Evidence map›Paper›PMID 29577681›Full record

Trial reportCancer medicine2018

Determination of a radotinib dosage regimen based on dose-response relationships for the treatment of newly diagnosed patients with chronic myeloid leukemia.

Hayeon Noh, Su Young Jung, Jae-Yong Kwak, Sung-Hyun Kim, Suk Joong Oh, Dae Young Zang, Suhyun Lee, Hye Lin Park, Dae Jin Jo, Jae Soo Shin and 3 more

Abstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Cancer medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Dose Optimization of Tyrosine Kinase Inhibitors for Chronic Myeloid Leukemia.Clinical pharmacology : advances and applications · 2025
    Review
  8. Article
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

13 authors.

Hayeon NohDepartment of Pharmacy, College of Pharmacy, Yonsei University, Incheon, Korea.
Su Young JungDepartment of Pharmacy, College of Pharmacy, Seoul National University, Seoul, Korea.
Jae-Yong KwakChonbuk National University Medical School & Hospital, Jeonju, Korea.
Sung-Hyun KimDepartment of Internal Medicine, Dong-A University College of Medicine, Busan, Korea.
Suk Joong OhDepartment of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Dae Young ZangDepartment of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.
Suhyun LeeDepartment of Pharmacy, College of Pharmacy, Seoul National University, Seoul, Korea.
Hye Lin ParkCentral Research Institute, IL-YANG Pharmaceutical Co., Ltd., Yongin, Korea.
Dae Jin JoCentral Research Institute, IL-YANG Pharmaceutical Co., Ltd., Yongin, Korea.
Jae Soo ShinCentral Research Institute, IL-YANG Pharmaceutical Co., Ltd., Yongin, Korea.
Young Rok DoDepartment of Medicine, Dongsan Medical Center, Keimyung University, Daegu, Korea.
Dong-Wook KimSeoul St. Mary's Hospital, Leukemia Research Institute, The Catholic University of Korea, Seoul, Korea.
Jangik I LeeDepartment of Pharmacy, College of Pharmacy, Seoul National University, Seoul, Korea.ORCID 0000-0002-5565-8323

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radotinib is a second-generation BCR-ABL1 tyrosine kinase inhibitor approved for the treatment of chronic myeloid leukemia in chronic phase (CP-CML). Here, using the data from a Phase 3 study conducted in patients with newly diagnosed CP-CML, the dose-efficacy as well as dose-safety relationship analyses were performed to determine a safe and effective initial dosage regimen of radotinib. A significant positive association was detected between the starting dose of radotinib adjusted for body weight (Dose/BW) and the probability of dose-limiting toxicity (≥grade 3 hematologic and nonhematologic toxicity) (P = 0.003). In contrast, a significant inverse association was discovered between Dose/BW and the probability of major molecular response (BCR-ABL1/ABL1 ≤ 0.1%) when controlled for sex (P = 0.033). Moreover, frequent dose interruptions and reductions secondary to radotinib toxicities occurred in the Phase 3 study, resulting in nearly half (44%) of patients receiving a reduced dose at a 12-month follow-up. In conclusion, the results of this study demonstrate the need for initial radotinib dose attenuation to improve the long-term efficacy and safety of radotinib. Hence, the authors suggest a new upfront radotinib dose of 400 mg once daily be tested in patients with newly diagnosed CP-CML.

Indexed as

AdultAgedAged, 80 and overBenzamidesDose-Response Relationship, DrugDrug Dosage CalculationsFemaleFusion Proteins, bcr-ablHumansLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMaleMiddle AgedMolecular WeightPyrazinesTreatment OutcomeYoung Adult4-methyl-N-(3-(4-methylimidazol-1-yl)-5-trifluoromethylphenyl)-3-(4-pyrazin-2-ylpyrimidin-2-ylamino)benzamideBenzamidesFusion Proteins, bcr-ablPyrazinesChronic myeloid leukemiadose determinationdose-response relationshipradotinibtyrosine kinase inhibitor

Identifiers

PMID29577681
PMCPMC5943471

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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.