Evidence map›Paper›PMID 42463941›Full record

ArticleLeukemia2026

Predictors of survival in adults with B-cell acute lymphoblastic leukemia treated with blinatumomab and/or inotuzumab ozogamicin in first salvage.

Roberta S Azevedo, Elias Jabbour, Nitin Jain, Fadi G Haddad, Partow Kebriaei, Issa Khouri, Elizabeth J Shpall, Richard Champlin, Omer Karrar, Manuel Maroun and 6 more

Abstract read
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. 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

16 authors.

Roberta S Azevedo *The University of Texas MD Anderson Cancer Center, Department of Leukemia, Houston, USA.ORCID http://orcid.org/0009-0004-2997-6071
Elias Jabbour *The University of Texas MD Anderson Cancer Center, Department of Leukemia, Houston, USA.ORCID http://orcid.org/0000-0003-4465-6119
Nitin JainThe University of Texas MD Anderson Cancer Center, Department of Leukemia, Houston, USA.
Fadi G HaddadThe University of Texas MD Anderson Cancer Center, Department of Leukemia, Houston, USA.ORCID http://orcid.org/0000-0002-9702-8485
Partow KebriaeiThe University of Texas MD Anderson Cancer Center, Department of Stem Cell Transplantation and Cellular Therapy, Houston, USA.ORCID http://orcid.org/0000-0002-8607-9404
Issa KhouriThe University of Texas MD Anderson Cancer Center, Department of Stem Cell Transplantation and Cellular Therapy, Houston, USA.ORCID http://orcid.org/0000-0003-2473-911X
Elizabeth J ShpallThe University of Texas MD Anderson Cancer Center, Department of Stem Cell Transplantation and Cellular Therapy, Houston, USA.
Richard ChamplinThe University of Texas MD Anderson Cancer Center, Department of Stem Cell Transplantation and Cellular Therapy, Houston, USA.ORCID http://orcid.org/0000-0002-4314-5037
Omer KarrarThe University of Texas MD Anderson Cancer Center, Department of Leukemia, Houston, USA.ORCID http://orcid.org/0000-0001-6026-4073
Manuel MarounThe University of Texas MD Anderson Cancer Center, Department of Leukemia, Houston, USA.ORCID http://orcid.org/0009-0007-9536-063X
Jayastu SenapatiThe University of Texas MD Anderson Cancer Center, Department of Leukemia, Houston, USA.ORCID http://orcid.org/0000-0002-6831-2567
Eitan KuglerThe University of Texas MD Anderson Cancer Center, Department of Leukemia, Houston, USA.
Rebecca S GarrisThe University of Texas MD Anderson Cancer Center, Department of Leukemia, Houston, USA.
Farhad RavandiThe University of Texas MD Anderson Cancer Center, Department of Leukemia, Houston, USA.ORCID http://orcid.org/0000-0002-7621-377X
Hagop KantarjianThe University of Texas MD Anderson Cancer Center, Department of Leukemia, Houston, USA.ORCID http://orcid.org/0000-0002-1908-3307
Nicholas J ShortThe University of Texas MD Anderson Cancer Center, Department of Leukemia, Houston, USA. nshort@mdanderson.org.ORCID http://orcid.org/0000-0002-2983-2738

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DIANE BODURKA · 1985 to 2026
$290.8M
University of Texas M.D. Anderson Cancer SPORE-LeukemiaP50CA100632 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI REZVANI, KATY · 2003 to 2023
$43.7M
NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA100632U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) P30 CA016672UT | University of Texas MD Anderson Cancer Center (MD Anderson) Leukemia SPORE CA100632
6 · The paper itself

Abstract

The role of allogeneic hematopoietic stem cell transplantation (allo-HSCT) in adults with relapsed/refractory (R/R) B-cell acute lymphoblastic leukemia (B-ALL) treated with B-cell-directed immunotherapies remains controversial. We analyzed 172 adults treated in first salvage with blinatumomab and/or inotuzumab ozogamicin (InO)-based regimens to determine prognostic factors and benefit from allo-HSCT after achieving remission. Relapse within 12 months of initial diagnosis (HR 2.21, 95%CI 1.28-4.16) and measurable residual disease (MRD) positivity by multiparametric flow cytometry after cycle 1 of salvage (HR 3.06, 95%CI 1.75-5.33) predicted inferior relapse-free survival (RFS) on multivariate analysis; both factors as well as older age predicted inferior overall survival (OS). Patients who achieved early flow MRD negativity and had late relapse or were primary refractory to frontline therapy did not benefit from allo-HSCT (4-year RFS 60% vs 63% without allo-HSCT, p = 0.82), while allo-HSCT improved outcomes in patients with MRD positivity and/or relapse within 12 months (4-year RFS 56% vs. 22% without allo-HSCT, p = 0.03). MRD status after cycle 1 of salvage therapy and duration of first remission can risk stratify adults with R/R B-ALL; those with early MRD negativity and late relapse or primary refractory disease may have favorable outcomes without consolidative allo-HSCT.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsPrecursor B-Cell Lymphoblastic Leukemia-LymphomaSalvage TherapyAdolescentAdultAgedAntibodies, BispecificFemaleHematopoietic Stem Cell TransplantationHumansInotuzumab OzogamicinMaleMiddle AgedNeoplasm, ResidualPrognosisSurvival RateAntibodies, BispecificblinatumomabInotuzumab Ozogamicin

Identifiers

PMID42463941
PMCPMC13506334

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.