Enrollment on clinical trials does not improve survival for children with acute myeloid leukemia: A population-based study.

Abstract:

BACKGROUND:It is questionable whether enrollment on clinical trials offers any survival advantage at the population level over standard-of-care treatment. The objectives of this study were to describe the impact of trial enrollment on event-free survival and overall survival in pediatric acute myeloid leukemia (AML) using the Cancer in Young People in Canada (CYP-C) database. METHODS:Children were included if they had had AML newly diagnosed between ages birth and 14 years from 2001 to 2012. CYP-C is a national pediatric cancer population-based database that includes all cases of pediatric cancer diagnosed and treated at 1 of the 17 tertiary pediatric oncology centers in Canada. Univariate and Cox proportional hazards models were used to evaluate the impact of initial trial enrollment on survival. RESULTS:In total, 397 eligible children with AML were included in the analysis, of whom 94 (23.7%) were enrolled on a clinical trial at initial diagnosis. The most common reason for non-enrollment was that no trial was available. The event-free survival rate at 5 years was 57.8% ± 5.2% for those enrolled versus 54.8% ± 2.9% for those not enrolled (P = .75). The overall survival rate at 5 years was 70.1% ± 4.9% for those enrolled versus 66.3% ± 2.8% for those not enrolled (P = .58). Enrollment on a trial was not associated with improved event-free or overall survival in multiple regression analyses. CONCLUSIONS:Enrollment on a clinical trial was not associated with improved survival for children with AML in a population-based cohort. Rationale for trial enrollment should not include the likelihood of benefit compared with non-enrollment.

journal_name

Cancer

journal_title

Cancer

authors

Truong TH,Pole JD,Barber R,Dix D,Kulkarni KP,Martineau E,Randall A,Stammers D,Strahlendorf C,Strother D,Sung L

doi

10.1002/cncr.31728

subject

Has Abstract

pub_date

2018-10-15 00:00:00

pages

4098-4106

issue

20

eissn

0008-543X

issn

1097-0142

journal_volume

124

pub_type

杂志文章

相关文献

CANCER文献大全
  • Prostatic intra-epithelial neoplasia and early invasion in prostate cancer.

    abstract::Prostatic intra-epithelial neoplasia (PIN, or intraductal dysplasia) is considered a precursor of invasive carcinoma, characterized by proliferation and anaplasia of cells lining prostatic ducts and acini. The highest grade of PIN, Grade 3, is thought to represent carcinoma in situ. To quantitate the degree of disrupt...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19870215)59:4<788::aid-cncr28205

    authors: Bostwick DG,Brawer MK

    更新日期:1987-02-15 00:00:00

  • HL-A in cancer family "N".

    abstract::Actual HL-A typing has been performed on 115 members of cancer family N, a large kindred (over 1000 members ascertained) showing the findings consistent with the cancer family syndrome. In the cancer-prone line (branches C and D) of the family, 20 of 21 members with cancer had one HL-A haplotype, HL-A2-HL-A12 (relativ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197510)36:4<1315::aid-cncr282036

    authors: Lynch HT,Thomas RJ,Terasaki PI,Ting A,Guirgis HA,Kaplan AR,Magee H,Lynch J,Kraft C,Chaperon E

    更新日期:1975-10-01 00:00:00

  • Prostate cancer risk in the Swedish AMORIS study: the interplay among triglycerides, total cholesterol, and glucose.

    abstract:BACKGROUND:In a cohort including 5112 prostate cancer (pCa) patients, the authors investigated associations among triglycerides (TG), total cholesterol (TC), and pCa while taking into account glucose. METHODS:A cohort (n = 200,660) based on 4 groups of men, according to age at cohort entry, with TG, TC, and glucose me...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.25758

    authors: Van Hemelrijck M,Garmo H,Holmberg L,Walldius G,Jungner I,Hammar N,Lambe M

    更新日期:2011-05-15 00:00:00

  • Phase 2 study of dasatinib in patients with alveolar soft part sarcoma, chondrosarcoma, chordoma, epithelioid sarcoma, or solitary fibrous tumor.

    abstract:BACKGROUND:Alveolar soft part sarcoma (ASPS), chondrosarcoma (CS), chordoma, epithelioid sarcoma, and solitary fibrous tumor (SFT) are malignant tumors that are relatively resistant to chemotherapy and for which more effective drug therapy is needed. METHODS:The 5 listed subtypes were enrolled into a single indolent s...

    journal_title:Cancer

    pub_type: 杂志文章,多中心研究

    doi:10.1002/cncr.30379

    authors: Schuetze SM,Bolejack V,Choy E,Ganjoo KN,Staddon AP,Chow WA,Tawbi HA,Samuels BL,Patel SR,von Mehren M,D'Amato G,Leu KM,Loeb DM,Forscher CA,Milhem MM,Rushing DA,Lucas DR,Chugh R,Reinke DK,Baker LH

    更新日期:2017-01-01 00:00:00

  • Liver pathology following hepatic arterial infusion chemotherapy. Hepatic toxicity with FUDR.

    abstract::The authors reviewed the liver histopathology and the clinical features of eight patients with liver metastases from colorectal cancer who were treated by hepatic arterial infusion chemotherapy (HAIC) via an implantable pump (Infusaid). Before HAIC, these patients had no evidence of hepatitis, and results of liver bio...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19860815)58:4<855::aid-cncr28205

    authors: Doria MI Jr,Shepard KV,Levin B,Riddell RH

    更新日期:1986-08-15 00:00:00

  • Intraabdominal desmoplastic small cell tumor. Report and discussion of five cases.

    abstract:BACKGROUND:Intraabdominal desmoplastic small cell tumor is a rare malignancy that has only recently been described. In the adult population, it is usually seen in young males. The tumor appears to arise as a dominant mass or masses in the abdominal cavity, particularly in the pelvic region, without a clear visceral ori...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(SICI)1097-0142(19960815)78:4<845::AID-CNC

    authors: Amato RJ,Ellerhorst JA,Ayala AG

    更新日期:1996-08-15 00:00:00

  • Association of p53 codon 72 polymorphism with risk of second primary malignancy in patients with squamous cell carcinoma of the head and neck.

    abstract:BACKGROUND:p53 plays a critical role in cellular anticancer mechanisms, and has been correlated with second primary malignancy (SPM) development. A common polymorphism in codon 72 of p53 results in an amino acid substitution and could influence p53 function. The authors hypothesized that p53 codon 72 polymorphism may b...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.25072

    authors: Li F,Sturgis EM,Chen X,Zafereo ME,Wei Q,Li G

    更新日期:2010-05-15 00:00:00

  • Clinicopathologic features and prognosis of resected hepatocellular carcinomas of varied sizes with special reference to proliferating cell nuclear antigen.

    abstract:BACKGROUND:Proliferating cell nuclear antigen (PCNA) is an intranuclear protein that is linked closely to the cell cycle. An immunohistochemical study was performed on the expression of PCNA in various sized hepatocellular carcinomas (HCCs) to determine the relation between the proliferative activity of cancer cells an...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19950801)76:3<399::aid-cncr28207

    authors: Suehiro T,Matsumata T,Itasaka H,Yamamoto K,Kawahara N,Sugimachi K

    更新日期:1995-08-01 00:00:00

  • Association between adherence to National Comprehensive Cancer Network treatment guidelines and improved survival in patients with colon cancer.

    abstract:BACKGROUND:The objective of the current study was to examine the impact of adherence to guidelines on stage-specific survival outcomes in patients with stage III and high-risk stage II colon cancer. The National Comprehensive Cancer Network (NCCN) has established working, expert consensus, and evidence-based guidelines...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.27935

    authors: Boland GM,Chang GJ,Haynes AB,Chiang YJ,Chagpar R,Xing Y,Hu CY,Feig BW,You YN,Cormier JN

    更新日期:2013-04-15 00:00:00

  • Clinical significance of vascular endothelial growth factor-C and vascular endothelial growth factor receptor 3 in patients with T1 lung adenocarcinoma.

    abstract:BACKGROUND:Vascular endothelial growth factor-C (VEGF-C) plays an important role in lymphangiogenesis and activates VEGF receptor-3 (VEGFR-3). Lymphatic spread is an important prognostic factor in patients with lung adenocarcinoma. The aim of the current study was to determine whether the expression of VEGF-C and VEGFR...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.21366

    authors: Kojima H,Shijubo N,Yamada G,Ichimiya S,Abe S,Satoh M,Sato N

    更新日期:2005-10-15 00:00:00

  • Highlights of the evidence of benefit for women aged 40-49 years from the 14-year follow-up of the Breast Cancer Detection Demonstration Project.

    abstract::Randomized breast cancer screening trials are helpful in establishing evidence of benefit when they yield statistically significant results. The results of individual randomized screening trials can vary greatly depending on the quality of the images, the frequency of screening, compliance, contamination, sample size,...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/cncr.2820741314

    authors: Smart CR

    更新日期:1994-07-01 00:00:00

  • Acinic cell tumor of the bronchus.

    abstract::A bronchogenic tumor was removed from a 12-year-old girl. Histology showed a clear cell lesion with electron microscope features compatible with serous acinic cell origin. ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197608)38:2<830::aid-cncr2820380

    authors: Katz DR,Bubis JJ

    更新日期:1976-08-01 00:00:00

  • Diagnosis of orbital tumors by aspiration biopsy guided by computerized tomography.

    abstract::Thin-needle aspiration biopsy (TNAB) was performed on 22 patients with orbital tumors. Nine patients were studied before the introduction of computed tomography (CT) and only two cytologic diagnoses could be established. Thirteen aspiration biopsies guided by CT were successful. The technique of the CT-guided TNAB of ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19841201)54:11<2385::aid-cncr282

    authors: Czerniak B,Woyke S,Daniel B,Krzysztolik Z,Koss LG

    更新日期:1984-12-01 00:00:00

  • Does socioeconomic status account for racial and ethnic disparities in childhood cancer survival?

    abstract:BACKGROUND:For many childhood cancers, survival is lower among non-Hispanic blacks and Hispanics in comparison with non-Hispanic whites, and this may be attributed to underlying socioeconomic factors. However, prior childhood cancer survival studies have not formally tested for mediation by socioeconomic status (SES). ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.31560

    authors: Kehm RD,Spector LG,Poynter JN,Vock DM,Altekruse SF,Osypuk TL

    更新日期:2018-10-15 00:00:00

  • DNA content measurement can be obtained using archival material for DNA flow cytometry. A comparison with cytogenetic analysis in 56 pediatric solid tumors.

    abstract:BACKGROUND:Although flow cytometry (FCM) has become a widely used technique for the measurement of DNA content in solid tumors, the correlation of ploidy analysis by FCM with cytogenetic analysis (CGA) is not well described. The sensitivities of G-banded CGA and FCM were compared to determine the accuracy of the DNA in...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19930915)72:6<2033::aid-cncr2820

    authors: Dressler LG,Duncan MH,Varsa EE,McConnell TS

    更新日期:1993-09-15 00:00:00

  • Gender differences in the effect of grief reactions and burnout on emotional distress among clinical oncologists.

    abstract:BACKGROUND:The current study was conducted to examine gender differences in the effect of grief reactions and burnout on emotional distress among clinical oncologists. METHODS:The participants included a convenience sample of 178 oncologists from Israel (52 of whom were women) and Canada (48 of whom were women). Oncol...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.30236

    authors: Granek L,Krzyzanowska MK,Nakash O,Cohen M,Ariad S,Barbera L,Levy R,Ben-David M

    更新日期:2016-12-01 00:00:00

  • Long-term outcomes and clinicopathologic differences of African-American versus white patients treated with breast conservation therapy for early-stage breast cancer.

    abstract:BACKGROUND:African-American (AA) and white patients with early-stage disease who were treated with breast conservation therapy (BCT) were examined to detect differences in clinicopathologic features and outcomes as a function of race. METHODS:Clinical data from the charts of 2164 white and 207 AA patients treated with...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.23881

    authors: Moran MS,Yang Q,Harris LN,Jones B,Tuck DP,Haffty BG

    更新日期:2008-11-01 00:00:00

  • Leukemic iritis with hypopyon.

    abstract::A patient with acute lymphoblastic leukemia who had received CNS sanctuary treatment with cranial X-irradiation and intrathecal methotrexate displayed his first sign of relapse as iritis with malignant hypopyon. Treatment included topical and subconjunctival corticosteroids and local X-irradiation. Leukemic infiltrati...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197910)44:4<1511::aid-cncr282044

    authors: Gruenewald RL,Perry MC,Henry PH

    更新日期:1979-10-01 00:00:00

  • Combination chemotherapy and adriamycin in patients with advanced breast cancer. A Southwest Oncology Group study.

    abstract::In January, 1972, the Southwest Oncology Group initiated two randomized studies for patients with advanced breast cancer. The study for patients with prior chemotherapy showed a 33% response rate with adriamycin. The study for patients without previous chemotherapy consisted of three treatment regimens; a weekly repea...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/1097-0142(197607)38:1<13::aid-cncr28203801

    authors: Hoogstraten B,George SL,Samal B,Rivkin SE,Costanzi JJ,Bonnet JD,Thigpen T,Braine H

    更新日期:1976-07-01 00:00:00

  • Management of asparaginase induced hemorrhagic pancreatitis complicated by pseudocyst.

    abstract::Asparaginase induced hemorrhagic pancreatitis is a rare but serious development occurring in less than 0.5% of patients treated with this drug. Severe pancreatitis with progressive abdominal distention, toxemia, hypotension and respiratory insufficiency occurred in an 18-year-old patient with acute lymphoblastic leuke...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197902)43:2<718::aid-cncr2820430

    authors: Greenstein R,Nogeire C,Ohnuma T,Greenstein A

    更新日期:1979-02-01 00:00:00

  • Hand-mirror variant of acute lymphoblastic leukemia. Evidence for early T-cell lineage in two cases by evaluation with monoclonal antibodies.

    abstract::Lymphoid cells from two patients with hand-mirror variant of acute lymphoblastic leukemia (ALL) were studied with various monoclonal antibodies in attempts to determine their derivation and differentiation. The predominant feature of the malignant bone marrow cells was strong reactivity with antibody 3A1, which stains...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19850101)55:1<77::aid-cncr282055

    authors: Gramatzki M,Strong DM,Duval-Arnould B,Morstyn G,Schumacher HR

    更新日期:1985-01-01 00:00:00

  • A Southwest Oncology Group phase II Trial of recombinant tumor necrosis factor in metastatic breast cancer.

    abstract::New approaches are needed in the treatment of advanced breast cancer. In vitro studies have shown that recombinant tumor necrosis factor (TNF) is a growth inhibitor for the MCF-7, ZR-75-1, and BT-20 human breast cancer cell lines. Based on these considerations, the Southwest Oncology Group performed a Phase II trial o...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章

    doi:10.1002/1097-0142(19911015)68:8<1694::aid-cncr2820

    authors: Budd GT,Green S,Baker LH,Hersh EP,Weick JK,Osborne CK

    更新日期:1991-10-15 00:00:00

  • Hypoxic radiosensitizers in radical radiotherapy for patients with bladder carcinoma: hyperbaric oxygen, misonidazole, and accelerated radiotherapy, carbogen, and nicotinamide.

    abstract:BACKGROUND:In animal models carbogen (normobaric 95% oxygen, 5% carbon dioxide) provides significant enhancement of local tumor control with fractionated radiotherapy. This approach to radiosensitization has been evaluated in the treatment of patients with bladder carcinoma using radical radiotherapy. METHODS:Sixty-on...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Hoskin PJ,Saunders MI,Dische S

    更新日期:1999-10-01 00:00:00

  • Fine-needle aspiration of thyroid nodules: correlation between cytology and histology and evaluation of discrepant cases.

    abstract:BACKGROUND:The purpose of this study was to evaluate the results of thyroid fine-needle aspiration (FNA) and to determine the reasons for the discrepancies between the cytologic and histologic diagnoses. METHODS:The authors evaluated the cytologic and histologic results of 133 FNAs obtained from 92 patients who underw...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19970825)81:4<253::aid-cnc

    authors: Sidawy MK,Del Vecchio DM,Knoll SM

    更新日期:1997-08-25 00:00:00

  • HER-2/neu gene amplification in relation to expression of HER2 and HER3 proteins in patients with esophageal adenocarcinoma.

    abstract:BACKGROUND:Human epidermal growth factor receptor 2 (HER2) is a therapeutic target in patients with esophageal adenocarcinoma (EAC), with gene amplification used as a selection criterion for treatment, although to the authors' knowledge the concordance between amplification and HER2 protein expression remains undefined...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.28435

    authors: Yoon HH,Sukov WR,Shi Q,Sattler CA,Wiktor AE,Diasio RB,Wu TT,Jenkins RB,Sinicrope FA

    更新日期:2014-02-01 00:00:00

  • Utility of prospective pathologic evaluation to inform clinical genetic testing for hereditary leiomyomatosis and renal cell carcinoma.

    abstract:BACKGROUND:Patients with hereditary leiomyomatosis and renal cell carcinoma (HLRCC) resulting from fumarate hydratase (FH) mutations may present with skin, uterine, and renal tumors, with each having unique pathologic features. This study investigated the association between prospectively identified suspicious patholog...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.30605

    authors: Kopp RP,Stratton KL,Glogowski E,Schrader KA,Rau-Murthy R,Russo P,Coleman JA,Offit K

    更新日期:2017-07-01 00:00:00

  • A population-based study evaluating the impact of sunitinib on overall survival in the treatment of patients with metastatic renal cell cancer.

    abstract:BACKGROUND:Sunitinib has replaced interferon (IFN) as a first-line standard of care in the treatment of metastatic renal cell carcinoma (RCC). This study aimed to determine overall survival and to confirm effectiveness in a population that includes poor prognosis patients. METHODS:Data were collected on all patients i...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.24051

    authors: Heng DY,Chi KN,Murray N,Jin T,Garcia JA,Bukowski RM,Rini BI,Kollmannsberger C

    更新日期:2009-02-15 00:00:00

  • Peritoneal papillary serous carcinoma with long-term survival.

    abstract::Three cases of peritoneal papillary serous carcinoma with a complete response to chemotherapy and long-term disease free survival are reported. All three patients presented with multifocal or diffuse peritoneal involvement. Microscopic ovarian serosal surface involvement was demonstrated in two cases. The ovaries were...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19860915)58:6<1371::aid-cncr2820

    authors: Chen KT,Flam MS

    更新日期:1986-09-15 00:00:00

  • The EML4-ALK fusion gene is involved in various histologic types of lung cancers from nonsmokers with wild-type EGFR and KRAS.

    abstract:BACKGROUND:The echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase (EML4-ALK) fusion gene resulting from the chromosome inversion inv(2)(p21;p23) recently was identified in nonsmall cell lung cancer (NSCLC). The authors of this study investigated the frequency, genetic and clinicopathologic prof...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.24181

    authors: Wong DW,Leung EL,So KK,Tam IY,Sihoe AD,Cheng LC,Ho KK,Au JS,Chung LP,Pik Wong M,University of Hong Kong Lung Cancer Study Group.

    更新日期:2009-04-15 00:00:00

  • Significance of secondary ultrasonographic endometrial thickening in postmenopausal tamoxifen-treated women.

    abstract:BACKGROUND:Ultrasonography has a limited value in endometrial assessment for identification of endometrial pathologies in postmenopausal tamoxifen-treated patients. METHODS:We compared the rate of endometrial pathologies and the mean +/- SD of endometrial thickness diagnosed after the first and second transvaginal ult...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.10587

    authors: Cohen I,Azaria R,Shapira J,Yigael D,Tepper R

    更新日期:2002-06-15 00:00:00