Evidence map›Paper›PMID 31590170›Full record

ReviewActa haematologica2020

Ponatinib in the Treatment of Chronic Myeloid Leukemia and Philadelphia Chromosome-Positive Acute Leukemia: Recommendations of a German Expert Consensus Panel with Focus on Cardiovascular Management.

Susanne Saussele, Wilhelm Haverkamp, Fabian Lang, Steffen Koschmieder, Alexander Kiani, Kathleen Jentsch-Ullrich, Frank Stegelmann, Heike Pfeifer, Paul La Rosée, Nicola Goekbuget and 6 more

Open access · hybridAbstract readConsensus StatementReview
In one paragraph

Review in Acta haematologica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Dose Optimization of Tyrosine Kinase Inhibitors for Chronic Myeloid Leukemia.Clinical pharmacology : advances and applications · 2025
    Review
  7. Observational
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. HighOncoTargets and therapy · 2023
    Article
  15. Article
  16. Review
  17. Article
  18. Lifelong TKI therapy: how to manage cardiovascular and other risks.Hematology. American Society of Hematology. Education Program · 2021
    Review
  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

16 authors at 12 institutions in 2 countries.

Susanne SausseleDepartment of Haematology and Oncology, University Hospital Mannheim, Heidelberg University, Mannheim, Germany, susanne.saussele@medma.uni-heidelberg.de.
Wilhelm HaverkampDepartment of Cardiology, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum, Berlin, Germany.
Fabian LangDepartment of Medicine, Hematology and Oncology, Goethe University Frankfurt, Frankfurt, Germany.
Steffen KoschmiederDepartment of Medicine, Hematology, Oncology, Hemostaseology and Stem Cell Transplantation, Faculty of Medicine, RWTH Aachen University, Aachen, Germany.
Alexander KianiDepartment of Medicine IV, Klinikum Bayreuth GmbH, Bayreuth, Germany.
Kathleen Jentsch-UllrichPractice for Hematology and Oncology, Magdeburg, Germany.
Frank StegelmannDepartment of Internal Medicine III, University Hospital Ulm, Ulm, Germany.
Heike PfeiferDepartment of Medicine, Hematology and Oncology, Goethe University Frankfurt, Frankfurt, Germany.
Paul La RoséeDepartment of Medicine II, Schwarzwald-Baar Klinikum, Villingen-Schwenningen, Germany.
Nicola GoekbugetDepartment of Medicine, Hematology and Oncology, Goethe University Frankfurt, Frankfurt, Germany.
Christina RiegerHemato-Oncology Germering, Germering, Germany and Ludwig Maximilians University Munich, Munich, Germany.
Cornelius F WallerDepartment of Haematology, Oncology and Stem Cell Transplantation, University Medical Centre Freiburg, and Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Georg-Nikolaus FrankeMedical Clinic I, University Hospital of Leipzig, Leipzig, Germany.
Philipp le CoutreDepartment of Medicine, Hematology and Oncology, Charité Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Rudolf KirchmairDepartment of Internal Medicine III: Cardiology and Angiology, Medical University Innsbruck, Innsbruck, Austria.
Christian JunghanssDepartment of Medicine, Clinic III: Hematology, Oncology, Palliative Medicine, Rostock University Medical Center, Rostock, Germany.
Goethe University Frankfurt · DECharité - Universitätsmedizin Berlin · DEBayreuth Medical Center · DEInnsbruck Medical University · ATLudwig-Maximilians-Universität München · DERWTH Aachen University · DESchwarzwald-Baar Klinikum · DEUniversity Hospital Heidelberg · DEUniversity Hospital Leipzig · DEUniversity Hospital Ulm · DEUniversity Medical Center Freiburg · DEUniversity of Rostock · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment of chronic myeloid leukemia (CML) and Philadelphia chromosome-positive acute leukemia (Ph+ ALL) has been revolutionized with the advent of tyrosine kinase inhibitors (TKIs). Most patients with CML achieve long-term survival similar to individuals without CML due to treatment with TKIs not only in frontline but also in further lines of therapy. The third-generation TKI ponatinib has demonstrated efficacy in patients with refractory CML and Ph+ ALL. Ponatinib is currently the most potent TKI in this setting demonstrating activity against T315I mutant clones. However, ponatinib's safety data revealed a dose-dependent, increased risk of serious cardiovascular (CV) events. Guidance is needed to evaluate the benefit-risk profile of TKIs, such as ponatinib, and safety measures to prevent treatment-associated CV events. An expert panel of German hematologists and cardiologists summarize current evidence regarding ponatinib's efficacy and CV safety profile. We propose CV management strategies for patients who are candidates for ponatinib.

Indexed as

AdultAgedAntineoplastic AgentsCardiovascular DiseasesClinical Trials as TopicDose-Response Relationship, DrugDrug Resistance, NeoplasmFemaleFusion Proteins, bcr-ablHumansHyperglycemiaHyperlipidemiasHypertensionImidazolesLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMaleAntineoplastic AgentsFusion Proteins, bcr-ablImidazolesponatinibProtein Kinase InhibitorsPyridazinesCardiovascular managementChronic myeloid leukemiaConsensus paperPhiladelphia chromosome-positive acute leukemiaPonatinibTyrosine kinase inhibitor

Identifiers

PMID31590170
PMCPMC7384349
OpenAlexW2979771750

What OpenQuestion holds

Textmetadata
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.