Evidence map›Paper›PMID 32362894›Full record

Trial reportFrontiers in immunology2020

Vaccination With Live Attenuated Vaccines in Four Children With Chronic Myeloid Leukemia While on Imatinib Treatment.

Claudia Bettoni da Cunha-Riehm, Verena Hildebrand, Michaela Nathrath, Markus Metzler, Meinolf Suttorp

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Frontiers in immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Article
  5. Review
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  7. Review
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

5 authors at 4 institutions in 1 country.

Claudia Bettoni da Cunha-RiehmDepartment of Pediatric Hematology and Oncology, Medical School Hannover, Hanover, Germany.
Verena HildebrandDepartment of Pediatric Hematology and Oncology, University Hospital Erlangen, Erlangen, Germany.
Michaela NathrathDepartment of Pediatric Hematology and Oncology, Klinikum Kassel, Kassel, Germany.
Markus MetzlerDepartment of Pediatric Hematology and Oncology, University Hospital Erlangen, Erlangen, Germany.
Meinolf SuttorpMedical Faculty, Pediatric Hemato-Oncology, Technical University Dresden, Dresden, Germany.
Universitätsklinikum Erlangen · DEKlinikum Kassel · DEMedizinische Hochschule Hannover · DETU Dresden · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic myeloid leukemia (CML) in childhood and adolescence is a rare malignancy that can successfully be treated with the tyrosine kinase inhibitor (TKI) imatinib. According to the current experience, treatment is necessary for years and, in the majority of cases, a lifelong approach is required to control the malignant disease. To what extent imatinib causes immunosuppression in different age cohorts is a controversial discussion. According to general medical recommendations, live vaccines are contraindicated in individuals treated with imatinib. However, a recent increase in the number of globally reported cases of measles has been observed and continues to rise. Due to the high contagiousness of the virus, near-perfect vaccination coverage (herd immunity of 93 to 95%) is required to effectively protect against measles resurgence-a scenario that is not realistic in many countries. When four teenagers with CML (median age 13 years, range 12-15) who were enrolled into pediatric trial CML-paed II while on imatinib treatment (median treatment duration 36 months, range 11-84) were identified without protective measles and/or varicella titers, we carefully balanced the risks of a live vaccination under immunosuppressive TKI medication against the benefit of being protected. The patients underwent live vaccination with the live attenuated vaccines M-M-RVAX Pro

Indexed as

AdolescentAntineoplastic AgentsChickenpox VaccineChildFemaleHumansImatinib MesylateImmunologic MemoryImmunosuppression TherapyLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMaleMeasles-Mumps-Rubella VaccineSeroconversionTreatment OutcomeVaccinationVaccines, AttenuatedAntineoplastic AgentsChickenpox VaccineImatinib MesylateMeasles-Mumps-Rubella VaccineVaccines, Attenuatedchronic myeloid leukemiaimatinibmeaslesmild immunosuppressionpediatric CMLtyrosine kinase inhibitorsvaccinationvaricella

Identifiers

PMID32362894
PMCPMC7181227
OpenAlexW3017311007

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.