yutaka TakazawaDepartment of Pathology, Toranomon Hospital, Japan.
Go YamamotoDepartment of Hematology, Toranomon Hospital, Japan.
Yuki MoriDepartment of Blood Transfusion, Toranomon Hospital, Japan.
Naoyuki UchidaDepartment of Hematology, Toranomon Hospital, Japan.
Atsushi WakeDepartment of Hematology, Toranomon Hospital Kajigaya, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This is the first report of therapy-related mixed-phenotype acute leukemia (MPAL) characterized by B-cell, T-cell, and myeloid lineage phenotypes. A 68-year-old man, who was in complete remission after chemoradiotherapy for recurrent esophageal cancer, developed bacterial pneumonia with increasing blasts in the peripheral blood, and a subsequent bone marrow biopsy revealed 85.2% blasts. A flow cytometric analysis revealed cytMPO+, CD19+, cytCD22+, and cytCD3+ markers. The patient was diagnosed with therapy-related MPAL (B/T/myeloid lineage). After the initiation of venetoclax and azacitidine, the patient achieved complete remission, and cord blood transplantation was performed. This case provides novel insights into the therapeutic options for therapy-related trilineage MPAL treatment.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsAzacitidineBridged Bicyclo Compounds, HeterocyclicLeukemia, Biphenotypic, AcuteSulfonamidesAgedChemoradiotherapyCord Blood Stem Cell TransplantationEsophageal NeoplasmsHumansMalePhenotypeRemission InductionAzacitidineBridged Bicyclo Compounds, HeterocyclicSulfonamidesvenetoclaxazacitidinecord blood transplantationmixed phenotype acute leukemia (MPAL)myeloid neoplasm post cytotoxic therapyvenetoclax

Identifiers

PMID39924229
PMCPMC12463435

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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.