Evidence map›Paper›PMID 40642970›Full record

ArticleAmerican journal of hematology2025

Impact of Cytogenetic Response to Therapy on Long-Term Survival in Acute Myeloid Leukemia.

John Hanna, Emily C Zabor, Moath Albliwi, Jessica El-Asmar, Daniel P Nurse, Ameed Bawwab, Hasan Abuamsha, Yomna Abu-Farsakh, Heya Batah, Asad Rauf and 13 more

Abstract read
In one paragraph

Article in American journal of hematology, 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. Article
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

23 authors.

John HannaDepartment of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, USA.ORCID 0009-0006-0428-3505
Emily C ZaborDepartment of Quantitative Health Sciences, Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio, USA.
Moath AlbliwiDepartment of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Jessica El-AsmarDepartment of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio, USA.
Daniel P NurseDepartment of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Ameed BawwabDepartment of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Hasan AbuamshaDepartment of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Yomna Abu-FarsakhDepartment of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio, USA.
Heya BatahDepartment of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Asad RaufDepartment of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Joy NakitandweDepartment of Pathology and Laboratory Medicine, Cleveland Clinic Diagnostics Institute, Cleveland, Ohio, USA.
David S BoslerDepartment of Pathology and Laboratory Medicine, Cleveland Clinic Diagnostics Institute, Cleveland, Ohio, USA.
Akriti G JainDepartment of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio, USA.ORCID 0000-0002-7238-9241
John C MolinaDepartment of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio, USA.
Sophia BaldermanDepartment of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio, USA.
Abhay SinghDepartment of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio, USA.
Aaron T GerdsDepartment of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio, USA.ORCID 0000-0002-3422-1309
Sudipto MukherjeeDepartment of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio, USA.
Ronald M SobecksDepartment of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio, USA.
Anjali S AdvaniDepartment of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio, USA.ORCID 0000-0003-0015-5902
Hetty E CarrawayDepartment of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio, USA.
Caroline AstburyDepartment of Pathology and Laboratory Medicine, Cleveland Clinic Diagnostics Institute, Cleveland, Ohio, USA.
Moaath K Mustafa AliDepartment of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio, USA.ORCID 0000-0003-3289-2333

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prognostication in acute myeloid leukemia (AML) relies on clinical, molecular, and cytogenetic factors. In this retrospective study, we examined the impact of different levels of cytogenetic response on overall survival (OS) and event-free survival (EFS) in AML. Among 973 adult AML patients treated at Cleveland Clinic (5/2017-9/2023), 563 patients had baseline cytogenetic data and post-treatment response assessment available. Based on baseline and response cytogenetic status, patients were categorized into: normal to normal (NL-Cy to NL-Cy, n = 221, 39%), normal or abnormal to gain (NL/Abnl-Cy to Gain-Cy, n = 46, 8.2%), abnormal to persistent (Abnl-Cy to Persistent-Cy, n = 81, 14%), abnormal to partial response (Abnl-Cy to Partial-Cy, n = 20, 3.6%), and abnormal to complete response (Abnl-Cy to NL-Cy, n = 195, 35%). Landmark analysis was used to account for post-treatment assessments. The cohort had a median age of 62 years (interquartile range: 52-69), 256 females (45%), 90% were White, and median follow-up of 45.8 months (range: 0.73-191.3). The median OS and hazard ratios (HRs) from multivariable regression analysis were as follows: NL-Cy to NL-Cy: 37 months (95% CI: 27-91), HR = reference; NL/Abnl-Cy to Gain-Cy: 14 months (95% CI: 8.6-30), HR = 1.5 (95% CI: 0.99-2.39); Abnl-Cy to Persistent-Cy: 13 months (95% CI: 12-18), HR = 1.61 (95% CI: 1.13-2.31); Abnl-Cy to Partial-Cy: 25 months (95% CI: 14-NC), HR = 0.76 (95% CI: 0.39-1.49); and Abnl-Cy to NL-Cy: 27 months (95% CI: 19-101), HR = 1.25 (95% CI: 0.93-1.68) (p = 0.038). Achieving cytogenetic remission, complete or partial, was associated with better survival outcomes. These findings highlight the importance of monitoring cytogenetic responses to inform treatment decisions and support integrating cytogenetic response into risk-adapted, personalized AML management strategies.

Indexed as

Leukemia, Myeloid, AcuteAdultAgedChromosome AberrationsDisease-Free SurvivalFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesSurvival Rateacute myeloid leukemiacytogenetic responsekaryotypeprognosissurvival

Identifiers

PMID40642970
PMCPMC12326219

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.