Evidence map›Paper›PMID 28364360›Full record

Trial reportJournal of cancer research and clinical oncology2017

Impact of age on efficacy and toxicity of nilotinib in patients with chronic myeloid leukemia in chronic phase: ENEST1st subanalysis.

Francis J Giles, Delphine Rea, Gianantonio Rosti, Nicholas C P Cross, Juan Luis Steegmann, Laimonas Griskevicius, Philipp le Coutre, Daniel Coriu, Ljubomir Petrov, Gert J Ossenkoppele and 10 more

Abstract readClinical Trial
In one paragraph

Trial report in Journal of cancer research and clinical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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.

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

17 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. The argument for using imatinib in CML.Hematology. American Society of Hematology. Education Program · 2018
    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

20 authors.

Francis J GilesDivision of Hematology Oncology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. frankgiles@aol.com.
Delphine ReaService d'Hématologie Adulte, Hôpital Saint-Louis, Paris, France.
Gianantonio RostiDepartment of Experimental, Diagnostic and Specialty Medicine, "Seràgnoli" Institute of Hematology, "S. Orsola-Malpighi" University Hospital, University of Bologna, Bologna, Italy.
Nicholas C P CrossFaculty of Medicine, University of Southampton, Southampton, UK.
Juan Luis SteegmannHematology Department, IIS-IP, Hospital Universitario de la Princesa, Madrid, Spain.
Laimonas GriskeviciusVilnius University Hospital Santariskiu Clinics, Vilnius University, Vilnius, Lithuania.
Philipp le CoutreCharité - Universitätsmedizin Berlin Campus Virchow, Berlin, Germany.
Daniel CoriuFundeni Clinical Institute, University of Medicine "Carol Davila" Bucharest, Bucharest, Romania.
Ljubomir PetrovIon Chiricuta Instititute of Oncology, Cluj-Napoca, Romania.
Gert J OssenkoppeleDepartment of Hematology, VU University Medical Center, Amsterdam, The Netherlands.
Francois-Xavier MahonHematology Laboratory, Bordeaux University, Bordeaux, France.
Susanne SausseleUniversitätsmedizin Mannheim, Universität Heidelberg, Mannheim, Germany.
Andrzej HellmannDepartment of Hematology, Medical University of Gdansk, Gdansk, Poland.
Perttu KoskenvesaHelsinki University Hospital Comprehensive Cancer Center, Department of Hematology and Hematology Research Unit Helsinki, University of Helsinki, Helsinki, Finland.
Tim H BrümmendorfDepartment of Hematology, Oncology, Hemostaseology, and Stem Cell Transplantation, University Hospital of the RWTH Aachen, Aachen, Germany.
Gunther GastlInternal Medicine V, Hematology and Oncology, Medical University Innsbruck, Innsbruck, Austria.
Fausto CastagnettiDepartment of Experimental, Diagnostic and Specialty Medicine, "Seràgnoli" Institute of Hematology, "S. Orsola-Malpighi" University Hospital, University of Bologna, Bologna, Italy.
Beatrice VincenziNovartis Oncology Italy, Origgio, VA, Italy.
Jens HaenigNovartis Pharma GmbH, Nuremberg, Germany.
Andreas HochhausKlinik für Innere Medizin II/Hämatologie, Onkologie, Universitätsklinikum Jena, Jena, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAchievement of deep molecular response with a tyrosine kinase inhibitor in patients with chronic myeloid leukemia (CML) is required to attempt discontinuation of therapy in these patients. The current subanalysis from the Evaluating Nilotinib Efficacy and Safety in Clinical Trials as First-Line Treatment (ENEST1st) study evaluated whether age has an impact on the achievement of deeper molecular responses or safety with frontline nilotinib in patients with CML.

methodsENEST1st is an open-label, multicenter, single-arm, prospective study of nilotinib 300 mg twice daily in patients with newly diagnosed CML in chronic phase. The patients were stratified into the following 4 groups based on age: young (18-39 years), middle age (40-59 years), elderly (60-74 years), and old (≥75 years). The primary end point was the rate of molecular response 4 ([MR

resultsOf the 1091 patients enrolled, 1089 were considered in the analysis, of whom, 23% (n = 243), 45% (n = 494), 27% (n = 300), and 5% (n = 52) were categorized as young, middle age, elderly, and old, respectively. At 18 months, the rates of MR

conclusionsThis subanalysis of the ENEST1st study showed that age did not have a relevant impact on the deep molecular response rates associated with nilotinib therapy in newly diagnosed patients with CML and eventually on the eligibility of the patients to attempt treatment discontinuation.

Indexed as

AdultAgedAged, 80 and overDisease-Free SurvivalFemaleFusion Proteins, bcr-ablHumansLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMaleMiddle AgedProtein Kinase InhibitorsPyrimidinesTreatment OutcomeFusion Proteins, bcr-ablnilotinibProtein Kinase InhibitorsPyrimidinesChronic myeloid leukemiaClinical trialFrontlineImpact of ageMolecular responseNilotinib

Identifiers

PMID28364360
PMCPMC5504128

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.