Evidence map›Paper›PMID 25586015›Full record

ArticleCancer2015

Final analysis of the efficacy and safety of omacetaxine mepesuccinate in patients with chronic- or accelerated-phase chronic myeloid leukemia: Results with 24 months of follow-up.

Jorge E Cortes, Hagop M Kantarjian, Delphine Rea, Meir Wetzler, Jeffrey H Lipton, Luke Akard, H Jean Khoury, Mauricette Michallet, Agnès Guerci-Bresler, Charles Chuah and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 53 citations in OpenAlex.

  1. Review
  2. Review
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  4. Article
  5. Review
  6. Review
  7. Exploiting Protein Translation Dependence in Multiple Myeloma with Omacetaxine-Based Therapy.Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Observational
  8. Potential ApproachesFrontiers in oncology · 2021
    Review
  9. Rhabdoid Tumors Are Sensitive to the Protein-Translation Inhibitor Homoharringtonine.Clinical cancer research : an official journal of the American Association for Cancer Research · 2020
    Article
  10. Review
  11. Article
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  15. Review
  16. Article
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  20. Screening of Conditionally Reprogrammed Patient-Derived Carcinoma Cells Identifies ERCC3-MYC Interactions as a Target in Pancreatic Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2016
    Article
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

19 authors at 16 institutions in 7 countries.

Jorge E CortesUniversity of Texas MD Anderson Cancer Center, Houston, Texas.
Hagop M Kantarjian
Delphine Rea
Meir Wetzler
Jeffrey H Lipton
Luke Akard
H Jean Khoury
Mauricette Michallet
Agnès Guerci-Bresler
Charles Chuah
Andrzej Hellmann
Raghunadharao Digumarti
Purvish M Parikh
Laurence Legros
Krzysztof Warzocha
Michele Baccarani
Elizabeth Li
Mihaela Munteanu
Franck E Nicolini
The University of Texas MD Anderson Cancer Center · USCentre Léon Bérard · FRDélégation Centre-Est · FREmory University · USGdańsk Medical University · PLHôpital l'Archet · FRHôpital Lyon Sud · FRHôpital Saint-Louis · FRIndiana Cancer Consortium · USInstytut Hematologii i Transfuzjologi · PLNational University of Singapore · SGNizam's Institute of Medical Sciences · INPrincess Margaret Cancer Centre · CARoswell Park Comprehensive Cancer Center · USTeva Pharmaceuticals (United States) · USUniversity of Bologna · IT

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Two-Spirit Films in Indigenous Cancer HealthP30CA016056 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI MARK G FRATTINI · 1985 to 2026
$116.6M
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 CA016672NCI NIH HHS CA049639NCI NIH HHS CA 16056NCI NIH HHS P01 CA049639NCI NIH HHS P30 CA016056NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

backgroundOmacetaxine, a protein synthesis inhibitor, is indicated in the United States for the treatment of patients with chronic-phase (CP) or accelerated-phase (AP) chronic myeloid leukemia (CML) with resistance and/or intolerance to 2 or more tyrosine kinase inhibitors.

methodsThe final analysis, with 24 months of follow-up, included additional efficacy and safety analyses to assess the benefit of long-term omacetaxine administration (1.25 mg/m(2) twice daily for 14 days every 28 days followed by 7 days every 28 days) in CP-CML and AP-CML patients receiving >3 cycles.

resultsEighteen percent of CP-CML patients achieved a major cytogenetic response (MCyR) with a median duration of 12.5 months (95% confidence interval [CI], 3.5 months to not reached [NR]); responses were maintained for ≥12 months in 3 of 14 responders, and the median overall survival (OS) was 40.3 months (95% CI, 23.8 months to NR). Among patients with AP-CML, 14% achieved or maintained a major hematologic response for a median of 4.7 months (95% CI, 3.6 months to NR); MCyR was not achieved, and the median OS was 14.3 months (95% CI, 6.7-18.7 months). In patients with CP-CML and patients with AP-CML who received >3 cycles of treatment (n = 50 and n = 14, respectively), the median OS was 49.3 months (95% CI, 23.8 months to NR) and 24.6 months (95% CI, 12-37.2 months), respectively. Grade 3 or higher hematologic toxicities were the major side effects (79% and 73% for CP-CML and AP-CML, respectively), with discontinuation due to toxicity in 10% of CP patients and in 5% of AP patients.

conclusionsThese results suggest that the long-term administration of omacetaxine is feasible with dose adjustments to manage toxicities and that omacetaxine provides a durable benefit for some patients.

Indexed as

AdultAgedAngiogenesis InhibitorsAntineoplastic Agents, PhytogenicDrug Administration ScheduleDrug Resistance, NeoplasmFemaleFollow-Up StudiesHarringtoninesHomoharringtonineHumansLeukemia, Myeloid, Accelerated PhaseLeukemia, Myeloid, Chronic-PhaseMaleMiddle AgedProtein Kinase InhibitorsAngiogenesis InhibitorsAntineoplastic Agents, PhytogenicHarringtoninesHomoharringtonineProtein Kinase InhibitorsProtein-Tyrosine Kinasesintoleranceprotein synthesis inhibitorresistanceT315Ityrosine kinase inhibitor (TKI)

Identifiers

PMID25586015
PMCPMC5650096
OpenAlexW1584179619

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.