Evidence map›Paper›PMID 33204013›Full record

ArticleLeukemia2021

A new pre-emptive TKIs strategy for preventing relapse based on BCR/ABL monitoring for Ph+ALL undergoing allo-HCT: a prospective clinical cohort study.

Hui Liu, Li Xuan, Ren Lin, Lan Deng, Zhiping Fan, Danian Nie, Xudong Li, Xinquan Liang, Dan Xu, Yu Zhang and 8 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Leukemia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01883219 (Tyrosine Kinase Inhibitor Therapy Based on Molecular Monitoring of BCR/ABL Transcript Levels in Allogeneic Hematopoietic Stem Cell Transplant Recipients With Philadelphia Chromosome-positive Acute Lymphoblastic Leukemia), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 11% 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.

NCT01883219 phase2unknown statusnot on this map

Tyrosine Kinase Inhibitor Therapy Based on Molecular Monitoring of BCR/ABL Transcript Levels in Allogeneic Hematopoietic Stem Cell Transplant Recipients With Philadelphia Chromosome-positive Acute Lymphoblastic Leukemia

TypeinterventionalSponsorNanfang Hospital, Southern Medical UniversityRan2013 to 2017Enrolled80ConditionsPhiladelphia Chromosome Positive Acute Lymphocytic Leukemia, Stem Cell Transplantation, Minimal Residual DiseaseArmsTKIs
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 25 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

18 authors at 4 institutions in 1 country.

Hui Liu *Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Li Xuan *Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Ren Lin *Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Lan Deng *Department of Hematology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Zhiping FanDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Danian NieDepartment of Hematology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Xudong LiDepartment of Hematology, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Xinquan LiangDepartment of Hematology, First People's Hospital of Chenzhou, Chenzhou, Hunan, China.
Dan XuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Yu ZhangDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Na XuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Jieyu YeDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Hua JinDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Dongjun LinDepartment of Hematology, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Liping MaDepartment of Hematology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Jing SunDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Fen HuangDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China. 13826204917@163.com.ORCID http://orcid.org/0000-0001-5064-2528
Qifa LiuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China. liuqifa628@163.com.ORCID http://orcid.org/0000-0003-4015-3952
Nanfang Hospital · CNSun Yat-sen University · CNChenzhou First People's Hospital · CNZhujiang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Relapse is a major cause of treatment failure in Philadelphia-chromosome-positive acute lymphoblastic leukemia (Ph+ALL) undergoing allogeneic hematopoietic cell transplantation (allo-HCT). This study aimed to evaluate the effect of a new pre-emptive tyrosine kinase inhibitors (TKIs) strategy on relapse in Ph+ALL patients with complete remission undergoing allo-HCT. Pre-emptive TKIs initiation was based on BCR/ABL molecular monitoring. TKIs choice was based on BCR/ABL mutations. Donor lymphocyte infusion was recommended in those with poor response to TKIs. Prophylactic TKIs from historical data were as control. The primary endpoint was relapse. One hundred and sixty-seven Ph+ALL patients were enrolled in this study, including 103 in the pre-emptive group and 64 in the prophylactic group. The 3-year cumulative incidence of relapse was 11% and 31% in the pre-emptive and prophylactic groups (P = 0.001), respectively. The 3-year overall survival (OS) was 87% and 66% (P = 0.001), and leukemia-free survival (LFS) was 83% and 61% (P = 0.000), respectively, in the pre-emptive and prophylactic groups. Multivariate analysis showed that the pre-emptive strategy was the protective factor for relapse, OS, and LFS (P = 0.005, P = 0.005, and P = 0.003, respectively). Our data suggest that this new pre-emptive TKIs strategy based on BCR/ABL molecular monitoring might reduce relapse and improve survival for Ph+ALL patients undergoing allo-HCT. ClinicalTrials.Gov Identifier (NCT01883219).

Indexed as

AdolescentAdultAgedFemaleFusion Proteins, bcr-ablHematopoietic Stem Cell TransplantationHumansImatinib MesylateMaleMiddle AgedPhiladelphia ChromosomePrecursor Cell Lymphoblastic Leukemia-LymphomaProspective StudiesProtein Kinase InhibitorsRecurrenceRemission InductionFusion Proteins, bcr-ablImatinib MesylateProtein Kinase Inhibitors

Identifiers

PMID33204013
OpenAlexW3104615720

What OpenQuestion holds

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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.