Evidence map›Paper›PMID 40938298›Full record

ArticleCancer medicine2025

Real-World Data on Inotuzumab Ozogamicin for Adult Patients With Relapsed/Refractory Acute Lymphoblastic Leukemia: A GRELAL-Chile Study.

Marcela Espinoza, Jorge Rojas-Vallejos, Nicolás Rodríguez, Gonzalo Guerrero, Miguel López, Natalia Aranguiz, Guillermo Conte, Francisco Samaniego, Nicolás Quinteros, Daniel Astete and 10 more

Erratum issuedAbstract read
In one paragraph

Article in Cancer medicine, 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 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.

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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Marcela EspinozaClínica Dávila, Santiago, Chile.ORCID https://orcid.org/0000-0001-9291-646X
Jorge Rojas-VallejosUniversidad Andres Bello, Santiago, Chile.ORCID https://orcid.org/0000-0002-5939-3035
Nicolás RodríguezHospital Barros Luco Trudeau, Santiago, Chile.ORCID https://orcid.org/0009-0000-3186-6403
Gonzalo GuerreroClínica RedSalud Vitacura, Santiago, Chile.
Miguel LópezClínica Alemana, Santiago, Chile.
Natalia AranguizClínica Alemana, Santiago, Chile.
Guillermo ConteHospital Clínico de la Universidad de Chile, Santiago, Chile.ORCID https://orcid.org/0000-0002-0776-7402
Francisco SamaniegoHospital Clínico de la Universidad de Chile, Santiago, Chile.
Nicolás QuinterosDepartamento Medicina Interna Sede Centro Universidad de Chile, Hospital Clínico San Borja de Arriarán, Santiago, Chile.ORCID https://orcid.org/0009-0006-2075-8910
Daniel AsteteDepartamento Medicina Interna Sede Centro Universidad de Chile, Hospital Clínico San Borja de Arriarán, Santiago, Chile.
Lucas CarcamoHospital Gustavo Fricke, Viña del Mar, Chile.
Constanza FloresHospital San Juan de Dios de La Serena, La Serena, Chile.
Ximena HuertaHospital Carlos Van Buren, Valparaíso, Chile.
Mauricio ChandíaHospital Guillermo Gran Benavente, Concepción, Chile.ORCID https://orcid.org/0009-0005-7047-4994
Jorge ValenzuelaUniversidad de Concepción, Concepción, Chile.ORCID https://orcid.org/0009-0007-3101-9846
Marcelo NavarreteUniversidad de Magallanes, Punta Arenas, Chile.ORCID https://orcid.org/0000-0002-2044-9548
Yorman FloresPontificia Universidad Católica de Chile, Santiago, Chile.ORCID https://orcid.org/0009-0001-9920-9861
Agatha LarrazabalHematology Resident, Universidad de los Andes, Santiago, Chile.
Edgar ZapataHematology Resident, Universidad de los Andes, Santiago, Chile.
Joaquín JerezPrograma de Doctorado en Biomedicina, Facultad de Medicina, Universidad de los Andes, Santiago, Chile.ORCID https://orcid.org/0000-0003-3919-6672

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInotuzumab Ozogamicin (InO) has shown efficacy in relapsed/refractory acute lymphoblastic leukemia (R/R ALL), but evidence from Latin America is scarce. We evaluated the outcomes of Chilean patients treated with InO in public and private health centers.

methodsWe retrospectively analyzed 35 patients with R/R ALL (median age 33 years; 54% male). Twenty percent had BCR::ABL-positive ALL, 78% expressed CD22, and 91% expressed CD19. Response rates, measurable residual disease (MRD), survival outcomes, and treatment-related toxicities were assessed. Multivariate analyses explored prognostic factors.

resultsComplete remission or remission with incomplete recovery (CR/CRi) was achieved in 74% of patients. Among those evaluated, 82% reached MRD < 0.01%. Patients undergoing allogeneic hematopoietic stem cell transplantation (Allo-HSCT) after InO had superior overall survival (OS) compared with those who did not (24.2 vs. 5.2 months). Median progression-free survival (PFS) was 6.9 months and median OS was 8.8 months. Sinusoidal obstruction syndrome occurred in 14% of patients but was generally mild. Multivariate analysis identified comorbidities and high blast counts as adverse prognostic factors, whereas MRD negativity and subsequent Allo-HSCT were associated with improved outcomes.

conclusionsInO demonstrated high remission and MRD negativity rates in Chilean patients with R/R ALL, with OS and PFS comparable to existing research. Although SOS incidence was higher, it was generally mild. Achieving MRD negativity and proceeding to Allo-HSCT provided the greatest survival benefit. Study limitations include short follow-up and limited data.

Indexed as

Antineoplastic Agents, ImmunologicalInotuzumab OzogamicinNeoplasm Recurrence, LocalPrecursor Cell Lymphoblastic Leukemia-LymphomaAdolescentAdultChileFemaleHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedNeoplasm, ResidualPrognosisRemission InductionRetrospective StudiesAntineoplastic Agents, ImmunologicalInotuzumab Ozogamicinacute lymphoblastic leukemiaInotuzumab Ozogamicinsinusoidal obstruction syndrome

Identifiers

PMID40938298
PMCPMC12427359

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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.