Evidence map›Paper›PMID 36695874›Full record

ArticleAnnals of hematology2023

Different treatment strategies versus a common standard arm (CSA) in patients with newly diagnosed AML over the age of 60 years: a randomized German inter-group study.

Dietger Niederwieser, Thomas Lang, Rainer Krahl, Thomas Heinicke, Georg Maschmeyer, Haifa Kathrin Al-Ali, Sebastian Schwind, Madlen Jentzsch, Michael Cross, Christoph Kahl and 43 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of hematology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Improving long-term outcomes with intensive induction chemotherapy for patients with AML.Hematology. American Society of Hematology. Education Program · 2023
    Article
  6. Review
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

53 authors at 20 institutions in 3 countries.

Dietger NiederwieserUniversity Leipzig, 04106, Leipzig, Germany. dietger.niederwieser@medizin.uni-leipzig.de.ORCID http://orcid.org/0000-0002-4737-1103
Thomas LangInstitut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie (IBE), Ludwig Maximilian Universität München, München, Germany.
Rainer KrahlUniversity Leipzig, 04106, Leipzig, Germany.
Thomas HeinickeDept. Hematology and Oncology, Otto-Von-Guericke-University, Magdeburg, Germany.
Georg MaschmeyerDept. Hematology, Oncology and Palliative Care, Klinikum Ernst Von Bergmann, Potsdam, Germany.
Haifa Kathrin Al-AliDepartment of Internal Medicine IV, Oncology/Hematology, Krukenberg Cancer-Center, University Hospital Halle (Saale), Halle, Germany.
Sebastian SchwindUniversity Leipzig, 04106, Leipzig, Germany.
Madlen JentzschUniversity Leipzig, 04106, Leipzig, Germany.
Michael CrossUniversity Leipzig, 04106, Leipzig, Germany.
Christoph KahlDept. Internal Medicine, Clinic III - Hematology, Oncology and Palliative Care, Rostock University Medical Center, Rostock, Germany.
Hans-Heinrich WolfDept. Hematology and Oncology, University Hospital, Halle, Germany.
Herbert SayerMedizinische Klinik (Hämatologie, Stammzelltransplantation, Onkologie), Helios Klinikum Erfurt, Erfurt, Germany.
Antje SchulzeUniversity Leipzig, 04106, Leipzig, Germany.
Peter DregerMedical Department V, University Hospital, Heidelberg, Germany.
Ute HegenbartMedical Department V, University Hospital, Heidelberg, Germany.
Alwin KrämerClinical Cooperation Unit Molecular Hematology/Oncology, German Cancer Research Center (DKFZ) and Dept. of Internal Medicine V, University, Heidelberg, Germany.
Christian JunghanssDepartment of Medicine, Clinic III (Hematology, Oncology, Palliative Medicine), Rostock University Medical Center, Rostock, Germany.
Lars-Olof MüggeInnere Medizin III (Hämatologie, Onkologie Und Palliativmedizin), Hospital Zwickau, Germany.
Detlev HählingDept. Hematology and Oncology, Klinikum Schwerin, Schwerin, Germany.
Carsten HirtInnere Medizin C, Universitätsmedizin Greifswald, Sauerbruchstraße, 17475, Greifswald, Germany.
Christian SpäthInnere Medizin C, Universitätsmedizin Greifswald, Sauerbruchstraße, 17475, Greifswald, Germany.
Norma PeterMedizinische Klinik, Carl-Thieme-Klinikum GmbH, Cottbus, Germany.
Bernhard OpitzSt. Elisabeth Und St, Barbara Hospital Halle (Saale), Halle, Germany.
Axel FlorschützKlinikum Dessau, Dessau, Germany.
Kolja Reifenrath, Klinikum, Zittau, Germany.
Niklas Zojer1St Medical Department, Center for Oncology and Hematology & Palliative Care, Klinik Ottakring, Vienna, Austria.
Sebastian SchollHematology/Oncology, Universitätsklinikum Jena, Jena, Germany.
Wolfram PönischUniversity Leipzig, 04106, Leipzig, Germany.
Simone HeynUniversity Leipzig, 04106, Leipzig, Germany.
Vladan VucinicUniversity Leipzig, 04106, Leipzig, Germany.
Andreas HochhausHematology/Oncology, Universitätsklinikum Jena, Jena, Germany.
Carlo AulKlinik Für Hämatologie Und Onkologie, St. Johannes Hospital, Duisburg, Germany.
Aristoteles GiagounidisKlinik Für Hämatologie Und Onkologie, St. Johannes Hospital, Duisburg, Germany.
Leopold BalleisenDept. Medicine II, Evangelisches Krankenhaus Hamm, Hamm, Germany.
Bernd OldenkottDept. Hematology and Oncology, St. Hedwig Krankenhaus Berlin, Berlin, Germany.
Peter StaibDept. Hematology/Oncology, St. Antonius Krankenhaus Eschweiler, Eschweiler, Germany.
Michael KiehlDept. Medicine I, Klinikum Frankfurt/Oder, FrankfurtOder, Germany.
Wolfgang SchütteDept. Internal Medicine II, Krankenhaus Martha-Maria, Halle, Germany.
Ralph NaumannDept. Hematology, Oncology and Palliative Care, St. Marien-Krankenhaus Siegen, Siegen, Germany.
Hartmut EimermacherDept. Hematology and Oncology, Katholisches Krankenhaus Hagen, Hagen, Germany.
Bernd DörkenDept. Hematology and Oncology, Charité Campus Virchow, Berlin, Germany.
Cristina SauerlandInstitute of Biometry and Clinical Research, University Hospital Münster, Münster, Germany.
Eva LengfelderIIIrd Medical Dept, University Hospital of Mannheim, Mannheim, Germany.
Wolfgang HiddemannIIIrd Medical Dept, University Hospital Großhadern, Munich, Germany.
Bernhard WörmannDivision of Hematology, Oncology and Tumour Immunology, Department of Medicine, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Carsten Müller-TidowDept. of Medicine A, University Hospital of Münster, Münster, Germany.
Hubert ServeDept. of Medicine A, University Hospital of Münster, Münster, Germany.
Christoph SchliemannDept. of Medicine A, University Hospital of Münster, Münster, Germany.
Rüdiger HehlmannMannheim, University of Heidelberg, Mannheim, Germany.
Wolfgang E BerdelDept. of Medicine A, University Hospital of Münster, Münster, Germany.
Markus Pfirrmann *Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie (IBE), Ludwig Maximilian Universität München, München, Germany.
Utz Krug *Dept. of Medicine A, University Hospital of Münster, Münster, Germany.
Verena S Hoffmann *Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie (IBE), Ludwig Maximilian Universität München, München, Germany.
Leipzig University · DEUniversity Hospital Münster · DEHeidelberg University · DEZimmer Biomet (Germany) · DEJena University Hospital · DEUniversitätsmedizin Greifswald · DEUniversity Hospital in Halle · DEUniversity of Mannheim · DECarl-Thiem-Klinikum Cottbus · DECharité - Universitätsmedizin Berlin · DEDeutsche Gesellschaft für Hämatologie und Medizinische Onkologie · DEEvangelisches Krankenhaus Hamm · DEGerman Cancer Research Center · DEGoethe University Frankfurt · DEHelios Hospital Schwerin · DEHelios Klinikum Erfurt · DEInternational University Institute · DEKatholisches Krankenhaus St. Johann Nepomuk · DEKlinikum Ernst von Bergmann · DEKlinikum Frankfurt Höchst · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A randomized inter-group trial comparing more intensive treatment strategies to a common standard arm 3 + 7 (CSA) was conducted in patients with non-M3 AML. Untreated patients ≥ 60 years were allocated to the CSA (n = 132) or to the study group arms (n = 1154) of the AMLCG (TAD/HAM versus HAM/HAM ± G-CSF followed by TAD and maintenance) and the OSHO (intermediate-dose ara-C/mitoxantrone followed by ara-C/mitoxantrone). Median age of the 1147 eligible patients was 69 (range 60-87) years. CR/CRi status at 90 days was not significantly different between the CSA (54% (95%CI: 45-64)) and the study group arms (53% (95%CI: 47-60) and 59% (95%CI: 58-63)). The five-year event-free survival (EFS) probability (primary endpoint) was 6.2% (95%CI: 2.7-14.0) in the CSA, 7.6% (95%CI: 4.5-12.8) in study group A and 11.1% (95%CI: 9.0-13.7) in B. The 5-year OS was 17.2% (95%CI: 11.0-26.9), 17.0% (95%CI: 2.0-23.9), and 19.5% (95%CI: 16.7-22.8) in CSA, study group A and B, respectively. Neither study group differed significantly from the CSA regarding EFS, OS, or relapse-free survival. In multivariate analyses, allocation to the treatment strategy was not significantly associated with the time-to-event endpoints. The evaluation of more intensive treatment strategies did not show clinically relevant outcome differences when compared to CSA.

Indexed as

Leukemia, Myeloid, AcuteMitoxantroneAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsCytarabineDaunorubicinDisease-Free SurvivalHumansMiddle AgedPrognosisRemission InductionCytarabineDaunorubicinMitoxantroneAcute myeloid leukemiaAllogeneic stem cell transplantationComplete remissionConsolidation therapyInduction therapyPrognostic factors

Identifiers

PMID36695874
PMCPMC9977880
OpenAlexW4317934575

What Socratic 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 Socratic graph.