Evidence map›Paper›PMID 19266256›Full record

ArticleInternational journal of hematology2009

Long-term efficacy of imatinib in a practical setting is correlated with imatinib trough concentration that is influenced by body size: a report by the Nagasaki CML Study Group.

Mari Sakai, Yasushi Miyazaki, Emi Matsuo, Yukiyoshi Moriuchi, Tomoko Hata, Takuya Fukushima, Yoshitaka Imaizumi, Daisuke Imanishi, Jun Taguchi, Masako Iwanaga and 31 more

Abstract read
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In one paragraph

Article in International journal of hematology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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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

41 authors.

Mari SakaiDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Yasushi MiyazakiDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan. y-miyaza@nagasaki-u.ac.jp.
Emi MatsuoDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Yukiyoshi MoriuchiNagasaki CML Study Group, Nagasaki, Japan.
Tomoko HataDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Takuya FukushimaDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Yoshitaka ImaizumiDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Daisuke ImanishiDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Jun TaguchiDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Masako IwanagaDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Hideki TsushimaNagasaki CML Study Group, Nagasaki, Japan.
Yoriko InoueNagasaki CML Study Group, Nagasaki, Japan.
Yumi TakasakiNagasaki CML Study Group, Nagasaki, Japan.
Takeshi TsuchiyaDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Minori KomodaDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Koji AndoDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Kensuke HorioDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Yuji MoriwakiNagasaki CML Study Group, Nagasaki, Japan.
Shinya TominagaDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Hidehiro ItonagaDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Kazuhiro NagaiDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Kunihiro TsukasakiDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Chizuko TsutsumiNagasaki CML Study Group, Nagasaki, Japan.
Yasushi SawayamaNagasaki CML Study Group, Nagasaki, Japan.
Reishi YamasakiNagasaki CML Study Group, Nagasaki, Japan.
Daisuke OgawaNagasaki CML Study Group, Nagasaki, Japan.
Yasuhisa KawaguchiNagasaki CML Study Group, Nagasaki, Japan.
Shuichi IkedaNagasaki CML Study Group, Nagasaki, Japan.
Shinichiro YoshidaNagasaki CML Study Group, Nagasaki, Japan.
Yasuyuki OnimaruNagasaki CML Study Group, Nagasaki, Japan.
Masayuki TawaraNagasaki CML Study Group, Nagasaki, Japan.
Sunao AtogamiNagasaki CML Study Group, Nagasaki, Japan.
Satoshi KoidaNagasaki CML Study Group, Nagasaki, Japan.
Tatsuro JohNagasaki CML Study Group, Nagasaki, Japan.
Masaomi YamamuraNagasaki CML Study Group, Nagasaki, Japan.
Yuji MatsuoNagasaki CML Study Group, Nagasaki, Japan.
Hisashi SodaNagasaki CML Study Group, Nagasaki, Japan.
Hiroaki NonakaNagasaki CML Study Group, Nagasaki, Japan.
Itsuro JinnaiNagasaki CML Study Group, Nagasaki, Japan.
Kazutaka KuriyamaNagasaki CML Study Group, Nagasaki, Japan.
Masao TomonagaDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Imatinib has dramatically improved long-term survival of chronic myelogenous leukemia (CML) patients. To analyze its efficacy in a practical setting, we registered most of CML patients in Nagasaki Prefecture of Japan. Of these, 73 patients received imatinib as an initial therapy. The overall survival rate of these patients was 88.7% at 6 years, and the cumulative complete cytogenetic response rate was 82.5% at 18 months. These results are comparable with the data of other reports including the IRIS study; however, the administered imatinib dose was smaller in our study than that in other reports. To address these discrepancies, we measured the trough concentration of imatinib among 35 patients. Although 39% of the patients were administered less than 400 mg/day, the trough level was comparable to those of previous reports. The trough level of imatinib showed a significant relationship with its efficacy, and was clearly related to dose of imatinib administrated and dose of imatinib divided by body surface area (BSA). Considering the smaller BSA of Japanese patients as compared to those of foreign origin, the results suggest that a lower dose of imatinib could maintain enough trough level and provided excellent results for the treatment of CML in our registry.

Indexed as

AdolescentAdultAgedAged, 80 and overAntineoplastic AgentsBenzamidesBody SizeFemaleHumansImatinib MesylateJapanLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMaleMiddle AgedPiperazinesPyrimidinesAntineoplastic AgentsBenzamidesImatinib MesylatePiperazinesPyrimidines

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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 OpenQuestion graph.