Evidence map›Paper›PMID 40346311›Full record

ArticleLeukemia2025

Characteristics and outcomes of newly diagnosed acute myeloid Leukemia with KMT2A rearrangements.

Alex Bataller, Hannah E Goulart, Ghayas C Issa, Courtney D DiNardo, Naval Daver, Tapan Kadia, Alexandre Bazinet, Ian M Bouligny, Jayastu Senapati, Fadi G Haddad and 11 more

Abstract read
PubMed Publisher
In one paragraph

Article in Leukemia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Successful treatment of relapsedTherapeutic advances in hematology · 2026
    Article
  9. Review
  10. 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

21 authors.

Alex BatallerDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA. abataller@mdanderson.org.ORCID 0000-0002-6085-2745
Hannah E GoulartDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-1945-2571
Ghayas C IssaDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-4339-8683
Courtney D DiNardoDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0001-9003-0390
Naval DaverDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0001-7103-373X
Tapan KadiaDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-9892-9832
Alexandre BazinetDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Ian M BoulignyDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-4274-4249
Jayastu SenapatiDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-6831-2567
Fadi G HaddadDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-9702-8485
Gautam BorthakurDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0001-7679-6453
Koji SasakiDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-9140-0610
Nicholas J ShortDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-2983-2738
Musa YilmazDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-4498-4895
Guillermo Montalban-BravoDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-4533-5176
Guiling TangDepartment of Hematopathology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-9482-4806
Sanam LoghaviDepartment of Hematopathology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0001-8980-3202
Guillermo Garcia-ManeroDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-3631-2482
Farhad RavandiDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-7621-377X
Hagop KantarjianDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-1908-3307
Elias JabbourDepartment of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0003-4465-6119

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute myeloid leukemia (AML) with KMT2A rearrangement (KMT2Ar) has poor outcomes. We analyzed 1,611 patients with AML and 4.3% demonstrated rearrangements in KMT2A. Signaling-related genes (NRAS 30%, KRAS 23% and FLT3-TKD 16%) were the most frequently mutated in patients with KMT2Ar AML. Patients treated with intensive chemotherapy (IT) achieved a complete remission (CR)/CR with incomplete blood count recovery (CRi) rate of 81%, and when combined with venetoclax, the CR/CRi rate increased to 100%. Patients treated with low intensity treatment (LIT) achieved an CR/CRi rate of 33%, and when combined with venetoclax, the CR/CRi rate was 61%. For patients treated with IT, the 5-year overall survival (OS) and event-free survival (EFS) rates were 66% and 64%, respectively, compared with 7% in those treated with LIT. Thirty-nine patients (57%) underwent allogeneic stem cell transplantation after achieving CR/CRi. For patients treated with LIT, multivariate analysis demonstrated that N/KRAS mutations were predictive for OS (HR 2.93, 95% CI 1.18-7.29, P = 0.021) and EFS (HR 3.51, 95% CI 1.35-9.24, P = 0.01). In summary, outcomes in KMT2Ar AML have improved over years in patients treated with IT, whereas those treated with LIT continue to show poor survival, highlighting the need for novel combinations.

Indexed as

Gene RearrangementHistone-Lysine N-MethyltransferaseLeukemia, Myeloid, AcuteMyeloid-Lymphoid Leukemia ProteinAdolescentAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsFemaleHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedMutationPrognosisHistone-Lysine N-MethyltransferaseKMT2A protein, humanMyeloid-Lymphoid Leukemia Protein

Identifiers

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.