Evidence map›Paper›PMID 39506894›Full record

ArticleHaematologica2025

Outcomes with intensive treatment for acute myeloid leukemia: an analysis of two decades of data from the HARMONY Alliance.

Marta Anna Sobas, Amin T Turki, Angela Villaverde Ramiro, Alberto Hernández-Sánchez, Javier Martinez Elicegui, Teresa González, Raúl Azibeiro Melchor, María Abáigar, Laura Tur, Daniele Dall'Olio and 25 more

Abstract readMulticenter Study
In one paragraph

Article in Haematologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Pandora's Box of AML: HowBiomedicines · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Article
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

35 authors.

Marta Anna SobasDepartment of Hematology, Blood Neoplasm and Bone Marrow Transplantation, Wroclaw Medical University.
Amin T TurkiDepartment of Hematology and Oncology, Marienhospital University Hospital, Ruhr-University Bochum, Bochum.
Angela Villaverde RamiroInstitute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain; Cancer Research Center of Salamanca (USAL-CSIC), Salamanca.
Alberto Hernández-SánchezInstitute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain; Cancer Research Center of Salamanca (USAL-CSIC), Salamanca, Spain; Hematology Department, University Hospital of Salamanca, Salamanca.
Javier Martinez EliceguiInstitute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain; Cancer Research Center of Salamanca (USAL-CSIC), Salamanca.
Teresa GonzálezInstitute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain; Cancer Research Center of Salamanca (USAL-CSIC), Salamanca.
Raúl Azibeiro MelchorHematology Department, University Hospital of Salamanca, Salamanca.
María AbáigarInstitute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain; Cancer Research Center of Salamanca (USAL-CSIC), Salamanca.
Laura TurGMV Innovating Solutions, Valencia.
Daniele Dall'OlioIRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italia.
Eric SträngDepartment of Hematology, Oncology and Cancer Immunology, Campus Virchow, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin.
Jesse M TetteroDepartment of Hematology, Amsterdam University Medical Center location Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Gastone CastellaniDepartment of Medical and Surgical Sciences - DIMEC, University of Bologna, Bologna.
Axel BennerDivision of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg.
Konstanze DöhnerDepartment of Internal Medicine III, University Hospital Ulm, Ulm.
Christian ThiedeDepartment of Internal Medicine I, University Hospital Dresden, Dresden.
Klaus H MetzelerDepartment for Hematology, Cell Therapy and Hemostaseology, University of Leipzig Medical Center, Leipzig.
Torsten HaferlachMLL Munich Leukemia Laboratory, Munich.
Frederik DammDepartment of Hematology, Oncology and Cancer Immunology, Campus Virchow, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany; German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg.
Rosa AyalaHematology Department, Hospital Universitario 12 de Octubre, Complutense University CNIO Madrid.
Joaquín Martínez-LópezHematology Department, Hospital Universitario 12 de Octubre, Complutense University CNIO Madrid.
Ken I MillsPatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast.
Jorge SierraHospital Santa Creu Sant Pau, Barcelona.
Sören LehmannUppsala University Hospital, Uppsala.
Matteo G Della PortaIRCCS Humanitas Research Hospital, via Manzoni 56, 20089 Rozzano, Milan, Italy; and Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20072 Pieve Emanuele, Milan.
Jiri MayerDepartment of Internal Medicine, Hematology and Oncology, University Hospital Brno and Masaryk University.
Dirk ReinhardtDepartment of Pediatrics III, University Hospital Essen, University Duisburg-Essen, Essen.
Rubén Villoria MedinaGMV Innovating Solutions, Valencia.
Renate Schulze-RathBayer AG, Pharmaceuticals Division, Berlin.
Martje BarbusAbbVie Deutschland GmbH and Co KG, Wiesbaden.
Jesús María Hernández-RivasInstitute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain; Hematology Department, University Hospital of Salamanca, Salamanca.
Brian J P HuntlyDepartment of Haematology and Wellcome-MRC Cambridge Stem Cell Institute, University of Cambridge, Cambridge.
Gert OssenkoppeleCenter, Amsterdam UMC,location VUMC, Netherlands.
Hartmut DöhnerDepartment of Internal Medicine III, University Hospital Ulm, Ulm.
Lars BullingerDepartment of Hematology, Oncology and Cancer Immunology, Campus Virchow, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany; German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg. lars.bullinger@charite.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since 2017, targeted therapies combined with conventional intensive chemotherapy have started to improve outcomes of patients with acute myeloid leukemia (AML). However, even before these innovations, outcomes with intensive chemotherapy had improved, which has not yet been extensively studied. Thus, we used a large pan-European multicenter dataset of the HARMONY Alliance to evaluate treatment-time dependent outcomes over two decades. In 5,359 AML patients, we compared the impact of intensive induction therapy on outcome over four consecutive 5-year calendar periods from 1997 to 2016. During that time, the 5-year survival of AML patients improved significantly, also across different genetic risk groups. In particular, the 60-day mortality rate dropped from 13.0% to 4.7% over time. The independent effect of calendar periods on outcome was confirmed in multivariate models. Improvements were documented both for patients <60 and ≥60 years old, and in those treated with and without consolidating allogeneic hematopoietic stem cell transplantation (alloHCT). While survival of AML elderly patients remains poor, patients ≥60 years old overall have a 20% survival benefit at 5 years if they receive an alloHCT. While further outcome improvement in intensively treated AML patients will likely be driven by targeted treatment approaches, this pan-European HARMONY dataset can serve as a multicenter comparator for future studies.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsLeukemia, Myeloid, AcuteAdolescentAdultAgedAged, 80 and overEuropeFemaleHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedPrognosisTreatment OutcomeYoung Adult

Identifiers

PMID39506894
PMCPMC12050940

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.