Evidence map›Paper›PMID 33776678›Full record

ArticleCase reports in oncology

Monitoring Ponatinib in a Child with Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia.

Kazuki Tanimura, Kai Yamasaki, Yuki Okuhiro, Kota Hira, Chika Nitani, Keiko Okada, Hiroyuki Fujisaki, Kana Matsumoto, Junichi Hara

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
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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 2 institutions in 1 country.

Kazuki TanimuraDepartment of Pediatric Hematology and Oncology, Children's Medical Center, Osaka City General Hospital, Osaka, Japan.
Kai YamasakiDepartment of Pediatric Hematology and Oncology, Children's Medical Center, Osaka City General Hospital, Osaka, Japan.
Yuki OkuhiroDepartment of Pediatric Hematology and Oncology, Children's Medical Center, Osaka City General Hospital, Osaka, Japan.
Kota HiraDepartment of Pediatric Hematology and Oncology, Children's Medical Center, Osaka City General Hospital, Osaka, Japan.
Chika NitaniDepartment of Pediatric Hematology and Oncology, Children's Medical Center, Osaka City General Hospital, Osaka, Japan.
Keiko OkadaDepartment of Pediatric Hematology and Oncology, Children's Medical Center, Osaka City General Hospital, Osaka, Japan.
Hiroyuki FujisakiDepartment of Pediatric Hematology and Oncology, Children's Medical Center, Osaka City General Hospital, Osaka, Japan.
Kana MatsumotoDepartment of Clinical Pharmaceutics, Faculty of Pharmaceutical Sciences, Doshisha Women's College of Liberal Arts, Kyoto, Japan.
Junichi HaraDepartment of Pediatric Hematology and Oncology, Children's Medical Center, Osaka City General Hospital, Osaka, Japan.
Osaka City General Hospital · JPDoshisha Women's College of Liberal Arts · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ponatinib is a third-generation tyrosine kinase inhibitor (TKI) reported to show a higher efficacy for adult Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph+ALL) than other TKIs. However, few studies describe ponatinib for pediatric Ph+ALL; therefore, the efficacy, safety, and optimal dosage have not been determined. Here, we report a 3-year-old girl with Ph+ALL treated by a ponatinib-containing regimen with therapeutic drug monitoring in the plasma and cerebrospinal fluid (CSF). In our case, a ponatinib-containing regimen was able to keep minimal residual disease negative, and the pharmacokinetics (PKs) of plasma ponatinib resembled that previously reported in adults. Penetration to the CSF was extremely limited. Thus, ponatinib was feasible and effective for a child with Ph+ALL, although the plasma concentration of ponatinib varied significantly throughout the treatment. The appropriate dosage should be confirmed in a prospective trial, including a detailed PK study.

Indexed as

Philadelphia chromosome-positive acute lymphoblastic leukemiaPlasma concentrationPonatinib

Identifiers

PMID33776678
PMCPMC7983555
OpenAlexW3130148693

What OpenQuestion holds

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LicenceCC BY-NC
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.