Evidence map›Paper›PMID 26436949›Full record

ArticleLeukemia & lymphoma2016

Incidence and management of myelosuppression in patients with chronic- and accelerated-phase chronic myeloid leukemia treated with omacetaxine mepesuccinate.

Luke Akard, Hagop M Kantarjian, Franck E Nicolini, Meir Wetzler, Jeffrey H Lipton, Michele Baccarani, H Jean Khoury, Sandra Kurtin, Elizabeth Li, Mihaela Munteanu and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Leukemia & lymphoma, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Review
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

11 authors at 9 institutions in 4 countries.

Luke Akarda Indiana Blood and Marrow Transplantation St. Francis Franciscan Alliance , Indianapolis , IN , USA .
Hagop M Kantarjianb The University of Texas MD Anderson Cancer Center , Houston , TX , USA .
Franck E Nicolinic Centre Hospitalier Lyon Sud, Pierre Bénite, and INSERM U1052, Centre de Recherche contre le Cancer de Lyon , Lyon , France .
Meir Wetzlerd Roswell Park Cancer Institute , Buffalo , NY , USA .
Jeffrey H Liptone Princess Margaret Cancer Centre , Toronto , Ontario , Canada .
Michele Baccaranif University of Bologna , Bologna , Italy .
H Jean Khouryg Emory University School of Medicine , Atlanta , GA , USA .
Sandra Kurtinh University of Arizona Cancer Center , Tucson , AZ , USA .
Elizabeth Lii PharmaStat LLC , Newark , CA , USA , and.
Mihaela Munteanuj Teva Branded Pharmaceutical Products R&D , Frazer , PA , USA.
Jorge Cortesb The University of Texas MD Anderson Cancer Center , Houston , TX , USA .
The University of Texas MD Anderson Cancer Center · USCentre de Recherche en Cancérologie de Lyon · FREmory University · USFranciscan Health · USPrincess Margaret Cancer Centre · CARoswell Park Comprehensive Cancer Center · USTeva Pharmaceuticals (United States) · USUniversity of Arizona · USUniversity of Bologna · IT

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 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 SHPALL, ELIZABETH J · 1990 to 2014
$41.8M
NCI NIH HHS P01 CA049639NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Omacetaxine mepesuccinate (Synribo) is an inhibitor of protein synthesis indicated for the treatment of patients with chronic- or accelerated-phase chronic myeloid leukemia (CML) with resistance and/or intolerance to two or more tyrosine kinase inhibitors. Myelosuppression is the most common and clinically significant toxicity experienced by patients treated with omacetaxine. Here, we further examine the patterns of hematologic toxicity observed in clinical trials and describe the approach to management as well as resolution of events. Omacetaxine-related myelosuppression typically occurs more frequently during induction cycles. In general, the myelosuppression observed with omacetaxine treatment is manageable and reversible, and long-term administration is feasible. Careful monitoring, dose delays and reduction in administration days, and appropriate supportive care are critical for successful management of hematologic toxicity. Concerns regarding myelosuppression, observed with many cancer treatments, should not prevent eligible patients from receiving omacetaxine, particularly CML patients with unsatisfactory responses to multiple lines of prior treatment.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Agents, PhytogenicAntineoplastic Combined Chemotherapy ProtocolsBlood TransfusionDisease ManagementFemaleHarringtoninesHomoharringtonineHumansIncidenceLeukemia, Myeloid, Accelerated PhaseLeukemia, Myeloid, Chronic-PhaseLeukocyte CountMaleAntineoplastic Agents, PhytogenicHarringtoninesHomoharringtonineHematologic toxicityneutropeniaomacetaxine mepesuccinatesupportive carethrombocytopenia

Identifiers

PMID26436949
PMCPMC5552050
OpenAlexW1821529798

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.