Evidence map›Paper›PMID 22446502›Full record

Trial reportLeukemia2012

Early molecular and cytogenetic response is predictive for long-term progression-free and overall survival in chronic myeloid leukemia (CML).

B Hanfstein, M C Müller, R Hehlmann, P Erben, M Lauseker, A Fabarius, S Schnittger, C Haferlach, G Göhring, U Proetel and 24 more

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Leukemia, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 186 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
186citing papers in PubMed, 1 pooled it
34.4field-weighted citation impact, top 1% of its field
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

186 citing papers in PubMed, 1 synthesis or guideline pooled it, 416 citations in OpenAlex.

  1. Chronic Myelogenous Leukemia, Version 1.2014.Journal of the National Comprehensive Cancer Network : JNCCN · 2013
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  14. Final 5-Year Study Results of DASISION: The Dasatinib Versus Imatinib Study in Treatment-Naïve Chronic Myeloid Leukemia Patients Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
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126 more citing papers are in PubMed but not listed here.

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

34 authors at 20 institutions in 2 countries.

B HanfsteinIII Medizinische Universitätsklinik, Medizinische Fakultät Mannheim der Universität Heidelberg, Mannheim, Germany.
M C Müller
R Hehlmann
P Erben
M Lauseker
A Fabarius
S Schnittger
C Haferlach
G Göhring
U Proetel
H-J Kolb
S W Krause
W-K Hofmann
J Schubert
H Einsele
J Dengler
M Hänel
C Falge
L Kanz
A Neubauer
M Kneba
F Stegelmann
M Pfreundschuh
C F Waller
S Branford
T P Hughes
K Spiekermann
G M Baerlocher
M Pfirrmann
J Hasford
S Saußele
A Hochhaus
SAKK
German CML Study Group
Medizinische Fakultät MannheimHeidelberg University · DELMU Klinikum · DELudwig-Maximilians-Universität München · DEMunich Leukemia Laboratory (Germany) · DESouth Australia Pathology · AUUniversity Hospital Heidelberg · DEEvangelisches Krankenhaus Hamm · DEJena University Hospital · DEKlinikum Chemnitz · DEMedizinische Hochschule Hannover · DENuremberg Hospital · DEUniversitätsklinikum des Saarlandes · DEUniversitätsklinikum Erlangen · DEUniversitätsklinikum Tübingen · DEUniversitätsklinikum Würzburg · DEUniversity Hospital Schleswig-Holstein · DEUniversity Hospital Ulm · DEUniversity Medical Center Freiburg · DEZimmer Biomet (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the face of competing first-line treatment options for CML, early prediction of prognosis on imatinib is desirable to assure favorable survival or otherwise consider the use of a second-generation tyrosine kinase inhibitor (TKI). A total of 1303 newly diagnosed imatinib-treated patients (pts) were investigated to correlate molecular and cytogenetic response at 3 and 6 months with progression-free and overall survival (PFS, OS). The persistence of BCR-ABL transcript levels >10% according to the international scale (BCR-ABL(IS)) at 3 months separated a high-risk group (28% of pts; 5-year OS: 87%) from a group with >1-10% BCR-ABL(IS) (41% of pts; 5-year OS: 94%; P=0.012) and from a group with ≤1% BCR-ABL(IS) (31% of pts; 5-year OS: 97%; P=0.004). Cytogenetics identified high-risk pts by >35% Philadelphia chromosome-positive metaphases (Ph+, 27% of pts; 5-year OS: 87%) compared with ≤35% Ph+ (73% of pts; 5-year OS: 95%; P=0.036). At 6 months, >1% BCR-ABL(IS) (37% of pts; 5-year OS: 89%) was associated with inferior survival compared with ≤1% (63% of pts; 5-year OS: 97%; P<0.001) and correspondingly >0% Ph+ (34% of pts; 5-year OS: 91%) compared with 0% Ph+ (66% of pts; 5-year OS: 97%; P=0.015). Treatment optimization is recommended for pts missing these landmarks.

Indexed as

AdolescentAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBenzamidesCytarabineCytogenetic AnalysisDisease ProgressionFemaleFusion Proteins, bcr-ablHumansImatinib MesylateInterferonsLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMaleBenzamidesCytarabineFusion Proteins, bcr-ablImatinib MesylateInterferonsPiperazinesPyrimidines

Identifiers

PMID22446502
OpenAlexW2106266094

What OpenQuestion 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 OpenQuestion graph.