Evidence map›Paper›PMID 31894533›Full record

ArticleInternational journal of hematology2020

Treatment-free remission after first-line dasatinib treatment in patients with chronic myeloid leukemia in the chronic phase: the D-NewS Study of the Kanto CML Study Group.

Hiroki Yamaguchi, Naoki Takezako, Kazuteru Ohashi, Koji Oba, Takashi Kumagai, Yasuji Kozai, Hisashi Wakita, Koh Yamamoto, Akira Fujita, Tadahiko Igarashi and 6 more

Abstract read
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In one paragraph

Article in International journal of hematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 14 citations in OpenAlex.

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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 14 institutions in 1 country.

Hiroki YamaguchiDepartment of Hematology Nippon Medical School, 1-1-5 Sendagi, Bunkyo-Ku, Tokyo, 113-8603, Japan. y-hiroki@fd6.so-net.ne.jp.ORCID http://orcid.org/0000-0002-0571-7495
Naoki TakezakoDepartment of Hematology, National Hospital Organization Disaster Medical Center, Tachikawa, Japan.
Kazuteru OhashiHematology Division, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.
Koji ObaInterfactulty Initiative in Information Studies, The University of Tokyo, Tokyo, Japan.
Takashi KumagaiDepartment of Hematology, Ome Municipal General Hospital, Tokyo, Japan.
Yasuji KozaiDepartment of Hematology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
Hisashi WakitaDivision of Hematology and Oncology, Japanese Red Cross Society, Narita Red Cross Hospital, Narita, Japan.
Koh YamamotoDepartment of Hematology, Yokohama City Minato Red Cross Hospital, Yokohama, Japan.
Akira FujitaHematology Division, Showa General Hospital, Tokyo, Japan.
Tadahiko IgarashiDivision of Hematology and Oncology, Gunma Prefectural Cancer Center, Ohta, Japan.
Chikashi YoshidaDepartment of Hematology, National Hospital Organization, Mito Medical Center, Higashiibarakigun, Ibaraki, Japan.
Kazuma OhyashikiDepartment of Hematology, Tokyo Medical University, Tokyo, Japan.
Shinichiro OkamotoDivision of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Junichi SakamotoTokai Central Hospital, Kakamigahara, Japan.
Hisashi SakamakiHematology Division, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.
Koiti InokuchiDepartment of Hematology Nippon Medical School, 1-1-5 Sendagi, Bunkyo-Ku, Tokyo, 113-8603, Japan.
Nippon Medical School · JPTokyo Metropolitan Komagome Hospital · JPHyogo Prefectural Cancer Center · JPJapanese Red Cross Narita Hospital · JPKeio University · JPNational Hospital Organization · JPNational Hospital Organization Mito Medical Center · JPOme Municipal General Hospital · JPShowa General Hospital · JPThe University of Tokyo · JPTokai Central Hospital · JPTokyo Medical University · JPTokyo Metropolitan Tama Medical Center · JPYokohama Municipal Minato Red Cross Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment outcomes for chronic myeloid leukemia (CML) have dramatically improved with the development of tyrosine kinase inhibitors (TKI). However, due to the improved prognosis for CML, problems have arisen from long-term administration of TKI. The present study sought to verify whether more patients could achieve treatment-free remission (TFR) after stopping the administration of dasatinib using dasatinib as frontline treatment. Treatment-naïve chronic phase CML cases were treated with dasatinib as frontline treatment. Dasatinib treatment was stopped for 26 patients who achieved deep molecular response (DMR) within 24 months and were able to maintain DMR for an additional 2 years. Ten patients (38.5%) achieved DMR maintenance after 12 months. Recurrence was confirmed in 16 patients, and the median recurrence-free survival time was 5.1 months. The cumulative DMR rates at six and 12 months after restarting treatment were 84.6% and 100%, respectively. The results of this study demonstrated that the DMR maintenance rate after 12 months was 38.5%, which was not significantly different from previous TKI stop trials. The 2-year dasatinib administration period after reaching DMR did not contribute to improve TFR rates. These results suggest that the type of TKI is not associated with better TFR rates.

Indexed as

Remission InductionDasatinibFemaleHumansLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMalePrognosisProtein Kinase InhibitorsProtein-Tyrosine KinasesSurvival RateTime FactorsDasatinibProtein Kinase InhibitorsProtein-Tyrosine KinasesChronic myeloid leukemiaDasatinibTreatment-free remissionTyrosine kinase inhibitor

Identifiers

PMID31894533
OpenAlexW2997295692

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.