Evidence map›Paper›PMID 34302533›Full record

Trial reportMedical oncology (Northwood, London, England)2021

Metabolic shift of chronic myeloid leukemia patients under imatinib-pioglitazone regimen and discontinuation.

Valquíria Mariane Oliveira Póvoa, Jeany Delafiori, Flávia Luísa Dias-Audibert, Arthur Noin de Oliveira, Ana Beatriz Pascoal Lopes, Erich Vinícius de Paula, Katia Borgia Barbosa Pagnano, Rodrigo Ramos Catharino

Registry-linked trialAbstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in Medical oncology (Northwood, London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02852486 (Pilot Study of Imatinib Discontinuation in Patients With Chronic Myeloid Leukemia With Deep Molecular Response - Evaluation of Pioglitazone in Treatment-free Remission), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 33% 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.

NCT02852486 phase2completednot on this map

Pilot Study of Imatinib Discontinuation in Patients With Chronic Myeloid Leukemia With Deep Molecular Response - Evaluation of Pioglitazone in Treatment-free Remission (EDI-PIO)

TypeinterventionalSponsorUniversity of Campinas, BrazilRan2016 to 2024Enrolled31ConditionsLeukemia, Chronic MyeloidArmsPioglitazone 30 Mg Oral Tablet, imatinib discontinuation
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
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

8 authors at 1 institution in 1 country.

Valquíria Mariane Oliveira PóvoaHematology and Hemotherapy Center, University of Campinas, Campinas, Brazil.
Jeany DelafioriINNOVARE Biomarkers Laboratory, School of Pharmaceutical Sciences, University of Campinas, Campinas, Brazil.
Flávia Luísa Dias-AudibertINNOVARE Biomarkers Laboratory, School of Pharmaceutical Sciences, University of Campinas, Campinas, Brazil.
Arthur Noin de OliveiraINNOVARE Biomarkers Laboratory, School of Pharmaceutical Sciences, University of Campinas, Campinas, Brazil.
Ana Beatriz Pascoal LopesHematology and Hemotherapy Center, University of Campinas, Campinas, Brazil.
Erich Vinícius de PaulaHematology and Hemotherapy Center, University of Campinas, Campinas, Brazil.
Katia Borgia Barbosa PagnanoHematology and Hemotherapy Center, University of Campinas, Campinas, Brazil. kborgia@unicamp.br.
Rodrigo Ramos CatharinoINNOVARE Biomarkers Laboratory, School of Pharmaceutical Sciences, University of Campinas, Campinas, Brazil. rrc@unicamp.br.ORCID http://orcid.org/0000-0001-7219-2644
Universidade Estadual de Campinas (UNICAMP) · BR

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 141200/2018-9Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 88882.434900/2019-01Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 88887.513974/2020-00Fundação de Amparo à Pesquisa do Estado de São Paulo 2019/05718-3
6 · The paper itself

Abstract

The Estudo de Descontinuação de Imatinibe após Pioglitazona (EDI-PIO) is a single-center, longitudinal, prospective, phase 2, non-randomized, open, clinical trial (NCT02852486, August 2, 2016 retrospectively registered) for the discontinuation of imatinib after concomitant use of pioglitazone, being the first of its kind in a Brazilian population with chronic myeloid leukemia. Due to remaining of leukemic quiescent cells that are not affected by tyrosine kinase inhibitors, it has been suggested the use of pioglitazone, a PPARγ agonist, together with imatinib as a strategy for the maintenance of deep molecular response. The clinical benefit to this association is still controversial, and the metabolic alteration along this process remains unclear. Therefore, we applied a metabolomic protocol using high-resolution mass spectrometry to profile plasmatic metabolic response of a prospective cohort of ten individuals under discontinuation of imatinib and pioglitazone protocol. By comparing patients under pioglitazone and imatinib treatment with imatinib monotherapy and discontinuation phase, we were able to annotate 41 and 36 metabolites, respectively. The metabolic alterations observed during imatinib-pioglitazone combined therapy are associated with an extensive lipid remodeling, with activation of β-oxidation pathway, in addition to the presence of markers that suggest mitochondrial dysfunction.

Indexed as

MetabolomeWithholding TreatmentAdultAgedAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorFemaleFollow-Up StudiesHumansImatinib MesylateLeukemia, Myelogenous, Chronic, BCR-ABL PositiveLongitudinal StudiesMaleMetabolic DiseasesMiddle AgedNon-Randomized Controlled Trials as TopicBiomarkers, TumorImatinib MesylatePioglitazoneChronic myeloid leukemiaImatinibLipidsMass spectrometryMetabolomicsPioglitazone

Identifiers

PMID34302533
OpenAlexW3186940795

What OpenQuestion holds

Textmetadata
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.