Evidence map›Paper›PMID 41888395›Full record

ArticleLeukemia2026

Genetic alterations and measurable residual disease in core binding factor acute myeloid leukemia.

Loïc Vasseur, Matthieu Duchmann, Nicolas Duployez, Emmanuel Raffoux, Céline Berthon, Maël Heiblig, Alexis Genthon, Thorsten Braun, Mathieu Leclerc, Delphine Lebon and 21 more

2 registry-linked trialsAbstract readComparative StudyValidation Study
PubMed Publisher
In one paragraph

Article in Leukemia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are 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.

NCT00428558 phase3completednot on this map

A Phase 3 Trial of Systematic Versus Response-adapted Timed-Sequential Induction in Patients With Core Binding Factor (CBF) Acute Myeloid Leukemia (AML)

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2007 to 2011Enrolled200ConditionsAcute Myeloid LeukemiaArmsChemotherapy (DAUNORUBICINE-CYTARABINE)
NCT05070208 completednot on this map

Multicenter Retrospective Observatory of Patients With Acute Myeloid Leukemia to Core Binding Factor

TypeobservationalSponsorAcute Leukemia French AssociationRan2021 to 2024Enrolled400ConditionsAcute Myeloblastic Leukemia Core Binding FactorArmsNOT PROVIDED
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Refining favorable-risk classification in pediatricBlood science (Baltimore, Md.) · 2026
    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

31 authors.

Loïc VasseurAdolescent and Young Adult Hematology Unit, Saint Louis University Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.ORCID http://orcid.org/0000-0001-9065-0477
Matthieu DuchmannHematology Laboratory, Saint Louis University Hospital, AP-HP, Paris, France.
Nicolas DuployezLaboratory of Hematology, Centre Hospitalier Universitaire (CHU) Lille, Lille, France.ORCID http://orcid.org/0000-0002-3927-1022
Emmanuel RaffouxAdult Hematology, Saint Louis University Hospital, AP-HP, Paris, France.ORCID http://orcid.org/0000-0003-3925-7391
Céline BerthonUniv. Lille, IRCL, CNRS-UMR9020, Inserm-U1277, ONCOLILLE - CANTHER - Cancer Heterogeneity Plasticity and Resistance to Therapies, Lille, France.ORCID http://orcid.org/0000-0002-3474-2577
Maël HeibligHematology Department, CHU de Lyon, Lyon, France.
Alexis GenthonHematology Department, Saint Antoine University Hospital, AP-HP, Paris, France.
Thorsten BraunHematology Department, Avicenne University Hospital, AP-HP, Bobigny, France.
Mathieu LeclercHematology Department, Henri Mondor University Hospital, AP-HP, Créteil, France.
Delphine LebonHematology Department, CHU Amiens, Amiens, France.ORCID http://orcid.org/0000-0002-4073-1559
Sylvain ChantepieBasse-Normandie Hematology Institute, CHU de Caen, Caen, France.
Jean-Baptiste MicolHematology Department, Gustave Roussy Institute, Villejuif, France.ORCID http://orcid.org/0000-0003-0934-294X
Juliette LambertClinical Hematology Department, Versailles Hospital, Le Chesnay-Rocquencourt, France.ORCID http://orcid.org/0000-0001-5142-0310
Christian RécherHematology Department, Cancer University Institute of Toulouse Oncopole, Toulouse, France.ORCID http://orcid.org/0000-0002-3332-4525
Marie-Lorraine ChrétienHematology Department, CHU Dijon, Dijon, France.
Alexandre IatDepartment for Clinical Hematology, Nice University Hospital, Nice, France.ORCID http://orcid.org/0009-0009-5370-9025
Julien VaidieHematology Department, Dupuytren University Hospital, Limoges, France.
Jean-Valère MalfusonClinical Hematology Department, Percy Army Training Hospital, Clamart, France.
Madalina UzunovClinical Hematology Department, Pitié-Salpétrière University Hospital, AP-HP, Paris, France.
Arnaud PigneuxHematology Department, Haut-Lévèque Hospital, CHU de Bordeaux, Pessac, France.ORCID http://orcid.org/0000-0001-5479-0261
Pierre PeterlinHematology Department, Hôtel-Dieu University Hospital, Nantes, France.
Sihem TarfiHematology and Immunology Department, Henri Mondor University Hospital, AP-HP, Créteil, France.
Pierre HirschSorbonne Université, INSERM, Centre de Recherche Saint-Antoine, CRSA, AP-HP, SIRIC CURAMUS, Hôpital Saint-Antoine, Service d'Hématologie Biologique, 75012, Paris, France.ORCID http://orcid.org/0009-0005-1973-3444
Dominique PentherDepartment of Genetic Oncology, Henri Becquerel Center, Rouen, France.
Eric JourdanClinical Hematology Departement, CHU de Nimes, Nimes, France.
Karine Celli-LebrasALFA office, Saint-Louis University Hospital, Paris, France.
Claude PreudhommeLaboratory of Hematology, Centre Hospitalier Universitaire (CHU) Lille, Lille, France.
Hervé DombretAdult Hematology, Saint Louis University Hospital, AP-HP, Paris, France.
Jérôme LambertEpidemiology and Clinical Statistics for Trials & Real-world evidence Research (ECSTRRA), Saint Louis Research Institute, INSERM, Université de Paris, Paris, France.
Nicolas BoisselAdolescent and Young Adult Hematology Unit, Saint Louis University Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.ORCID http://orcid.org/0000-0003-2091-7927
Raphaël ItzyksonSaint-Louis Research Institute, Unité UMR1342, INSERM, Université Paris Cité, Paris, France. raphael.itzykson@aphp.fr.ORCID http://orcid.org/0000-0003-2139-6262

Funding

Fondation pour la Recherche Médicale (Foundation for Medical Research in France) FDM202306017181
6 · The paper itself

Abstract

Measurable residual disease (MRD) is a major prognostic factor in Core Binding Factor (CBF) AML. KIT or FLT3 mutations also have prognostic relevance, but little is known about their prognostic value when accounting for MRD. We analyzed the prognostic value of genetic alterations adjusting for early MRD response in adult CBF-AML patients. We grouped data from the retrospective multicenter study RetroCBF (NCT05070208, training set) and the prospective CBF-2006 trial (NCT00428558, validation set). Centralized high-throughput sequencing was performed with 36 genes. 656 CBF-AML patients in first CR were included between 2007 and 2020 (RetroCBF n = 461; CBF-2006 n = 195). In a LASSO-penalized model including MRD and genetic alterations performed in the RetroCBF training cohort, KIT-TKD in RUNX1::RUNX1T1 and FLT3-ITD in CBFB::MYH11 were associated with a higher risk of relapse. Including these genetic alterations with MRD in the training cohort, 3-year cumulative incidence of relapse was 22% (95%CI:13-33%) in low-risk patients (MRD low AND no KIT-TKD [RUNX1::RUNX1T1] or FLT3-ITD [CBFB::MYH11]) versus 53% (95%CI 46%-60%) in high-risk patients (csHR=3.21 [95%CI:1.83-5.62], p < 0.0001). These results were confirmed in the CBF-2006 validation cohort. KIT-TKD mutations in RUNX1::RUNX1T1 and FLT3-ITD in CBFB::MYH11 worsen prognosis independently of MRD and must be included in risk stratification of CBF AMLs.

Indexed as

Biomarkers, TumorCore Binding FactorsLeukemia, Myeloid, AcuteMutationNeoplasm, ResidualAdultClinical Trials, Phase III as TopicFemalefms-Like Tyrosine Kinase 3HumansMaleMiddle AgedMulticenter Studies as TopicObservational Studies as TopicPrognosisProspective StudiesBiomarkers, TumorCore Binding FactorsFLT3 protein, humanfms-Like Tyrosine Kinase 3Proto-Oncogene Proteins c-kit

Identifiers

What OpenQuestion holds

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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.