Evidence map›Paper›PMID 33293597›Full record

ArticleBone marrow transplantation2021

Second- and third-generation tyrosine kinase inhibitors for Philadelphia-positive adult acute lymphoblastic leukemia relapsing post allogeneic stem cell transplantation-a registry study on behalf of the EBMT Acute Leukemia Working Party.

Klaus Hirschbühl, Myriam Labopin, Mohamed Houhou, Ludovic Gabellier, Hélène Labussière-Wallet, Bruno Lioure, Dietrich Beelen, Jan Cornelissen, Gerald Wulf, Pavel Jindra and 8 more

Abstract read
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In one paragraph

Article in Bone marrow transplantation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.3field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 25 citations in OpenAlex.

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  10. Autophagy, innate immunity, and cardiac disease.Frontiers in cell and developmental biology · 2023
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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 14 institutions in 7 countries.

Klaus HirschbühlDepartment Hematology and Oncology, Medical Faculty, University of Augsburg, Augsburg, Germany.ORCID http://orcid.org/0000-0002-4847-7460
Myriam LabopinService d'Hématologie et de Thérapie cellulaire, Hôpital Saint Antoine, ALWP Office (EBMT), Paris, France.ORCID http://orcid.org/0000-0003-4514-4748
Mohamed HouhouService d'Hématologie et de Thérapie cellulaire, Hôpital Saint Antoine, ALWP Office (EBMT), Paris, France.
Ludovic GabellierDépartement d'Hématologie Clinique, CHU Lapeyronie, Montpellier, France.
Hélène Labussière-WalletCentre Hospitalier Lyon Sud, Service Hematologie, Lyon, France.
Bruno LioureNouvel Hopital Civil, Strasbourg, France.
Dietrich BeelenDepartment of Bone Marrow Transplantation, University Hospital Essen, Essen, Germany.
Jan CornelissenDepartment of Hematology, Erasmus MC Cancer Institute University Medical Center Rotterdam, Rotterdam, The Netherlands.
Gerald WulfAbteilung Hämatologie und Onkologie, Universitätsklinikum Göttingen, Göttingen, Germany.
Pavel JindraDepartment of Hematology/Oncology, Charles University Hospital, Pilsen, Czech Republic.ORCID http://orcid.org/0000-0002-8415-7069
Hervé TillyDepartment of Hematology, Centre Henri Becquerel, Rouen, France.
Jakob PasswegDepartment of Hematology, University Hospital of Basel, Basel, Switzerland.
Riita NiittyvuopioHUCH Comprehensive Cancer Center, Stem Cell Transplantation Unit, Helsinki, Finland.
Gesine BugUniversitätsklinikum Frankfurt, Medizinische Klinik II, Frankfurt, Germany.
Christoph SchmidDepartment Hematology and Oncology, Medical Faculty, University of Augsburg, Augsburg, Germany. christoph.schmid@uk-augsburg.de.ORCID http://orcid.org/0000-0001-7070-487X
Arnon NaglerDepartment of Bone Marrow Transplantation, Chaim Sheba Medical Center, Tel-Hashomer and Tel-Aviv University, Tel Aviv, Israel.ORCID http://orcid.org/0000-0002-0763-1265
Sebastian GiebelDepartment of Bone Marrow Transplantation and Oncology/Hematology, Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Gliwice, Poland.
Mohamad MohtyService d'Hématologie et de Thérapie cellulaire, Hôpital Saint Antoine, ALWP Office (EBMT), Paris, France.
Sorbonne Université · FRUniversity of Augsburg · DECentre Virchow-Villermé · FRCharles University · CZErasmus MC Cancer Institute · NLEssen University Hospital · DEGoethe University Frankfurt · DEHôpital Civil, Strasbourg · FRHôpital Lapeyronie · FRHôpital Lyon Sud · FRTel Aviv University · ILThe Maria Sklodowska-Curie National Research Institute of Oncology · PLUniversitätsmedizin Göttingen · DEUniversity Hospital of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Second- and third-generation tyrosine kinase inhibitors (TKI) play an important role in the treatment of Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph + ALL). However, data on feasibility and efficacy of using these drugs for persisting or relapsed Ph + ALL after allogeneic stem cell transplantation (alloSCT) are scarce. Based on the EBMT Acute Leukemia Working Party registry, we evaluated the use of second-/third-generation TKI in 140 patients with Ph + ALL, suffering from measurable residual disease (MRD, n = 6), molecular relapse (MRel, n = 23), or hematological relapse (HRel, n = 111) following alloSCT. Treatment included dasatinib in 104, nilotinib in 18, or ponatinib in 18 patients. Forty-nine patients received TKI monotherapy, while 91 received additional treatment. Toxicity of second-/third-generation TKI post alloSCT was comparable to pretransplant use and could be managed with dose reduction or temporary discontinuation. Response rates were 71% (overall) and 61% (following TKI monotherapy). For the entire cohort, 2- and 5-year overall survival (OS) was 49% and 33%, respectively. OS was comparable among patients treated for persisting MRD/MRel and HRel. Among patients treated with TKI monotherapy, 2- and 5-year OS was 38% and 33%, respectively. The data underscore that second-/third-generation TKI are important compounds for the management of active Ph + ALL post alloSCT.

Indexed as

Hematopoietic Stem Cell TransplantationPrecursor Cell Lymphoblastic Leukemia-LymphomaAdultHumansPhiladelphia ChromosomeProtein Kinase InhibitorsRecurrenceRegistriesProtein Kinase Inhibitors

Identifiers

PMID33293597
OpenAlexW3111565569

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.