Evidence map›Paper›PMID 33594821›Full record

Trial reportCancer medicine2021

Molecular response and quality of life in chronic myeloid leukemia patients treated with intermittent TKIs: First interim analysis of OPTkIMA study.

Michele Malagola, Alessandra Iurlo, Elisabetta Abruzzese, Massimiliano Bonifacio, Fabio Stagno, Gianni Binotto, Mariella D'Adda, Monia Lunghi, Monica Crugnola, Maria Luisa Ferrari and 22 more

Erratum issuedAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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.

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.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Dose Optimization of Tyrosine Kinase Inhibitors for Chronic Myeloid Leukemia.Clinical pharmacology : advances and applications · 2025
    Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Corrigendum.Cancer medicine · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors.

Michele MalagolaUnit of Blood Disease and Stem Cell Transplantation, Department of Clinical and Experimental Sciences, University of Brescia, ASST-Spedali Civili, Brescia, Italy.ORCID https://orcid.org/0000-0003-0907-130X
Alessandra IurloHematology Division, Foundation IRCCS Ca, Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID https://orcid.org/0000-0002-4401-0812
Elisabetta AbruzzeseDivision of Hematology, S. Eugenio Hospital, ASL ROMA2, Tor Vergata University, Roma, Italy.ORCID https://orcid.org/0000-0001-5228-6491
Massimiliano BonifacioDepartment of Medicine, Section of Hematology, University of Verona, Verona, Italy.ORCID https://orcid.org/0000-0003-0716-1686
Fabio StagnoDepartment of Hematology, University of Catania, Catania, Italy.
Gianni BinottoHematology and Clinical Immunology, Department of Medicine, Padua School of Medicine, Padua, Italy.
Mariella D'AddaDivision of Hematology, ASST-Spedali Civili di Brescia, Brescia, Italy.
Monia LunghiDivision of Hematology, Department of Translation Medicine, University of Eastern Piedmont, Novara, Italy.
Monica CrugnolaHematology Unit and BMT Center Azienda Ospedaliero Universitaria Parma, Parma, Italy.ORCID https://orcid.org/0000-0001-8477-203X
Maria Luisa FerrariHematology and Bone Marrow Transplant Unit, ASST Papa Giovanni XXIII, Bergamo, Italy.
Francesca LunghiHematology and Bone Marrow Transplantation (BMT) Unit, San Raffaele Scientific Institute, Milan, Italy.
Fausto CastagnettiHematology Unit, Department of Experimental, Diagnostic and Specialty Medicine (DIMES), S. Orsola-Malpighi University Hospital, University of Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0002-0602-2628
Gianantonio RostiIRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", Meldola, Italy.ORCID https://orcid.org/0000-0002-0310-4206
Roberto M LemoliClinic of Hematology, University of Genoa, Ospedale Policlinico S. Martino, IRCCS, Genoa, Italy.
Rosaria SancettaHematology Unit, Dell'Angelo Hospital, Venezia-Mestre, Italy.
Maria Rosaria CoppiHaematology and BMT Unit "Antonio Perrino" Hospital, Brindisi, Italy.
Maria Teresa CorsettiHematology Division, Azienda Ospedaliera Santi Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Giovanna Rege CambrinMedicina Interna a Indirizzo Ematologico, Ospedale San Luigi, Orbassano, Italy.
Atelda RomanoIRCCS Regina Elena National Cancer Institute-Rome, Roma, Italy.
Mario TiribelliDivision of Hematology and BMT, Department of Medical and Morphological Researches, University of Udine, Udine, Italy.ORCID https://orcid.org/0000-0001-9449-2621
Antonella Russo RossiHematology and Transplants Unit, University of Bari, Bari, Italy.
Sabina RussoDivision of Hematology, Dipartimento di Patologia Umana dell'Adulto e dell'Età Evolutiva, Policlinico G Martino, University of Messina, Messina, Italy.
Lara AprileSC Ematologia, Ospedale S.G.Moscati, Taranto, Italy.
Monica BocchiaHematology Unit, Department of Medicine, Surgery and Neuroscience, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy.
Lisa GandolfiUnit of Blood Disease and Stem Cell Transplantation, Department of Clinical and Experimental Sciences, University of Brescia, ASST-Spedali Civili, Brescia, Italy.
Mirko FarinaUnit of Blood Disease and Stem Cell Transplantation, Department of Clinical and Experimental Sciences, University of Brescia, ASST-Spedali Civili, Brescia, Italy.
Simona BernardiUnit of Blood Disease and Stem Cell Transplantation, Department of Clinical and Experimental Sciences, University of Brescia, ASST-Spedali Civili, Brescia, Italy.ORCID https://orcid.org/0000-0002-3494-2624
Nicola PolverelliUnit of Blood Disease and Stem Cell Transplantation, Department of Clinical and Experimental Sciences, University of Brescia, ASST-Spedali Civili, Brescia, Italy.ORCID https://orcid.org/0000-0001-6297-9697
Aldo M RoccaroClinical Research Development and Phase I Unit, ASST-Spedali Civili Brescia, Brescia, Italy.
Antonio De VivoHematology Unit, Department of Experimental, Diagnostic and Specialty Medicine (DIMES), S. Orsola-Malpighi University Hospital, University of Bologna, Bologna, Italy.
Michele BaccaraniUniversity of Bologna, Bologna, Italy.
Domenico RussoUnit of Blood Disease and Stem Cell Transplantation, Department of Clinical and Experimental Sciences, University of Brescia, ASST-Spedali Civili, Brescia, Italy.ORCID https://orcid.org/0000-0003-4458-6261

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntermittent treatment with TKIs is an option for the great majority (70%-80%) of CML patients who do not achieve a stable deep molecular response and are not eligible for treatment discontinuation. For these patients, the only alternative is to assume TKI continuously, lifelong.

methodsThe Italian phase III multicentric randomized OPTkIMA study started in 2015, with the aim to evaluate if a progressive de-escalation of TKIs (imatinib, nilotinib, and dasatinib) is able to maintain the molecular response (MR

resultsUp to December 2018, 166/185 (90%) elderly CML patients in stable MR

conclusionsDe-escalation of any TKI by 1 month ON/OFF schedule maintains the MR

Indexed as

Quality of LifeAgedAged, 80 and overDasatinibDisease ProgressionDrug Administration ScheduleFemaleHumansImatinib MesylateItalyLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMaleMiddle AgedPreliminary DataProtein Kinase InhibitorsPyrimidinesDasatinibImatinib MesylatenilotinibProtein Kinase InhibitorsPyrimidineschronic myeloid leukaemiaintermittentquality of lifetyrosine kinase inhibitor

Identifiers

PMID33594821
PMCPMC7940223

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Registered trials

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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.