Evidence map›Paper›PMID 41430506›Full record

Trial reportAnnals of hematology2025

Intensified pegylated-asparaginase in consolidation therapy improved outcome of allogeneic hematopoietic stem cell transplantation for adult T-cell acute lymphoblastic leukemia.

Junjie Chen, Jia Li, Zhixiang Wang, Zicong Huang, Jieping Lin, Jiawang Ou, Xiuli Xu, Bingqing Tang, Chenhao Ding, Zihong Cai and 4 more

Registry-linked trialAbstract readClinical Trial, Phase IIClinical Trial, Phase III
In one paragraph

Trial report in Annals of hematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03564704 (An Open-Label, One-Arm, Multi-Site Trial of Precision Diagnosis Directing Histone Deacetylase Inhibitor Chidamide Total Therapy for Adult T-lymphoblastic Lymphoma/Leukemia), 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.

NCT03564704 phase2 / phase3unknown statusnot on this map

An Open-Label, One-Arm, Multi-Site Trial of Precision Diagnosis Directing Histone Deacetylase Inhibitor Chidamide Total Therapy for Adult T-lymphoblastic Lymphoma/Leukemia

TypeinterventionalSponsorNanfang Hospital, Southern Medical UniversityRan2016 to 2021Enrolled80ConditionsLeukemia, Leukemia, Acute, Adult Lymphoblastic Lymphoma, Leukemia, LymphoblasticArmsDexamethasone, vincristine, Cyclophosphamide, Idarubicin, Pegaspargase
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

14 authors.

Junjie ChenDepartment of Hematology, Nanfang Hospital, Southern Medical University, Rd 1838 Guangzhou Avenue, Guangzhou, 510515, China.
Jia LiDepartment of Hematology, Nanfang Hospital, Southern Medical University, Rd 1838 Guangzhou Avenue, Guangzhou, 510515, China.
Zhixiang WangDepartment of Hematology, Nanfang Hospital, Southern Medical University, Rd 1838 Guangzhou Avenue, Guangzhou, 510515, China.
Zicong HuangDepartment of Hematology, Nanfang Hospital, Southern Medical University, Rd 1838 Guangzhou Avenue, Guangzhou, 510515, China.
Jieping LinDepartment of Hematology, Nanfang Hospital, Southern Medical University, Rd 1838 Guangzhou Avenue, Guangzhou, 510515, China.
Jiawang OuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Rd 1838 Guangzhou Avenue, Guangzhou, 510515, China.
Xiuli XuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Rd 1838 Guangzhou Avenue, Guangzhou, 510515, China.
Bingqing TangDepartment of Hematology, Nanfang Hospital, Southern Medical University, Rd 1838 Guangzhou Avenue, Guangzhou, 510515, China.
Chenhao DingDepartment of Hematology, Nanfang Hospital, Southern Medical University, Rd 1838 Guangzhou Avenue, Guangzhou, 510515, China.
Zihong CaiDepartment of Hematology, Nanfang Hospital, Southern Medical University, Rd 1838 Guangzhou Avenue, Guangzhou, 510515, China.
Ren LinDepartment of Hematology, Nanfang Hospital, Southern Medical University, Rd 1838 Guangzhou Avenue, Guangzhou, 510515, China.
Xuan LiDepartment of Hematology, Nanfang Hospital, Southern Medical University, Rd 1838 Guangzhou Avenue, Guangzhou, 510515, China.
Qifa LiuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Rd 1838 Guangzhou Avenue, Guangzhou, 510515, China.
Hongsheng ZhouDepartment of Hematology, Nanfang Hospital, Southern Medical University, Rd 1838 Guangzhou Avenue, Guangzhou, 510515, China. hanson_tcm@126.com.

Funding

National Key Research and Development Program of China 2022YFC2502605National Natural Science Foundation of China NSFC82170163Science and Technology Planning Project of Guangdong Province No. 2017A030313601
6 · The paper itself

Abstract

Research on the optimal consolidation therapy for adult T-cell acute lymphoblastic leukemia (T-ALL) remains limited, and how to integrate pediatric-inspired chemotherapy with allogeneic hematopoietic stem cell transplantation (SCT) is less addressed. Based on retrospective analysis indicating that 4 doses of pegylated-asparaginase (PEG-Asp) prior to SCT were optimal for survival, we designed a PEG-Asp-intensified pediatric-inspired regimen, PDT-ALL-2016, for adult T-ALL (NCT03564704). In this protocol, SCT administered following 4 or 5 doses of PEG-Asp. The impact of PEG-Asp on transplantation outcomes was evaluated in two cohorts: the prospective PDT-ALL-2016 cohort (2016.1-2021.12, N = 63) and the retrospective adult regimen cohort (2008.1-2015.12, N = 61). With intensified PEG-Asp consolidation, the prospective cohort exhibited superior survival compared to the retrospective cohort. Furthermore, within the prospective cohort, patients who received non-truncated PEG-Asp demonstrated better survival than those who received a truncated dose. Then, the entire cohort was stratified into high-dose (4-5 doses, N = 45), medium-dose (2-3 doses; N = 33) and low-dose (0-1 doses; N = 46) groups, based on the number of PEG-Asp doses administrated pre-SCT. The high-dose group showed superior survival compared to the other two groups in both the entire cohort and in subgroup analysis. Our findings indicate that high-dose PEG-Asp is associated with improved outcome in adult T-ALL undergoing SCT.

Indexed as

AsparaginaseConsolidation ChemotherapyHematopoietic Stem Cell TransplantationPolyethylene GlycolsPrecursor T-Cell Lymphoblastic Leukemia-LymphomaAdolescentAdultFemaleHumansMaleMiddle AgedProspective StudiesRetrospective StudiesSurvival RateTransplantation, HomologousTreatment OutcomeAsparaginasepegaspargasePolyethylene GlycolsAllogeneic hematopoietic stem cell transplantationAsparaginaseMinimal residual diseaseT-cell acute lymphoblastic leukemia

Identifiers

PMID41430506
PMCPMC12764501

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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.