Evidence map›Paper›PMID 41890705›Full record

Trial reportBlood neoplasia2026

Survival after intensive therapy or clofarabine in fit older adults with acute myeloid leukemia: E2906 phase 3 trial.

James M Foran, Zhuoxin Sun, Selina M Luger, David F Claxton, Hillard M Lazarus, Daniel A Arber, Jacob M Rowe, Elisabeth Paietta, Janis Racevskis, Fran Garrett-Bakelman and 12 more

Abstract readClinical Trial
In one paragraph

Trial report in Blood neoplasia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

22 authors.

James M ForanDivision of Hematology and Medical Oncology, Mayo Clinic Comprehensive Cancer Center, Mayo Clinic, Jacksonville, FL.
Zhuoxin SunECOG-ACRIN Biostatistics Center, Dana-Farber Cancer Institute, Brookline, MA.
Selina M LugerDivision of Hematology-Oncology, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA.
David F ClaxtonPenn State Cancer Institute, Penn State Milton S. Hershey Medical Center, Hershey, PA.
Hillard M LazarusDepartment of Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH.
Daniel A ArberDepartment of Pathology, University of Chicago, Chicago, IL.
Jacob M RoweShaare Zedek Medical Center, Jerusalem, Israel.
Elisabeth PaiettaECOG-ACRIN Leukemia Translational Laboratory, Montefiore Medical Center, Bronx, NY.
Janis RacevskisECOG-ACRIN Leukemia Translational Laboratory, Montefiore Medical Center, Bronx, NY.
Fran Garrett-BakelmanDivision of Hematology and Medical Oncology, Department of Medicine, University of Virginia Cancer Center, Charlottesville, VA.
Yanming ZhangMemorial Sloan Kettering Cancer Center, New York, NY.
Jessica K AltmanRobert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL.
Aref Al-KaliDivision of Hematology, Mayo Clinic, Rochester, MN.
Hong ZhengPenn State Cancer Institute, Penn State Milton S. Hershey Medical Center, Hershey, PA.
Keith W PratzSidney Kimmel Cancer Center. Johns Hopkins University, Baltimore, MD.
E Randolph BrounThe Jewish Hospital, Cincinnati, OH.
Bayard L PowellDepartment of Cancer Medicine, Wake Forest University School of Medicine, Winston-Salem, NC.
Kristen Marie O'DwyerDivision of Hematology and Oncology, Department of Medicine, University of Rochester School of Medicine, Rochester, NY.
John E GodwinProvidence Portland Medical Center, Portland, OR.
Yishai OfranShaare Zedek Medical Center, Jerusalem, Israel.
Mark R LitzowDivision of Hematology, Mayo Clinic, Rochester, MN.
Martin S TallmanMemorial Sloan Kettering Cancer Center, New York, NY.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Project-006U10CA180820 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer · 2014 to 2026
$167.6M
NCI, National Clinical Trials Network Lead Academic Participating Site (LAPS) UG1 (funded extension)UG1CA232760 · NCI · MAYO CLINIC ROCHESTER · PI Judy Caroline Boughey, Aaron Scott Mansfield · 2019 to 2026
$8.5M
NCI NIH HHS P30 CA008748NCI NIH HHS U10 CA180820NCI NIH HHS UG1 CA232760
6 · The paper itself

Abstract

Clofarabine is a second-generation purine nucleoside analog with encouraging reported 30-day induction mortality (IM) and complete remission (CR) or CRi (incomplete platelet recovery) rates, and represents a lower-intensity therapy for older adults with acute myeloid leukemia (AML). We evaluated long-term outcomes in a prospective phase 3 study using a noninferiority design. Patients aged ≥60 years with newly diagnosed AML and normal renal and cardiac function were randomized to standard intensive daunorubicin and cytarabine or single-agent clofarabine. The primary objective was overall survival (OS) using a weighted analysis. We incorporated prospective central testing for measurable residual disease (MRD; ≥0.1%) at remission using multiparameter flow cytometry. Among 727 patients (standard, n = 363; clofarabine, n = 364), there was no difference in CR/CRi (50%) or IM (8.5%) rates. The median follow-up was 58.6 months. In the primary analysis, OS was inferior with clofarabine (median, 10.4 vs 12.4 months [standard];

Identifiers

PMID41890705
PMCPMC13014643

What OpenQuestion holds

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Registered trials

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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.