Evidence map›Paper›PMID 30093398›Full record

Trial reportHaematologica2019

Incidence, outcomes, and risk factors of pleural effusion in patients receiving dasatinib therapy for Philadelphia chromosome-positive leukemia.

Timothy P Hughes, Pierre Laneuville, Philippe Rousselot, David S Snyder, Delphine Rea, Neil P Shah, David Paar, Elisabetta Abruzzese, Andreas Hochhaus, Jeffrey H Lipton and 1 more

Open access · goldAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Haematologica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 3% 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

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Article
  9. Observational
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Endothelium as a Source of Cardiovascular Toxicity From Antitumor Kinase Inhibitors.Arteriosclerosis, thrombosis, and vascular biology · 2024
    Review
  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

11 authors at 10 institutions in 6 countries.

Timothy P HughesCancer Theme, SAHMRI, Division of Haematology, SA Pathology, University of Adelaide, South Australia, Australia.
Pierre LaneuvilleMcGill University Health Centre, Montreal, QC, Canada.
Philippe RousselotHôpital Mignot, Université Versailles Saint-Quentin-en-Yvelines, Le Chesnay, France.
David S SnyderCity of Hope, Duarte, CA, USA.
Delphine ReaService d'Hématologie Adulte, Hôpital Saint-Louis, Paris, France.
Neil P ShahUCSF School of Medicine, San Francisco, CA, USA.
David PaarBristol-Myers Squibb, Princeton, NJ, USA.
Elisabetta AbruzzeseHematology, S. Eugenio Hospital, Tor Vergata University, Rome, Italy.
Andreas HochhausHematology/Oncology, Universitätsklinikum Jena, Germany.
Jeffrey H LiptonPrincess Margaret Cancer Centre, Toronto, ON, Canada.
Jorge E CortesUniversity of Texas MD Anderson Cancer Center, Houston, TX, USA jcortes@mdanderson.org.
Bristol-Myers Squibb (United States) · USCity of Hope · USHôpital Saint-Louis · FRJena University Hospital · DEMcGill University Health Centre · CAPrincess Margaret Cancer Centre · CASt. Eugenio Hospital · ITThe University of Texas MD Anderson Cancer Center · USUniversité de Versailles Saint-Quentin-en-Yvelines · FRUniversity of Adelaide · AU

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Dasatinib, a second-generation BCR-ABL1 tyrosine kinase inhibitor, is approved for the treatment of chronic myeloid leukemia and Philadelphia chromosome-positive acute lymphoblastic leukemia, both as first-line therapy and after imatinib intolerance or resistance. While generally well tolerated, dasatinib has been associated with a higher risk for pleural effusions. Frequency, risk factors, and outcomes associated with pleural effusion were assessed in two phase 3 trials (DASISION and 034/Dose-optimization) and a pooled population of 11 trials that evaluated patients with chronic myeloid leukemia and Philadelphia chromosome-positive acute lymphoblastic leukemia treated with dasatinib (including DASISION and 034/Dose-optimization). In this largest assessment of patients across the dasatinib clinical trial program (N=2712), pleural effusion developed in 6-9% of patients at risk annually in DASISION, and in 5-15% of patients at risk annually in 034/Dose-optimization. With a minimum follow up of 5 and 7 years, drug-related pleural effusion occurred in 28% of patients in DASISION and in 33% of patients in 034/Dose-optimization, respectively. A significant risk factor identified for developing pleural effusion by a multivariate analysis was age. We found that overall responses to dasatinib, progression-free survival, and overall survival were similar in patients who developed pleural effusion and in patients who did not.

Indexed as

Leukemia, Myelogenous, Chronic, BCR-ABL PositivePleural Effusion, MalignantAdultDasatinibDisease-Free SurvivalFemaleHumansIncidenceMaleMiddle AgedRisk FactorsSurvival RateDasatinib

Identifiers

PMID30093398
PMCPMC6312029
OpenAlexW2886320425

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.