Evidence map›Paper›PMID 40294366›Full record

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

Hematopoietic Stem Cell Transplantation Outcomes for High-Risk AML: A Report From the Children's Oncology Group.

Benjamin J Huang, Lauren K Meyer, Todd A Alonzo, Yi-Cheng Wang, Adam J Lamble, Rhonda E Ries, Weijie Wang, Betsy Hirsch, Gordana Raca, Xiaotu Ma and 10 more

Erratum issuedAbstract readClinical Trial, Phase III
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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Refining favorable-risk classification in pediatricBlood science (Baltimore, Md.) · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Benjamin J HuangDepartment of Pediatrics, University of California San Francisco, San Francisco, CA.ORCID 0000-0001-6996-0833
Lauren K MeyerDepartment of Pediatrics, University of Washington, Seattle, WA.
Todd A AlonzoDepartment of Population and Public Health Sciences, University of Southern CA, Los Angeles, CA.
Yi-Cheng WangChildren's Oncology Group, Monrovia, CA.
Adam J LambleDivision of Hematology and Oncology, Seattle Children's Hospital, Seattle, WA.ORCID 0000-0002-7781-2918
Rhonda E RiesFred Hutchinson Cancer Center, Seattle, WA.
Weijie WangDepartment of Pediatrics, University of California San Francisco, San Francisco, CA.ORCID 0000-0002-4509-5248
Betsy HirschDepartment of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN.
Gordana RacaDepartment of Pathology and Laboratory Medicine, Children's Hospital Los Angeles, Los Angeles, CA.
Xiaotu MaDepartment of Computational Biology, St Jude Children's Research Hospital, Memphis, TN.
Alan S GamisChildren's Mercy Hospitals and Clinics, Kansas City, MO.ORCID 0000-0003-1513-2893
Richard AplencDepartment of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania School of Medicine, Philadelphia, PA.ORCID 0000-0001-7482-5644
E Anders KolbLeukemia and Lymphoma Society, Rye Brook, NY.ORCID 0000-0003-2854-9014
Todd M CooperDivision of Hematology and Oncology, Seattle Children's Hospital, Seattle, WA.ORCID 0000-0002-1203-2371
Katherine TarlockDivision of Hematology and Oncology, Seattle Children's Hospital, Seattle, WA.ORCID 0000-0001-9717-2973
Michael R LokenHematologics, Inc, Seattle, WA.ORCID 0000-0002-0335-9065
Soheil MeshinchiDivision of Hematology and Oncology, Seattle Children's Hospital, Seattle, WA.
Joseph H ChewningDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, AL.
William G WoodsAflac Cancer Center and Blood Disorder Service, Children's Healthcare of Atlanta, Emory University, Atlanta, GA.
John T HoranDepartment of Pediatrics, University of Rochester Medical Center/Golisano Children's Hospital, Rochester, NY.

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
Co-targeting BET Bromodomain Proteins and Aberrant Signaling in AML.K08CA256489 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUANG, BENJAMIN · 2021 to 2025
$1.2M
NCI NIH HHS K08 CA256489NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899
6 · The paper itself

Abstract

purposeHematopoietic stem cell transplantation (HSCT) is used as consolidation for pediatric patients with high-risk AML in first complete remission (CR1). The definition of high-risk AML has evolved considerably over the past two decades with the successive identification of new unfavorable risk factors. We conducted a cross-study analysis to determine whether HSCT improves the outcomes of patients with contemporarily defined high-risk AML.

methodsWe combined data from AAML0531 and AAML1031, the last two phase III clinical trials completed by the Children's Oncology Group (COG). These two trials established the prognostic importance of measurable residual disease (MRD) and several high-risk cryptic cytogenetic/molecular (CM) alterations, which were applied to reclassify patients in the current COG phase III clinical trial, AAML1831. We compared the outcomes after HSCT in CR1 with those after chemotherapy alone in CR1 in the redefined high-risk group.

resultsOur study cohort comprised 463 patients with high-risk CM alterations and 72 patients with standard-risk (SR) CM results with positive MRD at end of induction I. In all, 33.9% and 45.8% of these groups underwent HSCT in CR1, respectively. HSCT was associated with decreased relapse and improved disease-free survival (DFS) in both groups. In the high-risk CM group, 5-year DFS was 26.0% (95% CI, 20.6 to 31.6) and 49.8% (95% CI, 41.7 to 57.4;

conclusionHSCT was associated with improved outcomes in pediatric patients with contemporarily defined high-risk AML.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteAdolescentChildChild, PreschoolDisease-Free SurvivalFemaleHumansInfantMaleNeoplasm, ResidualRemission InductionRisk FactorsTreatment Outcome

Identifiers

PMID40294366
PMCPMC12140909

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.