Evidence map›Paper›PMID 32127639›Full record

ReviewLeukemia2020

European LeukemiaNet 2020 recommendations for treating chronic myeloid leukemia.

A Hochhaus, M Baccarani, R T Silver, C Schiffer, J F Apperley, F Cervantes, R E Clark, J E Cortes, M W Deininger, F Guilhot and 24 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Leukemia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05282108 (Efficacy and Safety of Generic Imatinib), which is not on this map. Cited by 808 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
808citing papers in PubMed, 4 pooled it
–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.

NCT05282108 recruitingnot on this mapstarted 2022, after this paper: background citation

Efficacy and Safety of Generic Imatinib (Carcemia®) Compared to Glivec® in Real-Life Management of Chronic Phase of Chronic Myeloid Leukemia; a Multicenter, Observational Study

TypeobservationalSponsorHikma Pharmaceuticals LLCRan2022 to 2026Enrolled240ConditionsChronic Myeloid LeukemiaArmsCarcemia, Glivec
3 · Its place in the literature

Who cites it

808 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. [Guideline for the diagnosis and treatment of chronic myeloid leukemia in China (2025)].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2025
    Guideline
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  4. Patient-reported toxicity symptoms during tyrosine kinase inhibitor treatment in chronic myeloid leukemia: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
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748 more citing papers are in PubMed but not listed here.

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

34 authors.

A HochhausKlinik für Innere Medizin II, Universitätsklinikum, Jena, Germany. andreas.hochhaus@med.uni-jena.de.
M BaccaraniDepartment of Hematology/Oncology, Policlinico S. Orsola-Malpighi, University of Bologna, Bologna, Italy.
R T SilverWeill Cornell Medical College, New York, NY, USA.
C SchifferKarmanos Cancer Center, Detroit, MI, USA.
J F ApperleyHammersmith Hospital, Imperial College, London, UK.
F CervantesHospital Clinic IDIBAPS, Barcelona, Spain.
R E ClarkDepartment of Molecular & Clinical Cancer Medicine, University of Liverpool, Liverpool, UK.
J E CortesGeorgia Cancer Center, Augusta University, Augusta, GA, USA.
M W DeiningerHuntsman Cancer Center Salt Lake City, Salt Lake City, UT, USA.
F GuilhotCentre Hospitalier Universitaire de Poitiers, Poitiers, France.
H Hjorth-HansenNorwegian University of Science and Technology, Trondheim, Norway.
T P HughesSouth Australian Health and Medical Research Institute, Adelaide, SA, Australia.
J J W M JanssenAmsterdam University Medical Center, VUMC, Amsterdam, The Netherlands.
H M KantarjianMD Anderson Cancer Center, Houston, TX, USA.
D W KimSt. Mary´s Hematology Hospital, The Catholic University, Seoul, Korea.
R A LarsonUniversity of Chicago, Chicago, IL, USA.
J H LiptonUniversity of Toronto, Toronto, Canada.
F X MahonInstitut Bergonie, Université de Bordeaux, Bordeaux, France.
J MayerDepartment of Internal Medicine, Masaryk University Hospital, Brno, Czech Republic.
F NicoliniCentre Léon Bérard, Lyon, France.
D NiederwieserUniversitätsklinikum, Leipzig, Germany.
F PaneDepartment Clinical Medicine and Surgery, University Federico Secondo, Naples, Italy.
J P RadichFred Hutchinson Cancer Center, Seattle, WA, USA.
D ReaHôpital St. Louis, Paris, France.
J RichterUniversity of Lund, Lund, Sweden.
G RostiDepartment of Hematology/Oncology, Policlinico S. Orsola-Malpighi, University of Bologna, Bologna, Italy.
P RousselotCentre Hospitalier de Versailles, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France.
G SaglioUniversity of Turin, Turin, Italy.
S SaußeleIII. Medizinische Klinik, Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, Germany.
S SoveriniDepartment of Hematology/Oncology, Policlinico S. Orsola-Malpighi, University of Bologna, Bologna, Italy.
J L SteegmannHospital de la Princesa, Madrid, Spain.
A TurkinaNational Research Center for Hematology, Moscow, Russian Federation.
A ZaritskeyAlmazov National Research Centre, St. Petersburg, Russian Federation.
R HehlmannIII. Medizinische Klinik, Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, Germany. hehlmann.eln@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The therapeutic landscape of chronic myeloid leukemia (CML) has profoundly changed over the past 7 years. Most patients with chronic phase (CP) now have a normal life expectancy. Another goal is achieving a stable deep molecular response (DMR) and discontinuing medication for treatment-free remission (TFR). The European LeukemiaNet convened an expert panel to critically evaluate and update the evidence to achieve these goals since its previous recommendations. First-line treatment is a tyrosine kinase inhibitor (TKI; imatinib brand or generic, dasatinib, nilotinib, and bosutinib are available first-line). Generic imatinib is the cost-effective initial treatment in CP. Various contraindications and side-effects of all TKIs should be considered. Patient risk status at diagnosis should be assessed with the new EUTOS long-term survival (ELTS)-score. Monitoring of response should be done by quantitative polymerase chain reaction whenever possible. A change of treatment is recommended when intolerance cannot be ameliorated or when molecular milestones are not reached. Greater than 10% BCR-ABL1 at 3 months indicates treatment failure when confirmed. Allogeneic transplantation continues to be a therapeutic option particularly for advanced phase CML. TKI treatment should be withheld during pregnancy. Treatment discontinuation may be considered in patients with durable DMR with the goal of achieving TFR.

Indexed as

Aniline CompoundsAntineoplastic AgentsClinical Decision-MakingConsensus Statements as TopicDasatinibDisease ManagementFusion Proteins, bcr-ablGene ExpressionHumansImatinib MesylateLeukemia, Myelogenous, Chronic, BCR-ABL PositiveLife ExpectancyMonitoring, PhysiologicNitrilesProtein Kinase InhibitorsPyrimidinesAniline CompoundsAntineoplastic AgentsBCR-ABL1 fusion protein, humanbosutinibDasatinibFusion Proteins, bcr-ablImatinib MesylatenilotinibNitrilesProtein Kinase InhibitorsPyrimidinesQuinolines

Identifiers

PMID32127639
PMCPMC7214240

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Registered trials

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.