Evidence map›Paper›PMID 26998677›Full record

ArticleCancer2016

Lymphocytosis after treatment with dasatinib in chronic myeloid leukemia: Effects on response and toxicity.

Charles A Schiffer, Jorge E Cortes, Andreas Hochhaus, Giuseppe Saglio, Philipp le Coutre, Kimmo Porkka, Satu Mustjoki, Hesham Mohamed, Neil P Shah

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

34 citing papers in PubMed, 58 citations in OpenAlex.

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  15. Lifelong TKI therapy: how to manage cardiovascular and other risks.Hematology. American Society of Hematology. Education Program · 2021
    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

9 authors at 9 institutions in 4 countries.

Charles A SchifferBarbara Ann Karmanos Cancer Institute, Wayne State University, Detroit, Michigan.
Jorge E CortesThe University of Texas M.D. Anderson Cancer Center, Houston, Texas.
Andreas HochhausJena University Hospital, Jena, Germany.
Giuseppe SaglioSan Luigi Gonaga Hospital, University of Turin, Orbassano-Turin, Italy.
Philipp le CoutreCharite-Campus Virchow Clinic, Berlin Medical University, Berlin, Germany.
Kimmo PorkkaDepartment of Hematology and Hematology Research Unit, Helsinki University Central Hospital Comprehensive Cancer Center, University of Helsinki, Helsinki, Finland.
Satu MustjokiDepartment of Hematology and Hematology Research Unit, Helsinki University Central Hospital Comprehensive Cancer Center, University of Helsinki, Helsinki, Finland.
Hesham MohamedBristol-Myers Squibb, Princeton, New Jersey.
Neil P ShahUniversity of California, San Francisco School of Medicine, San Francisco, California.
Bristol-Myers Squibb (United States) · USCharité - Universitätsmedizin Berlin · DEHelsinki University Hospital · FIJena University Hospital · DEThe University of Texas MD Anderson Cancer Center · USUniversity of California, San Francisco · USUniversity of Helsinki · FIUniversity of Turin · ITWayne State University · US

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

backgroundThe proliferation of clonal cytotoxic T-cells or natural killer cells has been observed after dasatinib treatment in small studies of patients with chronic myeloid leukemia (CML).

methodsThe incidence of lymphocytosis and its association with response, survival, and side effects were assessed in patients from 3 large clinical trials. Overall, 1402 dasatinib-treated patients with newly diagnosed CML in chronic phase (CML-CP), CML-CP refractory/intolerant to imatinib, or with CML in accelerated or myeloid-blast phase were analyzed.

resultsLymphocytosis developed in 32% to 35% of patients and persisted for >12 months. This was not observed in the patients who received treatment with imatinib. Dasatinib-treated patients in all stages of CML who developed lymphocytosis were more likely to achieve a complete cytogenetic response, and patients who had CML-CP with lymphocytosis were more likely to achieve major and deep molecular responses. Progression-free and overall survival rates were significantly longer in patients with CML-CP who were refractory to or intolerant of imatinib and had lymphocytosis. Pleural effusions developed more commonly in patients with lymphocytosis.

conclusionsOverall, lymphocytosis occurred and persisted in many dasatinib-treated patients in all phases of CML. Its presence was associated with higher response rates, significantly longer response durations, and increased overall survival, suggesting an immunomodulatory effect. Prospective studies are warranted to characterize the functional activity of these cells and to assess whether an immunologic effect against CML is detectable. Cancer 2016;122:1398-1407. © 2016 The Authors. Cancer published by Wiley Periodicals, Inc. on behalf of American Cancer Society.

Indexed as

Antineoplastic AgentsClinical Trials, Phase III as TopicDasatinibDisease-Free SurvivalFemaleHumansImatinib MesylateIncidenceKiller Cells, NaturalLeukemia, Myelogenous, Chronic, BCR-ABL PositiveLeukemia, Myeloid, Accelerated PhaseLeukemia, Myeloid, Chronic-PhaseLymphocytosisMaleMiddle AgedPleural EffusionAntineoplastic AgentsDasatinibImatinib MesylateProtein Kinase Inhibitorschronic myeloiddasatinibkiller cellsleukemialymphocytosisnaturalT-lymphocytes

Identifiers

PMID26998677
PMCPMC5071708
OpenAlexW2310036617

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.