Evidence map›Paper›PMID 21343549›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2011

TET2 mutations improve the new European LeukemiaNet risk classification of acute myeloid leukemia: a Cancer and Leukemia Group B study.

Klaus H Metzeler, Kati Maharry, Michael D Radmacher, Krzysztof Mrózek, Dean Margeson, Heiko Becker, John Curfman, Kelsi B Holland, Sebastian Schwind, Susan P Whitman and 13 more

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 164 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
164citing papers in PubMed, 4 pooled it
23.5field-weighted citation impact, top 1% of its field
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

164 citing papers in PubMed, 4 syntheses or guidelines pooled it, 319 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Expression and prognostic impact of lncRNAs in acute myeloid leukemia.Proceedings of the National Academy of Sciences of the United States of America · 2014
    Trial
  7. Trial
  8. Trial
  9. Article
  10. Review
  11. Haematologica · 2025
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

104 more citing papers are in PubMed but not listed here.

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

23 authors at 1 institution in 1 country.

Klaus H MetzelerThe Ohio State University Comprehensive Cancer Center, 1216 James Cancer Hospital, 300 West 10th Ave, Columbus, OH 43210, USA.
Kati Maharry
Michael D Radmacher
Krzysztof Mrózek
Dean Margeson
Heiko Becker
John Curfman
Kelsi B Holland
Sebastian Schwind
Susan P Whitman
Yue-Zhong Wu
William Blum
Bayard L Powell
Thomas H Carter
Meir Wetzler
Joseph O Moore
Jonathan E Kolitz
Maria R Baer
Andrew J Carroll
Richard A Larson
Michael A Caligiuri
Guido Marcucci
Clara D Bloomfield
University of Maryland, Baltimore · US

Funding

CANCER AND LEUKEMIA GROUP B MINORITY SATELLITE SUPPLEMENU10CA031946 · NCI · UNIVERSITY OF CHICAGO · PI BERTAGNOLLI, MONICA M · 1985 to 2013
$158.4M
Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Daniel G. Stover · 1985 to 2026
$132.3M
CANCER &LEUKEMIA GROUP B STATISTICAL CENTERU10CA033601 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI SARGENT, DANIEL J. · 1985 to 2013
$69.4M
SPORE Leukemia Tissue BankP50CA140158 · NCI · OHIO STATE UNIVERSITY · PI BLOOMFIELD, CLARA D · 2009 to 2013
$11.2M
Cancer and Leukemia Group B Human Specimen RepositoriesU24CA114725 · NCI · UNIVERSITY OF CHICAGO · PI BERTAGNOLLI, MONICA M · 2005 to 2014
$11.1M
Cancer and Leukemia Group B - Leukemia Correlative SciencesU10CA101140 · NCI · OHIO STATE UNIVERSITY · PI MARCUCCI, GUIDO · 2003 to 2013
$10.3M
Cancer and Leukemia Group B - The Ohio State UniversityU10CA077658 · NCI · OHIO STATE UNIVERSITY · PI BLOOMFIELD, CLARA D · 1998 to 2013
$6.0M
Molecular characterization of normal cytogenetics AML in older patientsR21CA129657 · NCI · OHIO STATE UNIVERSITY · PI MARCUCCI, GUIDO · 2008 to 2009
$371k
NCI NIH HHS CA101140NCI NIH HHS CA114725NCI NIH HHS CA129657NCI NIH HHS CA140158NCI NIH HHS CA16058NCI NIH HHS CA31946NCI NIH HHS CA33601NCI NIH HHS CA77658NCI NIH HHS P30 CA016058NCI NIH HHS P50 CA140158NCI NIH HHS R21 CA129657NCI NIH HHS U10 CA031946NCI NIH HHS U10 CA033601NCI NIH HHS U10 CA077658NCI NIH HHS U10 CA101140NCI NIH HHS U24 CA114725
6 · The paper itself

Abstract

purposeTo determine the frequency of TET2 mutations, their associations with clinical and molecular characteristics and outcome, and the associated gene- and microRNA-expression signatures in patients with primary cytogenetically normal acute myeloid leukemia (CN-AML). PATIENTS AND

methodsFour-hundred twenty-seven patients with CN-AML were analyzed for TET2 mutations by polymerase chain reaction and direct sequencing and for established prognostic gene mutations. Gene- and microRNA-expression profiles were derived using microarrays.

resultsTET2 mutations, found in 23% of patients, were associated with older age (P < .001) and higher pretreatment WBC (P = .04) compared with wild-type TET2 (TET2-wt). In the European LeukemiaNet (ELN) favorable-risk group (patients with CN-AML who have mutated CEBPA and/or mutated NPM1 without FLT3 internal tandem duplication [FLT3-ITD]), TET2-mutated patients had shorter event-free survival (EFS; P < .001) because of a lower complete remission (CR) rate (P = .007), and shorter disease-free survival (DFS; P = .003), and also had shorter overall survival (P = .001) compared with TET2-wt patients. TET2 mutations were not associated with outcomes in the ELN intermediate-I-risk group (CN-AML with wild-type CEBPA and wild-type NPM1 and/or FLT3-ITD). In multivariable models, TET2 mutations were associated with shorter EFS (P = .004), lower CR rate (P = .03), and shorter DFS (P = .05) only among favorable-risk CN-AML patients. We identified a TET2 mutation-associated gene-expression signature in favorable-risk but not in intermediate-I-risk patients and found distinct mutation-associated microRNA signatures in both ELN groups.

conclusionTET2 mutations improve the ELN molecular-risk classification in primary CN-AML because of their adverse prognostic impact in an otherwise favorable-risk patient subset. Our data suggest that these patients may be candidates for alternative therapies.

Indexed as

MutationAdolescentAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsCytogenetic AnalysisDioxygenasesDisease-Free SurvivalDNA-Binding ProteinsDNA Mutational AnalysisFemaleGene Expression ProfilingGene Expression Regulation, LeukemicGenetic Predisposition to DiseaseHumansDioxygenasesDNA-Binding ProteinsMicroRNAsNPM1 protein, humanNucleophosminProto-Oncogene ProteinsTET2 protein, human

Identifiers

PMID21343549
PMCPMC3084003
OpenAlexW2109150359

What Socratic holds

Textmetadata
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 Socratic graph.