Evidence map›Paper›PMID 40691504›Full record

ArticleLeukemia2025

Gemtuzumab ozogamicin in first-line treatment of CBF-AML: insights from a retrospective multi-center analysis.

Julian Ronnacker, Philippe J Muller, Jan-Henrik Mikesch, Sven Zukunft, Barbora Weinbergerová, Jiří Šrámek, Jan Valka, Jan Novak, Pavel Zak, Tomas Szotkowski and 44 more

Abstract readMulticenter Study
In one paragraph

Article 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.

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

8 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Article
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  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

54 authors.

Julian Ronnacker *Department of Medicine A, University Hospital Münster, Münster, Germany.
Philippe J Muller *West German Cancer Center (WTZ), Essen-Münster, Germany.ORCID 0009-0000-0985-7666
Jan-Henrik MikeschDepartment of Medicine A, University Hospital Münster, Münster, Germany.
Sven ZukunftDepartment of Internal Medicine I, University Hospital TU Dresden, Dresden, Germany.ORCID 0000-0002-1811-4562
Barbora WeinbergerováDepartment of Internal Medicine - Hematology and Oncology, University Hospital Brno and Masaryk University, Brno, Czech Republic.ORCID 0000-0001-6460-2471
Jiří ŠrámekDepartment of Hematology and Oncology, University Hospital Pilsen, Pilsen, Czech Republic.ORCID 0000-0003-3303-4146
Jan ValkaInstitute of Hematology and Blood Transfusion, Prague, Czech Republic.ORCID 0000-0002-2248-0557
Jan NovakUniversity Hospital Kralovske Vinohrady and Third Faculty of Medicine, Charles University, Prague, Czech Republic.
Pavel ZakDepartment of Hematology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.
Tomas SzotkowskiDepartment of Hematology, Palacky University Olomouc and University Hospital Olomouc, Olomouc, Czech Republic.
Zdenek KoristekDepartment of Hematooncology, Faculty of Medicine, University Hospital Ostrava, Ostrava, Czech Republic.
Carolin KrekelerDepartment of Medicine A, University Hospital Münster, Münster, Germany.ORCID 0009-0000-1808-5928
Julia M UnglaubDepartment of Hematology, Oncology and Rheumatology, University Hospital Heidelberg, Heidelberg, Germany.
Tim SauerDepartment of Hematology, Oncology and Rheumatology, University Hospital Heidelberg, Heidelberg, Germany.
Leo RuhnkeDepartment of Internal Medicine I, University Hospital TU Dresden, Dresden, Germany.
Sabrina KrausDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Judith SchaffrathDepartment of Hematology and Oncology, University Hospital Halle, Halle, Germany.
Lutz P MüllerDepartment of Hematology and Oncology, University Hospital Halle, Halle, Germany.ORCID 0000-0002-2212-8166
Sabrina KaesDepartment of Internal Medicine, Hematology and Oncology, Gemeinschaftsklinikum Mittelrhein, Koblenz, Germany.
Dirk NiemannDepartment of Internal Medicine, Hematology and Oncology, Gemeinschaftsklinikum Mittelrhein, Koblenz, Germany.
Lars FranseckyDepartment of Internal Medicine II, University Hospital Schleswig-Holstein, Kiel, Germany.
Patrick P HessDepartment of Internal Medicine IV, University Hospital RWTH Aachen, Aachen, Germany.ORCID 0000-0002-0693-7393
Martina CrysandtDepartment of Internal Medicine IV, University Hospital RWTH Aachen, Aachen, Germany.
Edgar JostDepartment of Internal Medicine IV, University Hospital RWTH Aachen, Aachen, Germany.
Joana MilloDepartment of Hematology, Oncology and Palliative Medicine, Rems-Murr-Kliniken, Winnenden, Germany.
Johannes GaertnerDepartment of Internal Medicine 5, Klinikum Nürnberg, Nürnberg, Germany.
Roland ReppDepartment of Internal Medicine 2, Städtisches Krankenhaus Kiel, Kiel, Germany.
Madlen JentzschDepartment for Internal Medicine I, University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0002-2270-0804
Lea HoppeDepartment of Hematology and Oncology, University Hospital Mannheim, Mannheim, Germany.
Stefan KleinDepartment of Hematology and Oncology, University Hospital Mannheim, Mannheim, Germany.
Franziska ModemannDepartment of Oncology and Hematology, University Hospital Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-5897-3310
Nina MichalowskiHospital Pharmacy, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
Klaudia FischbachDepartment for Hematology, Oncology and Palliative Care, Helios Dr Horst Schmidt Kliniken, Wiesbaden, Germany.
Wolfgang BlauDepartment for Hematology, Oncology and Palliative Care, Helios Dr Horst Schmidt Kliniken, Wiesbaden, Germany.
Marion RuhsDepartment of Hematology and Oncology, Kliniken Sindelfingen, Sindelfingen, Germany.
Markus RitterDepartment of Hematology and Oncology, Kliniken Sindelfingen, Sindelfingen, Germany.
Julian LohmeyerDepartment of Hematology and Oncology, University Hospital Frankfurt am Main, Frankfurt am Main, Germany.
Björn SteffenDepartment of Hematology and Oncology, University Hospital Frankfurt am Main, Frankfurt am Main, Germany.ORCID 0009-0002-6693-4079
Sarah HauserDepartment of Hematology, Oncology and Palliative Medicine, Robert-Bosch-Hospital, Stuttgart, Germany.
Martin KaufmannDepartment of Hematology and Oncology, University Hospital Frankfurt am Main, Frankfurt am Main, Germany.
Stefan W KrauseDepartment of Medicine 5 - Hematology and Oncology, University Hospital Erlangen, Erlangen, Germany.ORCID 0000-0002-5259-4651
Ricarda KnabeDepartment of Medicine III, University Hospital LMU Munich, Munich, Germany.
Karsten SpiekermannDepartment of Medicine III, University Hospital LMU Munich, Munich, Germany.ORCID 0000-0002-5139-4957
Hubert ServeDepartment of Hematology and Oncology, University Hospital Frankfurt am Main, Frankfurt am Main, Germany.
Uwe PlatzbeckerDepartment for Internal Medicine I, University Hospital Leipzig, Leipzig, Germany.
Claudia D BaldusDepartment of Internal Medicine II, University Hospital Schleswig-Holstein, Kiel, Germany.ORCID 0000-0002-0748-834X
Carsten Müller-TidowDepartment of Hematology, Oncology and Rheumatology, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0002-7166-5232
Georg LenzDepartment of Medicine A, University Hospital Münster, Münster, Germany.ORCID 0000-0002-4728-1693
Hans Christian ReinhardtWest German Cancer Center (WTZ), Essen-Münster, Germany.
Jirí MayerDepartment of Internal Medicine - Hematology and Oncology, University Hospital Brno and Masaryk University, Brno, Czech Republic.
Martin BornhäuserDepartment of Internal Medicine I, University Hospital TU Dresden, Dresden, Germany.
Christoph RölligDepartment of Internal Medicine I, University Hospital TU Dresden, Dresden, Germany.ORCID 0000-0002-3791-0548
Christoph Schliemann *Department of Medicine A, University Hospital Münster, Münster, Germany. christoph.schliemann@ukmuenster.de.ORCID 0000-0003-1755-9583
Maher Hanoun *West German Cancer Center (WTZ), Essen-Münster, Germany. maher.hanoun@uk-essen.de.ORCID 0000-0002-1754-8940

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The addition of gemtuzumab ozogamicin (GO) to intensive chemotherapy (IC) has become a mainstay in treating patients with core binding factor acute myeloid leukemia (CBF-AML). However, evidence for the efficacy of GO in this particular subgroup is primarily based on meta-analytic data from different trials conducted more than a decade ago. In this registry-based study, we evaluated the impact of adding GO to IC in 265 CBF-AML patients from the SAL, AMLCG, and CELL cooperative study groups. Patients receiving GO had a 2-year overall survival of 90% compared with 80% in those without GO (hazard ratio [HR] 0.45, 95% confidence interval [CI] 0.21-0.95, P = 0.036) and a 2-year event-free survival of 51% versus 36% (HR 0.69, 95% CI 0.48-0.99, P = 0.046). While complete remission rates in GO vs. non-GO patients were comparable (89% vs. 90%, P = 0.81), more GO patients achieved measurable residual disease-negative remission (77% vs. 49%, P < 0.001), resulting in numerically reduced cumulative incidence of relapse (HR 0.67, 95% CI 0.43-1.02, P = 0.06). Despite delayed platelet recovery, high-grade toxicities were not increased in GO-treated patients. These findings support the integration of GO into treatment protocols for IC-eligible patients with CBF-AML.

Indexed as

Antineoplastic Agents, ImmunologicalAntineoplastic Combined Chemotherapy ProtocolsGemtuzumabLeukemia, Myeloid, AcuteAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesSurvival RateYoung AdultAntineoplastic Agents, ImmunologicalGemtuzumab

Identifiers

PMID40691504
PMCPMC12380593

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