Evidence map›Paper›PMID 40634512›Full record

ReviewLeukemia2025

The hallmarks of hematopoietic stem cell transplantation for pediatric acute myeloid leukemia.

Eva Rettinger, Dirk Heckl, Brenda Gibson, Martin Sauer, Dominik Turkiewicz, Katharina Kleinschmidt, Krzysztof Kalwak, Dirk Reinhardt, Franco Locatelli, Jan-Henning Klusmann and 1 more

Abstract readReview
In one paragraph

Review in Leukemia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. 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

11 authors.

Eva RettingerDepartment of Pediatrics, Goethe University Frankfurt, Frankfurt, Germany. rettinger@med.uni-frankfurt.de.ORCID 0009-0000-2213-2838
Dirk HecklDepartment of Pediatrics, Goethe University Frankfurt, Frankfurt, Germany.
Brenda GibsonDepartment of Haematology and Oncology, Royal Hospital for Children, Glasgow, Scotland, UK.
Martin SauerDepartment of Pediatric Hematology and Oncology, Hannover Medical School, Hannover, Germany.ORCID 0009-0007-2151-8342
Dominik TurkiewiczDepartment of Pediatric Hematology, Oncology, and Immunology, Skåne University Hospital, Lund, Sweden.ORCID 0009-0001-0386-0714
Katharina KleinschmidtDepartment of Pediatric Hematology, Oncology and Stem Cell Transplantation, University Hospital Regensburg, Regensburg, Germany.
Krzysztof KalwakDepartment of Pediatric Hematology, Oncology and BMT, Wroclaw Medical University, Wroclaw, Poland.ORCID 0000-0003-1174-5799
Dirk ReinhardtGPOH gGmbH-AML-BFM Trial Center, Essen, Germany.ORCID 0000-0002-7027-4483
Franco LocatelliDepartment of Pediatric Hematology and Oncology and of Cell and Gene Therapy, IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy.ORCID 0000-0002-7976-3654
Jan-Henning KlusmannDepartment of Pediatrics, Goethe University Frankfurt, Frankfurt, Germany.ORCID 0000-0002-1070-0727
Pediatric Diseases Working Party of the European Society for Blood and Marrow Transplantation

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Allogeneic hematopoietic stem cell transplantation (HSCT) has significantly improved the outcome of children with high-risk (HR) acute myeloid leukemia (AML). Implementing allogeneic HSCT depends on numerous factors, including adverse cytogenetics, molecular abnormalities, poor response to first-line treatment, or relapsed or primary refractory disease. In HR AML, allogeneic HSCT is considered to be the consolidation strategy of choice in first complete remission (CR1) and offers the best chance of cure for patients with relapsed disease. Advances in donor/recipient typing, conditioning regimens, graft-versus-host-disease (GvHD) management, and supportive care have contributed to this improvement in overall-and transplant-outcome. This review will comprehensively discuss indications for HSCT and its modalities in pediatric AML by examining past, current, and future strategies for disease- and response-related stratification. We will examine the key importance of low/negative measurable residual disease (MRD) before transplantation and discuss conditioning regimens and graft variables, as well as novel approaches to harness the graft-versus-leukemia (GvL) effect, including targeted immunotherapy. The review will also address toxicities associated with HSCT, GvHD prophylaxis, and the management of treatment failure. Ultimately, this review seeks to inform clinical practice and highlights how improved outcomes have been achieved through the collective efforts of international study groups.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteChildGraft vs Host DiseaseHumansNeoplasm, ResidualTransplantation ConditioningTransplantation, Homologous

Identifiers

PMID40634512
PMCPMC12463678

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.