Evidence map›Paper›PMID 25540064›Full record

Trial reportInternational journal of hematology2015

A phase 1/2 study of bosutinib in Japanese adults with Philadelphia chromosome-positive chronic myeloid leukemia.

Chiaki Nakaseko, Naoto Takahashi, Kenichi Ishizawa, Yukio Kobayashi, Kazuteru Ohashi, Yasunori Nakagawa, Kazuhito Yamamoto, Koichi Miyamura, Masafumi Taniwaki, Masaya Okada and 5 more

Abstract readClinical Trial, Phase IClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in International journal of hematology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

17 citing papers in PubMed, 28 citations in OpenAlex.

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  7. Targeting BCR-ABL1-positive leukaemias: a review article.Cambridge prisms. Precision medicine · 2023
    Review
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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

15 authors at 11 institutions in 1 country.

Chiaki NakasekoDepartment of Hematology, Chiba University Hospital, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8677, Japan, chiaki-nakaseko@faculty.chiba-u.jp.
Naoto Takahashi
Kenichi Ishizawa
Yukio Kobayashi
Kazuteru Ohashi
Yasunori Nakagawa
Kazuhito Yamamoto
Koichi Miyamura
Masafumi Taniwaki
Masaya Okada
Tatsuya Kawaguchi
Atsushi Shibata
Yosuke Fujii
Chiho Ono
Kazunori Ohnishi
Pfizer (Japan) · JPAichi Cancer Center · JPAkita University · JPChiba University Hospital · JPHamamatsu University School of Medicine · JPHyogo Medical University · JPJapanese Red Cross Medical Center · JPKumamoto University Hospital · JPTohoku University Hospital · JPTokyo Metropolitan Komagome Hospital · JPUniversity Hospital Kyoto Prefectural University of Medicine · JP

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
6 · The paper itself

Abstract

This phase 1/2 study evaluated the safety and pharmacokinetics (part 1) and efficacy and safety (part 2) of bosutinib in Japanese Philadelphia chromosome-positive (Ph+) chronic-phase (CP) or advanced-phase chronic myeloid leukemia (CML) patients resistant/intolerant to previous imatinib (2L) or imatinib+dasatinib/nilotinib (3L). Based on dose-limiting toxicities and previous studies, the part 2 bosutinib starting dose was 500 mg/day (n = 63). For CP CML 2L (n = 28), the cumulative major cytogenetic response (MCyR) rate by week 24 was 36 % (primary endpoint); the cumulative major molecular response (MMR) rate through the study was 43 %. Transformation to accelerated/blast phase (AP/BP) was observed in one patient. Progression-free survival (PFS) and overall survival (OS) rates at 96 weeks were 94 and 96 %, respectively. Of seven advanced-phase 2L patients, one had confirmed complete hematologic response at week 84, and one had AP/BP transformation. PFS and OS rates at week 96 were 21 and 43 %. For 3L (n = 11), cumulative MCyR rate by week 24 was 18 %; cumulative MMR rate was 18 %; no transformations occurred. Common non-hematologic adverse events (AEs) were diarrhea (95 %), rash (57 %), and nasopharyngitis (51 %). Sixteen patients discontinued due to adverse events; no deaths occurred within 30 days of the last dose. Bosutinib 500 mg/day demonstrated efficacy and manageable toxicity in Japanese Ph+ CML patients resistant/intolerant to imatinib.

Indexed as

Philadelphia ChromosomeAdultAgedAniline CompoundsAntineoplastic AgentsAsian PeopleDisease ProgressionDrug Resistance, NeoplasmFemaleHumansJapanLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMaleMiddle AgedNeoplasm StagingNitrilesAniline CompoundsAntineoplastic AgentsbosutinibNitrilesProtein Kinase InhibitorsQuinolines

Identifiers

PMID25540064
OpenAlexW2044042722

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.