Evidence map›Paper›PMID 29468438›Full record

Trial reportJournal of cancer research and clinical oncology2018

Durable treatment-free remission in patients with chronic myeloid leukemia in chronic phase following frontline nilotinib: 96-week update of the ENESTfreedom study.

David M Ross, Tamas Masszi, María Teresa Gómez Casares, Andrzej Hellmann, Jesper Stentoft, Eibhlin Conneally, Valentin Garcia-Gutierrez, Norbert Gattermann, Philipp D le Coutre, Bruno Martino and 9 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Journal of cancer research and clinical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 4 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.

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

78 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. [Guideline for the diagnosis and treatment of chronic myeloid leukemia in China (2025)].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2025
    Guideline
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  20. Real World Outcomes with Treatment Free Remission in Chronic Myeloid Leukemia-Experience from a Tertiary Care Cancer Centre.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2024
    Article

18 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

19 authors.

David M RossDivision of Haematology, SA Pathology, Room 6E359, Royal Adelaide Hospital, 1 Port Rd, Adelaide, SA, 5000, Australia. David.Ross@sa.gov.au.ORCID http://orcid.org/0000-0001-7171-2935
Tamas MassziSemmelweis University, Budapest, Hungary.
María Teresa Gómez CasaresHospital Universitario de Gran Canaria Dr Negrín, Las Palmas de Gran Canaria, Spain.
Andrzej HellmannMedical University of Gdańsk, Gdańsk, Poland.
Jesper StentoftAarhus University Hospital, Aarhus, Denmark.
Eibhlin ConneallySt James's Hospital, Dublin, Ireland.
Valentin Garcia-GutierrezHospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain.
Norbert GattermannUniversitätsklinikum Düsseldorf, Düsseldorf, Germany.
Philipp D le CoutreCharité-Universitätsmedizin Berlin, Berlin, Germany.
Bruno MartinoAzienda Ospedaliera Bianchi Melacrino Morelli, Reggio Calabria, Italy.
Susanne SausseleIII. Med. Klinik, Medizinische Fakultät Mannheim der Universität Heidelberg, Mannheim, Germany.
Francis J GilesDevelopmental Therapeutics Consortium, Chicago, IL, USA.
Jerald P RadichClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Giuseppe SaglioUniversity of Turin, Orbassano, Italy.
Weiping DengNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA.
Nancy KrunicNovartis Institutes for BioMedical Research, Cambridge, MA, USA.
Véronique BédouchaNovartis Pharma AG, Basel, Switzerland.
Prashanth GopalakrishnaNovartis Pharma AG, Basel, Switzerland.
Andreas HochhausAbteilung Hämatologie/Onkologie, Universitätsklinikum Jena, Jena, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeENESTfreedom is evaluating treatment-free remission (TFR) following frontline nilotinib in patients with chronic myeloid leukemia (CML) in chronic phase. Following our primary analysis at 48 weeks, we here provide an updated 96-week analysis.

methodsAttempting TFR required ≥ 3 years of nilotinib, a molecular response of MR

resultsNinety-six weeks after stopping treatment (3.6-year median prior nilotinib duration), 93 of 190 patients (48.9%) remained in TFR. Of 88 patients who restarted nilotinib following loss of MMR, 87 regained MMR and 81 regained MR

conclusionsThese results demonstrate the feasibility and durability of TFR following frontline nilotinib and emphasize the importance of sustained DMR for TFR.

Indexed as

AdultAgedAged, 80 and overFemaleHumansKaplan-Meier EstimateLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMaleMiddle AgedProtein-Tyrosine KinasesPyrimidinesRemission InductionTime FactorsTreatment OutcomeYoung AdultnilotinibProtein-Tyrosine KinasesPyrimidinesChronic myeloid leukemiaClinical trialFrontlineNilotinibPredictors of TFRTreatment-free remission

Identifiers

PMID29468438
PMCPMC5916993

What OpenQuestion holds

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Registered trials

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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.