Evidence map›Paper›PMID 40361276›Full record

Trial reportPediatric blood & cancer2025

Baseline Neurocognitive Functioning Among Children Treated for Acute Lymphoblastic Leukemia (ALL): Dana Farber Cancer Institute ALL Consortium Study 16-001.

Sameera Ramjan, Melanie Blair Thies, Yuelin Li, Alexandra Thrope, Lewis Silverman, Jennifer J G Welch, Justine Kahn, Kara M Kelly, Thai-Hoa Tran, Bruno Michon and 5 more

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Pediatric blood & cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03020030 (Treatment of Newly Diagnosed Acute Lymphoblastic Leukemia in Children and Adolescents), which is not on this 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.

NCT03020030 phase3active not recruitingnot on this map

Treatment of Newly Diagnosed Acute Lymphoblastic Leukemia in Children and Adolescents

TypeinterventionalSponsorDana-Farber Cancer InstituteRan2017 to 2034Enrolled560ConditionsAcute Lymphoblastic Leukemia, PediatricArmsPegaspargase, Erwinia asparaginase, Cyclophosphamide, CYTARABINE, DASATINIB
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

15 authors.

Sameera RamjanDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0003-4311-5353
Melanie Blair ThiesDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Yuelin LiDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Alexandra ThropeDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0009-0005-0228-2843
Lewis SilvermanDivision of Pediatric Hematology, Oncology and Stem Cell Transplantation, Columbia University Medical Center, New York, New York, USA.
Jennifer J G WelchDivision of Pediatric Hematology/Oncology, Alpert School of Medicine, Brown University, Providence, USA.ORCID https://orcid.org/0000-0001-9117-4812
Justine KahnDivision of Pediatric Hematology, Oncology and Stem Cell Transplantation, Columbia University Medical Center, New York, New York, USA.ORCID https://orcid.org/0000-0003-3330-6754
Kara M KellyDepartment of Pediatrics, Roswell Park Comprehensive Cancer Center, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA.
Thai-Hoa TranDivision of Pediatric Hematology Oncology, Charles-Bruneau Cancer Center, CHU Sainte-Justine, Université de Montréal, Montréal, Québec, Canada.
Bruno MichonCentre Hospitalier Universitaire de Quebec, Quebec City, Québec, Canada.
Lisa GennariniChildren's Hospital at Montefiore, Bronx, New York, USA.
Kira BonaDana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-5602-7059
Yongkyu ParkRutgers Cancer Institute, New Jersey Pediatric Hematology Oncology Research Center of Excellence (NJ PHORCE), New Brunswick, New Jersey, USA.
Peter D ColeRutgers Cancer Institute, New Jersey Pediatric Hematology Oncology Research Center of Excellence (NJ PHORCE), New Brunswick, New Jersey, USA.ORCID https://orcid.org/0000-0002-3525-8015
Stephen A SandsDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0003-4550-263X

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Identifying children with subclinical neurocognitive decline and susceptibility to oxidative damage during the early months of therapy for ALLR01CA220568 · NCI · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI COLE, PETER D., SANDS, STEPHEN ALAN · 2018 to 2022
$3.4M
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA220568NIH/NCI R01-CA220568
6 · The paper itself

Abstract

backgroundThis study describes neurocognitive functioning during the first month of induction chemotherapy for childhood acute lymphoblastic leukemia (ALL) and associations with age, sex, risk of relapse, maternal education, household material hardship (HMH), and oxidative stress.

methodsPatients treated on protocol 16-001 (NCT03020030) across eight North American sites (2017-2022) consented for optional testing using Cogstate at six timepoints throughout treatment. The baseline data presented were collected within the first month after diagnosis.

resultsAmong 406 eligible patients, 330 (81%) consented (53% males, mean age = 8.8 years, SD = 4.7). Over 63% of participants performed within normal limits for their age range. Additionally, no relationship was observed at baseline between neurocognition and maternal education, HMH, or oxidative stress. In contrast, a linear relationship was observed between older age and weaker psychomotor speed (p < 0.0001), attention (p < 0.0001), and working memory (p = 0.019). Males also demonstrated faster psychomotor speed (p = 0.0027), while females demonstrated stronger visual learning (p = 0.011). Furthermore, having a higher risk of relapse was associated with slower psychomotor speed (p = 0.006) and weaker attention (p = 0.033).

conclusionsOur findings indicate that most ALL patients in this study who were assessed at baseline did not display cognitive impairments, except for a small subset of participants who were below age expectations across domains. These baseline findings also identify subgroups based upon age, sex, and ALL risk classification that begin medical treatment with neurocognitive delays, warranting monitoring to elucidate whether exposure to therapy further impacts these domains. Additionally, the lack of impact on neurocognitive functioning at baseline of maternal education, HMH, and/or oxidative stress enables subsequent assessments to effectively identify the potential emergence of deficits as a result of exposure to medical treatment.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCognitionCognitive DysfunctionInduction ChemotherapyPrecursor Cell Lymphoblastic Leukemia-LymphomaAdolescentChildChild, PreschoolFemaleFollow-Up StudiesHumansInfantMaleNeuropsychological TestsPrognosisacute lymphoblastic leukemiacognition

Identifiers

PMID40361276
PMCPMC12187539

What OpenQuestion holds

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Registered trials

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.