Evidence map›Paper›PMID 34309636›Full record

Trial reportBlood advances2021

A phase 2 study of nilotinib in pediatric patients with CML: long-term update on growth retardation and safety.

Nobuko Hijiya, Alexey Maschan, Carmelo Rizzari, Hiroyuki Shimada, Carlo Dufour, Hiroaki Goto, Hyoung Jin Kang, Terri Guinipero, Zeynep Karakas, Francisco Bautista and 10 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01844765 (A Multi-center, Open Label, Non-controlled Phase II Study to Evaluate Efficacy and Safety of Oral Nilotinib in Pediatric Patients With Newly Diagnosed Ph+ Chronic Myelogenous Leukemia), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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.

NCT01844765 phase2completednot on this map

A Multi-center, Open Label, Non-controlled Phase II Study to Evaluate Efficacy and Safety of Oral Nilotinib in Pediatric Patients With Newly Diagnosed Ph+ Chronic Myelogenous Leukemia (CML) in Chronic Phase (CP) or With Ph+ CML in CP or Accelerated Phase (AP) Resistant or Intolerant to Either Imatinib or Dasatinib

TypeinterventionalSponsorNovartis PharmaceuticalsRan2013 to 2020Enrolled59ConditionsPhiladelphia Positive (Ph+) Chronic Myelogenous LeukemiaArmsnilotinib
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 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

20 authors at 18 institutions in 11 countries.

Nobuko HijiyaDivision of Pediatric Hematology/Oncology/Stem Cell Transplantation, Columbia University Irving Medical Center, New York, NY.ORCID 0000-0002-0199-054X
Alexey MaschanDmitrii Rogachev Federal Research Center for Pediatric Hematology, Oncology and Immunology, Moscow, Russian Federation.ORCID 0000-0002-0016-6698
Carmelo RizzariDepartment of Pediatrics, Pediatric Hematology Oncology Unit, University of Milano Bicocca, Monza Brianza per il Bambino e la sua Mamma (MBBM) Foundation, Azienda Socio Sanitaria Territoriale (ASST), Monza, Italy.ORCID 0000-0002-4828-3893
Hiroyuki ShimadaKeio University School of Medicine, Shinjuku-ku, Japan.ORCID 0000-0002-5168-3222
Carlo DufourIstituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Istituto Giannina Gaslini, Genoa, Italy.
Hiroaki GotoKanagawa Children's Medical Center, Yokohama, Japan.
Hyoung Jin KangDepartment of Pediatrics, Seoul National University College of Medicine, Seoul, South Korea.
Terri GuiniperoNationwide Children's Hospital, The Ohio State University, Columbus, OH.
Zeynep KarakasDepartment of Pediatric Hematology/Oncology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
Francisco BautistaHospital Niño Jesus, Madrid, Spain.
Stéphane DucassouGroupe Hospitalier Pellegrin-Hôpital des Enfants, Bordeaux, France.
Keon Hee YooSamsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Christian Michel ZwaanDepartment of Pediatric Oncology/Hematology, Erasmus Medical Center (MC)-Sophia Children's Hospital, Rotterdam, The Netherlands.
Frédéric MillotUnité d'Onco-Hématologie Pédiatrique, Centre d'Investigation Clinique (CIC) 1402 INSERM, Centre Hospitalier Universitaire (CHU) de Poitiers, Poitiers, France.
Briana PattersonAflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta and Emory University School of Medicine, Atlanta, GA.
Jill SamisAnn and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.ORCID 0000-0001-9369-1661
Paola AimoneNovartis Pharma AG, Basel, Switzerland.
Alex AllepuzNovartis Pharma AG, Basel, Switzerland.
Ksenia TitorenkoNovartis Pharmaceuticals Corporation, Moscow, Russian Federation; and.ORCID 0000-0002-5379-388X
Darintr SosothikulClinical Research for Holistic Management in Pediatric Hematology and Oncology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.ORCID 0000-0003-1097-3482
Novartis (Switzerland) · CHAzienda Socio Sanitaria Territoriale Lariana · ITChulalongkorn University · THColumbia University Irving Medical Center · USDmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology · RUEmory University · USErasmus MC - Sophia Children’s Hospital · NLHôpital des Enfants · FRHospital Infantil Universitario Niño Jesús · ESInserm · FRIstanbul University · TRIstituto Giannina Gaslini · ITKanagawa Children's Medical Center · JPKeio University · JPLurie Children's Hospital · USNationwide Children's Hospital · USSamsung Medical Center · KRSeoul National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The phase 2, open-label study (DIALOG) of nilotinib in pediatric patients with Philadelphia chromosome-positive chronic myelogenous leukemia (CML) met its coprimary end points, showing sustained nilotinib efficacy in patients with newly diagnosed (ND) or imatinib/dasatinib resistant/intolerant (R/I) CML. This update assessed growth and safety profiles in patients who had completed ≥48, 28-day treatment cycles of nilotinib 230 mg/m2 twice daily, or previously discontinued the study. Height was assessed regularly and reported using standard deviation scores (SDSs) based on World Health Organization growth charts. All data were summarized descriptively (cutoff, 6 March 2019). Overall, 33 patients in the R/I cohort and 25 patients in the ND cohort received nilotinib. Each cohort showed a negative slope in height SDS over the course of the study, indicating attenuated growth rates during nilotinib treatment: overall median change from baseline in height SDS after 48 cycles was -0.54 SDS (range, - 1.6 to 0.4) and -0.91 SDS (-1.4 to -0.1) in R/I and ND cohorts, respectively. Patients in the R/I cohort were shorter at baseline than those in the ND cohort, and remained so throughout the study. The most common all-cause adverse events were increased blood bilirubin (53.4%), headache (46.6%), pyrexia (37.9%), and increased alanine transferase (36.2%). Apart from the impact on growth, the safety profile of nilotinib was generally consistent with previous reports. This study was registered on www.clinicaltrials.gov at #NCT01844765.

Indexed as

Leukemia, Myelogenous, Chronic, BCR-ABL PositivePyrimidinesChildGrowth DisordersHumansImatinib MesylateImatinib MesylatenilotinibPyrimidines

Identifiers

PMID34309636
PMCPMC8341357
OpenAlexW3183346817

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.