Evidence map›Paper›PMID 32989776›Full record

ArticleEuropean journal of haematology2021

Treatment patterns and clinical outcomes of tyrosine kinase inhibitors in chronic-phase CML in clinical practice: 3-year European SIMPLICITY data.

Carlo Gambacorti-Passerini, Clara Chen, Catherine Davis, Ginny P Sen, Christy Guyan, Rüdiger Hehlmann, Mauricette Michallet, Ronald Paquette, Stuart L Goldberg

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in European journal of haematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01244750 (Studying Interventions for Managing Patients With Chronic Myeloid Leukemia), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.4field-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.

NCT01244750 completednot on this map

Studying Interventions for Managing Patients With Chronic Myeloid Leukemia (CML) in Chronic Phase: The 5-Year Prospective Cohort Study (SIMPLICITY)

TypeobservationalSponsorBristol-Myers SquibbRan2010 to 2020Enrolled1,494ConditionsChronic Myeloid Leukemia
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 24 citations in OpenAlex.

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  9. Temporal effect of imatinib adherence on time to remission in chronic myeloid leukemia patients.Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners · 2024
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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

9 authors at 7 institutions in 5 countries.

Carlo Gambacorti-PasseriniUniversity of Milano Bicocca, San Gerardo Hospital, Monza, Italy.
Clara ChenBristol-Myers Squibb, Princeton, NJ, USA.
Catherine DavisBristol-Myers Squibb, Princeton, NJ, USA.
Ginny P SenICON plc, San Francisco, CA, USA.
Christy GuyanICON plc, San Francisco, CA, USA.
Rüdiger HehlmannEuropean LeukemiaNet (ELN), Weinheim, Germany.
Mauricette MichalletCentre Hospitalier Lyon-Sud, Pierre-Bénite, France.
Ronald PaquetteCedars-Sinai Medical Center, Los Angeles, CA, USA.
Stuart L GoldbergJohn Theurer Cancer Center, Hackensack University Medical Center, Hackensack, NJ, USA.
Bristol-Myers Squibb (United States) · USImperial Consultants · GBCedars-Sinai Medical Center · USCentre for European Economic Research · DEHackensack University Medical Center · USHôpital Lyon Sud · FRUniversity of Milano-Bicocca · IT

Funding

Bristol-Myers Squibb
6 · The paper itself

Abstract

objectivesSIMPLICITY (NCT01244750) is an observational study of patients with chronic-phase chronic myeloid leukemia (CP-CML) in routine clinical practice receiving first-line tyrosine kinase inhibitors (TKIs). We evaluated TKI treatment changes and how switching affects clinical response in patients recruited in Europe with ≥3 years of follow-up.

methodsThe SIMPLICITY European cohort (France, Germany, Italy, the Netherlands, Russia, and Spain) included 431 patients. 370 (86%) were followed for ≥3 years.

resultsProportions of patients experiencing treatment interruptions, TKI switching, and discontinuations decreased over 3 years' follow-up. Intolerance was a key driver for treatment changes. Complete cytogenetic response (CCyR) was achieved in 87.5% of patients switching TKI within 3 years of initiation vs 91.7% of non-switchers. Major molecular response (MMR) was achieved in 82.4% of switchers vs 92.9% of non-switchers. Over 3 years, not switching TKI was a strong predictor for achieving CCyR or MMR (both P < .05). Three-year survival remained high, irrespective of treatment changes (95.3% switchers, 96.4% non-switchers).

conclusionsEuropean patients with CP-CML who do not switch TKI are more likely to achieve clinical response, while intolerance is a key driver for switching. Successful CML management may require careful selection of initial TKI, with early monitoring of response and intolerance.

Indexed as

Practice Patterns, Physicians'AdultAgedAged, 80 and overClinical Decision-MakingDisease ManagementEuropeFemaleFollow-Up StudiesHumansLeukemia, Myeloid, Chronic-PhaseMaleMiddle AgedPrognosisProtein Kinase InhibitorsTreatment OutcomeProtein Kinase InhibitorsBCR-ABL positivechronicchronic-phasedasatinibimatinib mesylateleukemiamyeloidobservational studies

Identifiers

PMID32989776
PMCPMC7756290
OpenAlexW3091279120

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.