Evidence map›Paper›PMID 41798885›Full record

ArticleEJHaem2026

Selumetinib as an Effective Therapy of Histiocytic Sarcoma Evolving From a B-Cell Acute Lymphoblastic Leukaemia.

Laetitia Largeaud, Charlotte Syrykh, Julie Vial, Alban Canali, Isabelle Luquet, François Vergez, Stéphanie Dufrechou, Naïs Prade, André Baruchel, Bastien Gerby and 3 more

Abstract read
In one paragraph

Article in EJHaem, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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. 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

13 authors.

Laetitia LargeaudLaboratory of Hematology Institut Universitaire du Cancer de Toulouse, CHU Toulouse Toulouse France.
Charlotte SyrykhLaboratory of Anatomo-Pathology Institut Universitaire du Cancer de Toulouse, CHU Toulouse Toulouse France.
Julie VialDepartment of Pediatric Radiology CHU Toulouse Toulouse France.
Alban CanaliLaboratory of Hematology Institut Universitaire du Cancer de Toulouse, CHU Toulouse Toulouse France.ORCID https://orcid.org/0000-0002-1609-3307
Isabelle LuquetLaboratory of Hematology Institut Universitaire du Cancer de Toulouse, CHU Toulouse Toulouse France.
François VergezLaboratory of Hematology Institut Universitaire du Cancer de Toulouse, CHU Toulouse Toulouse France.
Stéphanie DufrechouLaboratory of Hematology Institut Universitaire du Cancer de Toulouse, CHU Toulouse Toulouse France.
Naïs PradeLaboratory of Hematology Institut Universitaire du Cancer de Toulouse, CHU Toulouse Toulouse France.
André BaruchelDepartment of Pediatric Hematology and Immunology Hôpital Robert Débré APHP Université Paris Cité Paris France.
Bastien GerbyUniversité De Toulouse, Inserm, Centre National de la Recherche Scientifique, Université Toulouse III-Paul Sabatier Centre de Recherches en Cancérologie de Toulouse Toulouse France.
Marie NollaDepartment of Pediatric Hematology and Immunology CHU Toulouse Toulouse France.
Eric DelabesseLaboratory of Hematology Institut Universitaire du Cancer de Toulouse, CHU Toulouse Toulouse France.
Marlène PasquetUniversité De Toulouse, Inserm, Centre National de la Recherche Scientifique, Université Toulouse III-Paul Sabatier Centre de Recherches en Cancérologie de Toulouse Toulouse France.ORCID https://orcid.org/0000-0001-6919-8383

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Histiocytic sarcoma (HS) is a rare neoplasm derived from non-Langerhans histiocytic cells, exceptionally arising from B-ALL. Methods: We present the case of a child with high-risk B-ALL with PAX5 P80R mutation. Results: Despite initial remission, a chemoresistant paravertebral mass was identified as HS. A shared IGK/TCRB rearrangements and PAX5 alterations between the leukaemic and histiocytic clones suggested transdifferentiation driven by PAX5. A somatic MAP2K1 mutation in the HS component prompted selumetinib treatment, leading to a rapid response. Conclusion: This case underscores the role of PAX5 in lineage plasticity and highlights the potential of targeted MEK inhibition in MAPK-driven HS arising from B-ALL. Trial Registration: The authors have confirmed clinical trial registration is not needed for this submission.

Indexed as

B cell acute lymphoblastic leukemiahistiocytic sarcomaMEK inhibitortransdifferentiation

Identifiers

PMID41798885
PMCPMC12962043

What OpenQuestion holds

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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.