Evidence map›Paper›PMID 20845478›Full record

ArticleCancer2011

Current event-free survival after sequential tyrosine kinase inhibitor therapy for chronic myeloid leukemia.

Aref Al-Kali, Hagop Kantarjian, Jianqin Shan, Roland Bassett, Alfonso Quintás-Cardama, Gautam Borthakur, Elias Jabbour, Srdan Verstovsek, Susan O'Brien, Jorge Cortes

Abstract read
In one paragraph

Article in Cancer, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Discovery ofMolecules (Basel, Switzerland) · 2025
    Article
  2. Article
  3. Chronic myeloid leukemia: sequencing of TKI therapies.Hematology. American Society of Hematology. Education Program · 2016
    Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Chronic myeloid leukemia: the race is yet to be won.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2012
    Article
  9. Article
  10. Review
  11. Front-line and salvage therapies with tyrosine kinase inhibitors and other treatments in chronic myeloid leukemia.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2011
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Aref Al-KaliDepartment of Leukemia, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030, USA.
Hagop Kantarjian
Jianqin Shan
Roland Bassett
Alfonso Quintás-Cardama
Gautam Borthakur
Elias Jabbour
Srdan Verstovsek
Susan O'Brien
Jorge Cortes

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
TOLERANCE INDUCTION BY MEGADOSE STEM CELL TRANSPLANTS IN CML--GVHD AND GVLP01CA049639 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI THALL, PETER F · 1990 to 2014
$41.8M
NCI NIH HHS P01 CA049639NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

backgroundImatinib is an effective tyrosine kinase inhibitor (TKI) for patients with chronic myeloid leukemia (CML) in chronic phase (CP). Although some patients may fail on therapy with imatinib, effective salvage therapy is available with second-generation TKIs. Current measurement of efficacy for each therapy is judged by its individual impact on overall survival and event-free survival (EFS).

methodsIn total, 586 patients with CML in CP who received imatinib were included in this analysis in 2 cohorts: imatinib as front-line therapy (n = 281) or after failure on interferon-α (IFN-α) (n = 305). By accounting for successful salvage treatment (ie, regain of complete cytogenetic response), the current EFS (CEFS) rate was calculated to obtain a more accurate impression of the outcome of patients with CML who received treatment with sequential TKIs.

resultsFor patients who received imatinib after failing on IFN-α, the 7-year EFS rate was 61%, whereas the CEFS rate was 69%. The 7-year EFS rate for patients who received imatinib as initial therapy was 81% compared with a 7-year CEFS rate of 88%.

conclusionsCEFS provided a more accurate representation of the outcome of patients with CML in CP. These patients may frequently be treated successfully with subsequent TKIs after experiencing failure on the first TKI.

Indexed as

Disease-Free SurvivalAdolescentAdultAgedAged, 80 and overBenzamidesFemaleHumansImatinib MesylateInterferon-alphaLeukemia, Myeloid, Chronic-PhaseMaleMiddle AgedPiperazinesProtein Kinase InhibitorsPyrimidinesBenzamidesImatinib MesylateInterferon-alphaPiperazinesProtein Kinase InhibitorsPyrimidines

Identifiers

PMID20845478
PMCPMC4327987

What OpenQuestion holds

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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 OpenQuestion graph.