Evidence map›Paper›PMID 26898188›Full record

Trial reportLeukemia2016

TGF-α and IL-6 plasma levels selectively identify CML patients who fail to achieve an early molecular response or progress in the first year of therapy.

E Nievergall, J Reynolds, C H Kok, D B Watkins, M Biondo, S J Busfield, G Vairo, K Fuller, W N Erber, T Sadras and 6 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Leukemia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
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  6. Article
  7. Expert Perspective: Hematologic Malignancies and Vasculitis.Arthritis & rheumatology (Hoboken, N.J.) · 2025
    Review
  8. Assessment of TNF α and IL-6 Levels in Indian Patients of CML and their Correlation with Early Molecular Response: An Observational Study.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
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  16. 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

16 authors at 7 institutions in 1 country.

E NievergallCancer Theme, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, SA, Australia.
J ReynoldsBiostatistics Platform, Faculty of Medicine, Nursing and Health Sciences, Monash University, The Alfred Centre, Melbourne, VIC, Australia.
C H KokCancer Theme, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, SA, Australia.
D B WatkinsCancer Theme, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, SA, Australia.
M BiondoCSL Limited, Parkville, VIC, Australia.
S J BusfieldCSL Limited, Parkville, VIC, Australia.
G VairoCSL Limited, Parkville, VIC, Australia.
K FullerSchool of Pathology and Laboratory Medicine, The University of Western Australia, Perth, WA, Australia.
W N ErberSchool of Pathology and Laboratory Medicine, The University of Western Australia, Perth, WA, Australia.
T SadrasCancer Theme, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, SA, Australia.
R GroseCancer Theme, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, SA, Australia.
D T YeungSchool of Medicine, University of Adelaide, Adelaide, SA, Australia.
A F LopezCentre for Cancer Biology, SA Pathology and UniSA, Adelaide, SA, Australia.
D K HiwaseSchool of Medicine, University of Adelaide, Adelaide, SA, Australia.
T P HughesCancer Theme, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, SA, Australia.
D L WhiteCancer Theme, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, SA, Australia.
South Australian Health and Medical Research Institute · AUCSL (Australia) · AUUniversity of Adelaide · AUSouth Australia Pathology · AUUniversity of Western Australia · AUThe Alfred Hospital · AUUniversity of South Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Early molecular response (EMR, BCR-ABL1 (IS)⩽10% at 3 months) is a strong predictor of outcome in imatinib-treated chronic phase chronic myeloid leukemia (CP-CML) patients, but for patients who transform early, 3 months may be too late for effective therapeutic intervention. Here, we employed multiplex cytokine profiling of plasma samples to test newly diagnosed CP-CML patients who subsequently received imatinib treatment. A wide range of pro-inflammatory and angiogenesis-promoting cytokines, chemokines and growth factors were elevated in the plasma of CML patients compared with that of healthy donors. Most of these normalized after tyrosine kinase inhibitor treatment while others remained high in remission samples. Importantly, we identified TGF-α and IL-6 as novel biomarkers with high diagnostic plasma levels strongly predictive of subsequent failure to achieve EMR and deep molecular response, as well as transformation to blast crisis and event-free survival. Interestingly, high TGF-α alone can also delineate a poor response group raising the possibility of a pathogenic role. This suggests that the incorporation of these simple measurements to the diagnostic work-up of CP-CML patients may enable therapy intensity to be individualized early according to the cytokine-risk profile of the patient.

Indexed as

Remission InductionBlast CrisisCytokinesDisease-Free SurvivalHumansInterleukin-6Leukemia, Myelogenous, Chronic, BCR-ABL PositiveLymphocyte ActivationPrecision MedicinePrognosisTime FactorsTransforming Growth Factor alphaCytokinesIL6 protein, humanInterleukin-6TGFA protein, humanTransforming Growth Factor alpha

Identifiers

PMID26898188
OpenAlexW2279003462

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.