Evidence map›Paper›PMID 42383304›Full record

ArticleAmerican journal of hematology2026

Relapse Thresholds (12/24 Mo) Define Survival Disparity in Pediatric B-ALL.

Binjun Xiong, Jianwen Zhou, Xuhan Zhang, Yance Feng, Jie Cheng, Hui Shi, Qian Li, Wenli Tang, Yali Shen, Fen Zhou and 2 more

Abstract read
In one paragraph

Article in American journal of hematology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Binjun XiongPrecision Oncology and Intelligent Theranostics Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China.
Jianwen ZhouDepartment of Hematology and Oncology, Children's Hospital Affiliated to Zhengzhou University (Zhengzhou Children's Hospital), Zhengzhou, China.
Xuhan ZhangDivision of Life Sciences and Medicine, Department of Pediatric Hematology and Oncology, The First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital), University of Science and Technology of China, Hefei, China.
Yance FengPrecision Oncology and Intelligent Theranostics Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China.
Jie ChengDepartment of Hematology and Oncology, Anhui Provincial Children's Hospital, Hefei, China.
Hui ShiPrecision Oncology and Intelligent Theranostics Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China.
Qian LiPrecision Oncology and Intelligent Theranostics Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China.
Wenli TangPrecision Oncology and Intelligent Theranostics Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China.
Yali ShenMinistry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Children and Adolescents' Health and Diseases, Chongqing, China.
Fen ZhouDepartment of Pediatrics, Union Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.
Shaoyan HuDepartment of Hematology and Oncology, Children's Hospital of Soochow University, Suzhou, China.
Hua YouPrecision Oncology and Intelligent Theranostics Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China.ORCID https://orcid.org/0000-0002-9630-5284

Funding

Chongqing Medical Scientific Research Project (Joint project of Chongqing Health Commission and Science and Technology Bureau) 2025ZDXM005National Natural Science Foundation of China 81911530169The Innovation Support Program for Chongqing Overseas Returnees cx2025115The Science and Technology Research Program of Chongqing Municipal Education Commission KJZD-K202300408
6 · The paper itself

Abstract

This study systematically analyzed relapse patterns in pediatric B-cell acute lymphoblastic leukemia (B-ALL) across 2930 patients from the TARGET and MP2PRT cohorts, with an additional 2972 patients from four independent external validation cohorts, to define clinically relevant prognostic thresholds. Monthly landmark-based Cox analyses identified 13 months as the time point with the peak hazard ratio (HR = 31.97) and 27 months as the time point with the maximum -log10P value (158.08); given the small differences from 12 and 24 months and their greater clinical practicality, POD12 (progression of disease within 12 months) and POD24 (progression of disease within 24 months) were selected as clinically practical landmarks for subsequent analyses. In the TARGET and MP2PRT cohorts, POD12 occurred in 2.56% of patients and POD24 in 8.67%. Patients with POD12 had a 5-year overall survival (OS) of 11.13% versus 90.89% in non-POD12 patients, whereas patients with POD24 had a 5-year OS of 36.19% versus 93.62% in non-POD24 patients. In all four external validation cohorts, POD12 and POD24 were likewise associated with significantly inferior OS compared with their respective non-POD groups. In univariate analyses, E2A-PBX1 and MLL rearrangements were associated with increased risk of POD12 and POD24. These findings support POD12 and POD24 as clinically practical, data-driven landmarks for identifying patients with adverse survival outcomes. They may also inform the exploratory evaluation of 1-year and 2-year progression-free survival as hypothesis-generating candidate early trial endpoints, pending prospective validation.

Indexed as

Precursor B-Cell Lymphoblastic Leukemia-LymphomaAdolescentChildChild, PreschoolCohort StudiesDisease-Free SurvivalDisease ProgressionFemaleHumansInfantMalePrognosisRecurrenceSurvival AnalysisB‐cell acute lymphoblastic leukemia (B‐ALL)pediatricprogression of disease (POD)relapse prognosisthresholds

Identifiers

PMID42383304
PMCPMC13428383

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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.