Evidence map›Paper›PMID 26797802›Full record

ArticleAllergy2016

Clinical features predict responsiveness to imatinib in platelet-derived growth factor receptor-alpha-negative hypereosinophilic syndrome.

P Khoury, R Desmond, A Pabon, N Holland-Thomas, J M Ware, D C Arthur, R Kurlander, M P Fay, I Maric, A D Klion

Registry-linked trialAbstract read
In one paragraph

Article in Allergy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00044304 (Efficacy of Tyrosine Kinase Inhibition in Reducing Eosinophilia in Patients With Myeloid and/or Steroid-Refractory Hypereosinophilic Syndrome), which is not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
8.1field-weighted citation impact, top 2% 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.

NCT00044304 phase2active not recruitingnot on this map

Efficacy of Tyrosine Kinase Inhibition in Reducing Eosinophilia in Patients With Myeloid and/or Steroid-Refractory Hypereosinophilic Syndrome

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2002 to 2027Enrolled70ConditionsEosinophilic Myeloid Neoplasm, Hypereosinophilic SyndromeArmsImatinib, Ruxolitinib
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Guideline
  2. Eosinophils and eosinophil-associated diseases: An update.The Journal of allergy and clinical immunology · 2018
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Benralizumab forThe New England journal of medicine · 2019
    Trial
  7. Trial
  8. Hypereosinophilic Syndrome Subtype Predicts Responsiveness to Glucocorticoids.The journal of allergy and clinical immunology. In practice
    Trial
  9. Article
  10. Article
  11. Article
  12. Review
  13. Biologics and Hypereosinophilic Syndromes: Knowledge Gaps and Controversies.The journal of allergy and clinical immunology. In practice · 2023
    Article
  14. HES and EGPA: Two Sides of the Same Coin.Mayo Clinic proceedings · 2023
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. 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

10 authors at 5 institutions in 2 countries.

P KhouryLaboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.
R DesmondNational Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
A PabonLaboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.
N Holland-ThomasClinical Research Directorate/Clinical Monitoring Research Program, Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, Maryland, 21702, MD, USA.
J M WareLaboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.
D C ArthurLaboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
R KurlanderDepartment of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD, USA.
M P FayBiostatistics Research Branch, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.
I MaricDepartment of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD, USA.
A D KlionLaboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.
National Institutes of Health · USNational Institute of Allergy and Infectious Diseases · USNational Institutes of Health Clinical Center · USFrederick National Laboratory for Cancer Research · USNational Cancer Institute · US

Funding

Eosinophils and Eosinophil Activation in the Pathogenesis of Human DiseaseZIAAI001130 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI KLION, AMY · 2010 to 2025
$22.5M
Clinical Cancer CytogeneticsZIDBC010694 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI ARTHUR, DIANE C · 2009 to 2016
$6.2M
Laboratory Assessment of Patients with Hypereosinophilic SyndromeZIACL080004 · CLC · CLINICAL CENTER · PI MARIC, IRINA · 2009 to 2025
$0k
CCR NIH HHS HHSN261200800001CIntramural NIH HHS Z99 AI999999NCI NIH HHS HHSN261200800001E
6 · The paper itself

Abstract

backgroundWith the exception of the presence of the FIP1L1-PDGFRA fusion gene, little is known about predictors of imatinib response in clinically-defined hypereosinophilic syndrome (HES).

methodsSubjects with FIP1L1-PDGFRA-myeloid neoplasm (FP; n =12), PDGFRA-negative HES with ≥4 criteria suggestive of a myeloid neoplasm (MHES; n =10), or steroid-refractory PDGFRA-negative HES with <4 myeloid criteria (SR; n = 5) were enrolled in a prospective study of imatinib therapy (NCT00044304: registered at clinicaltrials.gov). The primary outcome was an eosinophil count <1.5 × 109/L at one month and improvement of clinical symptoms. Clinical, molecular, and bone marrow responses to imatinib were assessed. A retrospective cohort of 18 subjects with clinically-defined HES who received imatinib (300-400 mg daily ≥ 1 month) were classified according to the criteria used in the prospective study.

resultsOverall, imatinib response rates were 100% in the FP group (n = 16), 54% in the MHES group (n = 13) and 0% in the SR group (n = 16). The presence of ≥ 4 myeloid features was the sole predictor of response. After ≥ 18 months in complete remission, imatinib was tapered and discontinued in 8 FP and 1 MHES subjects. Seven subjects (6 FP, 1 MHES) remain in remission off therapy for a median of 29 months (range 14-36).

conclusionsClinical features of MHES predict imatinib response in PDGFRA-negative HES.

Indexed as

PhenotypeAdolescentAdultAgedAged, 80 and overBiomarkersBone MarrowEosinophilsFemaleFollow-Up StudiesHumansHypereosinophilic SyndromeImatinib MesylateLeukocyte CountMaleMiddle AgedBiomarkersFIP1L1 protein, humanImatinib MesylatemRNA Cleavage and Polyadenylation FactorsProtein Kinase InhibitorsReceptor, Platelet-Derived Growth Factor alphaeosinophiliahypereosinophilic syndromeimatinibmyeloid neoplasmPDGFRA-negative

Identifiers

PMID26797802
PMCPMC6109366
OpenAlexW2276173742

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.