Evidence map›Paper›PMID 40159434›Full record

Observational studyCancer2025

Upfront intensive treatment analysis of the Italian Cohort Study on FLT3-mutated AML patients (FLAM): The impact of a FLT3 inhibitor addition to standard chemotherapy in the real-life setting.

Jacopo Nanni, Irene Azzali, Cristina Papayannidis, Antonino Mulè, Ernesta Audisio, Maria Paola Martelli, Barbara Scappini, Patrizia Chiusolo, Benedetta Cambò, Anna Candoni and 21 more

Abstract readObservational Study
In one paragraph

Observational study in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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

31 authors.

Jacopo NanniDipartimento di Scienze Mediche e Chirurgiche, Istituto di Ematologia "Seràgnoli", University of Bologna, Bologna, Italy.
Irene AzzaliIRCCS Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" (IRST), Meldola (FC), Italy.ORCID https://orcid.org/0000-0002-5808-7044
Cristina PapayannidisIRCCS Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli", Bologna, Italy.ORCID https://orcid.org/0000-0001-8705-8333
Antonino MulèU.O.C. di Oncoematologia, A.O.O.R. Villa Sofia - Cervello, Palermo, Italy.
Ernesta AudisioSC Ematologia 2, Dipartmento di Ematologia e Oncologia, AO Città della Salute e della Scienza, Torino, Italy.
Maria Paola MartelliInstitute of Hematology and Center for Hemato-Oncology Research, University of Perugia and Santa Maria della Misericordia Hospital, Perugia, Italy.
Barbara ScappiniAOU Careggi, SODc Ematologia, Firenze, Italy.
Patrizia ChiusoloDipartimento di Scienze Radiologiche ed Ematologiche, Università Cattolica del Sacro Cuore, Roma, Italy.
Benedetta CambòDepartment of Medicine and Surgery, Hematology and BMT Unit, University of Parma, Parma, Italy.
Anna CandoniClinica Ematologica Azienda Sanitaria Universitaria Integrata di Udine, Udine, Italy.
Monia LunghiDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Francesco AlbanoDepartment of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), Hematology and Stem Cell Transplantation Unit, University of Bari "Aldo Moro", Bari, Italy.
Attilio OlivieriClinica di Ematologia AOU Ospedali Riuniti di Ancona, Ancona, Italy.
Nicola FracchiollaFondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico di Milano, Milano, Italy.
Massimo BernardiIRCCS, Ospedale San Raffaele s.r.l U.O. Ematologia e TMO Milano, Milano, Italy.
Claudio RomaniSC Ematologia e CTMO, Azienda Ospedaliera Brotzu, Cagliari, Italy.
Gian Matteo RigolinHematology, St. Anna University Hospital, Ferrara, Italy.ORCID https://orcid.org/0000-0002-8370-5190
Maria Benedetta GianniniIRCCS Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" (IRST), Meldola (FC), Italy.
Monica BocchiaHematology Unit, University of Siena, Siena, Italy.
Elisabetta TodiscoEuropean Institute of Oncology, Milano, Italy.
Daniela CilloniDipartimento di Scienze Cliniche e Biologiche, Università di Torino, S.S.D Terapia onco-ematologica intensiva e trapianto CSE, AOU San Luigi Gonzaga, Orbassano (TO), Italy.
Maria Teresa BochicchioIRCCS Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" (IRST), Meldola (FC), Italy.
Emanuela OttavianiDipartimento di Scienze Mediche e Chirurgiche, Istituto di Ematologia "Seràgnoli", University of Bologna, Bologna, Italy.
Agnese MatteiIRCCS Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" (IRST), Meldola (FC), Italy.
Federica ZamagniIRCCS Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" (IRST), Meldola (FC), Italy.ORCID https://orcid.org/0000-0002-6129-6656
Irene ValliIRCCS Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" (IRST), Meldola (FC), Italy.
Roberta VolpiIRCCS Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" (IRST), Meldola (FC), Italy.
Giovanni MarconiIRCCS Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" (IRST), Meldola (FC), Italy.ORCID https://orcid.org/0000-0001-6309-0515
Elisabetta PetracciIRCCS Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" (IRST), Meldola (FC), Italy.
FLAM Collaborative Group
Giovanni MartinelliIRCCS Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" (IRST), Meldola (FC), Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe addition of a FLT3 inhibitor (FLT3i) to standard chemotherapy to treat fit newly diagnosed (ND) patients with FLT3-mutated acute myeloid leukemia (AML) represents the standard of care resulting from clinical trial results. However, evidence regarding FLT3i adoption in routine clinical practice is still scarce.

methodsClinical data are reported from 394 ND patients with FLT3-mutated AML enrolled in the retrospective observational Italian Cohort Study on FLT3-mutated patients with AML and treated with an upfront intensive regimen with (FLT3i group, n = 92) or without (CT group, n = 302) the addition of a FLT3i.

resultsWith a median follow-up time of 34.5 months, an effectiveness benefit obtained by FLT3i incorporation both in terms of overall survival (median, 34.9 in the FLT3i vs 12.7 months in the CT group, p < .01) and relapse-free survival (median, 18.9 in the FLT3i vs 7.6 months in the CT group, p = .01) was documented, with a higher composite complete remission rate (75.4% in the FLT3i vs 62.4% in the CT group, p = .052). FLT3i benefit seemed to be independent from the transplant rate.

conclusionsIn conclusion, the benefit of FLT3i addition to upfront intensive treatment in newly diagnosed FLT3-mutated AML patients was confirmed in a large, real-life cohort study.

Indexed as

Antineoplastic Combined Chemotherapy Protocolsfms-Like Tyrosine Kinase 3Leukemia, Myeloid, AcuteProtein Kinase InhibitorsAdolescentAdultAgedAged, 80 and overCohort StudiesFemaleHumansItalyMaleMiddle AgedMutationRetrospective StudiesFLT3 protein, humanfms-Like Tyrosine Kinase 3Protein Kinase Inhibitorsacute myeloid leukemiaFLT3 gene mutationFLT3 inhibitorintensive treatmentreal‐life settingstandard chemotherapy

Identifiers

PMID40159434
PMCPMC11955083

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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.