Evidence map›Paper›PMID 27890936›Full record

Trial reportLeukemia2017

Increased proportion of mature NK cells is associated with successful imatinib discontinuation in chronic myeloid leukemia.

M Ilander, U Olsson-Strömberg, H Schlums, J Guilhot, O Brück, H Lähteenmäki, T Kasanen, P Koskenvesa, S Söderlund, M Höglund and 21 more

Registry-linked trialAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Leukemia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01596114 (Multicenter Trial Estimating the Persistence of Molecular Remission in Chronic Myeloid Leukemia After Stopping TKI), which is not on this map. Cited by 149 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
149citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT01596114 phase3completednot on this map

Multicenter Trial Estimating the Persistence of Molecular Remission in Chronic Myeloid Leukemia After Stopping TKI

TypeinterventionalSponsorEuropean LeukemiaNetRan2012 to 2019Enrolled868ConditionsChronic Myeloid LeukemiaArmsStopping treatment with TKI
3 · Its place in the literature

Who cites it

149 citing papers in PubMed, 1 synthesis or guideline pooled it.

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89 more citing papers are in PubMed but not listed here.

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

31 authors.

M IlanderHematology Research Unit Helsinki, University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
U Olsson-StrömbergDivision of Hematology, Uppsala University Hospital, Uppsala, Sweden.
H SchlumsCentre for Infectious Medicine, Department of Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, Stockholm, Sweden.
J GuilhotInstitut National de la Sante' et de la Recherche Medicale (INSERM), CHU de Poitiers, Poitiers, France.
O BrückHematology Research Unit Helsinki, University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
H LähteenmäkiHematology Research Unit Helsinki, University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
T KasanenHematology Research Unit Helsinki, University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
P KoskenvesaHematology Research Unit Helsinki, University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
S SöderlundDivision of Hematology, Uppsala University Hospital, Uppsala, Sweden.
M HöglundDivision of Hematology, Uppsala University Hospital, Uppsala, Sweden.
B MarkevärnDepartment of Hematology, Umeå University Hospital, Umeå, Sweden.
A SjälanderDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
K LotfiDepartment of Hematology, Linköping University Hospital, Linköping, Sweden.
A DreimaneDepartment of Hematology, Linköping University Hospital, Linköping, Sweden.
A LübkingDepartment of Hematology and Vascular Disorders, Skåne University Hospital, Lund, Sweden.
E HolmDepartment of Hematology and Vascular Disorders, Skåne University Hospital, Lund, Sweden.
M BjöremanDepartment of Hematology, University Hospital, Örebro, Sweden.
S LehmannDivision of Hematology, Uppsala University Hospital, Uppsala, Sweden.
L StenkeDepartment of Medicine, Division of Hematology, Karolinska University Hospital, Stockholm, Sweden.
L OhmDepartment of Medicine, Division of Hematology, Karolinska University Hospital, Stockholm, Sweden.
T Gedde-DahlDepartment of Hematology, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
W MajeedDepartment of Hemato-oncology, Stavanger University hospital, Stavanger, Norway.
H EhrencronaDepartment of Clinical Genetics, Skåne University Hospital, Lund, Sweden.ORCID 0000-0002-5589-3622
S KoskelaFinnish Red Cross Blood Service, Research and Development, Helsinki, Finland.
S SausseleIII. Medizinische Klinik, Universitätsmedizin Mannheim, Universität Heidelberg, Mannheim, Germany.
F-X MahonInserm U1035, Université Bordeaux Segalen, Bordeaux, France.
K PorkkaHematology Research Unit Helsinki, University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
H Hjorth-HansenDepartment of Hematology, St Olavs University Hospital, Trondheim, Norway.
Y T BrycesonCentre for Infectious Medicine, Department of Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, Stockholm, Sweden.
J RichterDepartment of Hematology and Vascular Disorders, Skåne University Hospital, Lund, Sweden.
S MustjokiHematology Research Unit Helsinki, University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent studies suggest that a proportion of chronic myeloid leukemia (CML) patients in deep molecular remission can discontinue the tyrosine kinase inhibitor (TKI) treatment without disease relapse. In this multi-center, prospective clinical trial (EURO-SKI, NCT01596114) we analyzed the function and phenotype of T and NK cells and their relation to successful TKI cessation. Lymphocyte subclasses were measured from 100 imatinib-treated patients at baseline and 1 month after the discontinuation, and functional characterization of NK and T cells was done from 45 patients. The proportion of NK cells was associated with the molecular relapse-free survival as patients with higher than median NK-cell percentage at the time of drug discontinuation had better probability to stay in remission. Similar association was not found with T or B cells or their subsets. In non-relapsing patients the NK-cell phenotype was mature, whereas patients with more naïve CD56

Indexed as

Case-Control StudiesCytokinesDasatinibDisease-Free SurvivalHumansImatinib MesylateKiller Cells, NaturalLeukemia, Myelogenous, Chronic, BCR-ABL PositiveLymphocyte CountLymphocyte SubsetsProtein Kinase InhibitorsPyrimidinesWithholding TreatmentCytokinesDasatinibImatinib MesylatenilotinibProtein Kinase InhibitorsPyrimidines

Identifiers

PMID27890936
PMCPMC5420794

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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.