Evidence map›Paper›PMID 29773593›Full record

Trial reportHaematologica2018

Safety and efficacy of second-line bosutinib for chronic phase chronic myeloid leukemia over a five-year period: final results of a phase I/II study.

Carlo Gambacorti-Passerini, Jorge E Cortes, Jeff H Lipton, Hagop M Kantarjian, Dong-Wook Kim, Philippe Schafhausen, Rocco Crescenzo, Nathalie Bardy-Bouxin, Mark Shapiro, Kay Noonan and 4 more

Open access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Haematologica, 2018. 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
4.1field-weighted citation impact, top 6% 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, 67 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. 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

14 authors at 9 institutions in 6 countries.

Carlo Gambacorti-PasseriniUniversity of Milano-Bicocca, Monza, Italy carlo.gambacorti@unimib.it.
Jorge E CortesUniversity of Texas MD Anderson Cancer Center, Houston, TX, USA.
Jeff H LiptonPrincess Margaret Cancer Centre, Toronto, ON, Canada.
Hagop M KantarjianUniversity of Texas MD Anderson Cancer Center, Houston, TX, USA.
Dong-Wook KimSeoul St. Mary's Hospital, South Korea.
Philippe SchafhausenDepartment of Internal Medicine II, Hubertus Wald Tumor Center-University Cancer Center Hamburg, Germany.
Rocco CrescenzoPfizer Inc., Collegeville, PA, USA.
Nathalie Bardy-BouxinPfizer Global Research and Development, Paris, France.
Mark ShapiroPfizer Inc., Cambridge, MA, USA.
Kay NoonanPfizer Inc., Groton, CT, USA.
Eric LeipPfizer Inc., Cambridge, MA, USA.
Liza DeAnnuntisPfizer Inc., Collegeville, PA, USA.
Tim H BrümmendorfDepartment of Internal Medicine II, Hubertus Wald Tumor Center-University Cancer Center Hamburg, Germany.
H Jean KhouryWinship Cancer Institute of Emory University, Atlanta, GA, USA.
Pfizer (United States) · USThe University of Texas MD Anderson Cancer Center · USEmory University · USPfizer (France) · FRPrincess Margaret Cancer Centre · CASeoul St. Mary's Hospital · KRUniversitätsklinikum Aachen · DEUniversity Cancer Center Hamburg · DEUniversity of Milano-Bicocca · IT

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
TOLERANCE INDUCTION BY MEGADOSE STEM CELL TRANSPLANTS IN CML--GVHD AND GVLP01CA049639 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI SHPALL, ELIZABETH J · 1990 to 2014
$41.8M
NCI NIH HHS P01 CA049639NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Bosutinib is a Src/Abl tyrosine kinase inhibitor indicated for adults with newly-diagnosed Philadelphia positive chronic myeloid leukemia or with resistant/intolerant disease. We report the final results of a phase I/II study of second-line bosutinib in chronic phase chronic myeloid leukemia patients after imatinib failure (n=284). Median follow up and treatment durations were 54.8 (range 0.6-96.3) and 25.6 (0.2-96.3) months, respectively. At years 2 and 5, 54% and 40% of patients, respectively, remained on bosutinib. Cumulative major cytogenetic response and complete cytogenetic response rates (newly-attained or maintained from baseline) were 58% and 46%, respectively, by year 2 and 60% and 50% by year 5. Kaplan-Meier probability of maintaining major and complete cytogenetic response was 76% and 78%, respectively, at year 2 and 71% and 69% at year 5. Cumulative incidence of on-treatment disease progression/death was similar at years 5 (19%) and 2 (15%); Kaplan-Meier overall survival was 91% at year 2 and 84% at year 5. Of 169 patients who had discontinued bosutinib by year 5, 38 did so after year 2, most commonly for disease progression (n=11). Most adverse events initially occurred within two years. Overall, gastrointestinal events were the most common (diarrhea 86%, nausea 46%, vomiting 37%); the most common grade 3/4 toxicity was thrombocytopenia (25%). None of the 4 on-treatment deaths in years 3-5 were related to bosutinib. Bosutinib demonstrated durable efficacy and manageable toxicity through year 5 confirming its importance in the treatment of chronic phase chronic myeloid leukemia patients resistant/intolerant to prior imatinib. This trial was registered at

Indexed as

AdolescentAdultAgedAniline CompoundsAntineoplastic AgentsFollow-Up StudiesHumansImatinib MesylateLeukemia, Myeloid, Chronic-PhaseMiddle AgedNitrilesPeptide FragmentsQuinolinesSurvival AnalysisTreatment OutcomeYoung AdultAniline CompoundsAntineoplastic AgentsbosutinibImatinib MesylateNitrilesPeptide Fragmentsprotein kinase inhibitor peptide (5-24)Quinolines

Identifiers

PMID29773593
PMCPMC6068045
OpenAlexW2804990894

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.