Evidence map›Paper›PMID 35637252›Full record

ArticleBlood cancer journal2022

Clinical outcomes in patients with relapsed/refractory FLT3-mutated acute myeloid leukemia treated with gilteritinib who received prior midostaurin or sorafenib.

Alexander E Perl, Naoko Hosono, Pau Montesinos, Nikolai Podoltsev, Giovanni Martinelli, Nicki Panoskaltsis, Christian Recher, Catherine C Smith, Mark J Levis, Stephen Strickland and 9 more

Open access · goldAbstract read
In one paragraph

Article in Blood cancer journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
6.4field-weighted citation impact, top 2% 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

33 citing papers in PubMed, 44 citations in OpenAlex.

  1. Trial
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  10. Synergistic Activity of Combined FLT3-ITD and MDM2 Inhibition with Quizartinib and Milademetan in FLT3-ITD Mutant/TP53 Wild-type Acute Myeloid Leukemias.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  11. Review
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  13. Molecular medicine reports · 2024
    Article
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  19. Treatment Patterns andTherapeutics and clinical risk management · 2024
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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

19 authors at 17 institutions in 8 countries.

Alexander E PerlAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA. alexander.perl@pennmedicine.upenn.edu.
Naoko HosonoUniversity of Fukui, Fukui, Japan.ORCID 0000-0002-6336-3250
Pau MontesinosHospital Universitario y Politécnico La Fe, Valencia, Spain.ORCID 0000-0002-3275-5593
Nikolai PodoltsevYale School of Medicine, New Haven, CT, USA.ORCID 0000-0002-3657-778X
Giovanni MartinelliIstituto Romagnolo per lo Studio dei Tumori "Dino Amadori" IRST S. r. l, Meldola, Italy.ORCID 0000-0002-1025-4210
Nicki PanoskaltsisWinship Cancer Institute, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0001-8972-5697
Christian RecherCancer Research Center of Toulouse, Toulouse, France.
Catherine C SmithUniversity of California-San Francisco, San Francisco, CA, USA.ORCID 0000-0003-0160-7026
Mark J LevisThe Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD, USA.ORCID 0000-0003-0473-6982
Stephen StricklandVanderbilt Ingram Cancer Center, Nashville, TN, USA.ORCID 0000-0002-6861-2041
Christoph RölligUniversitätsklinikum Carl Gustav Carus, Dresden, Germany.ORCID 0000-0002-3791-0548
Marco Groß-LangenhoffAstellas Pharma GmbH, Munich, Germany.
Wen-Chien ChouNational Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0003-2967-698X
Je-Hwan LeeAsan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID 0000-0002-7060-1675
Hisayuki YokoyamaSendai Medical Center, National Hospital Organization, Sendai, Japan.
Nahla HasabouAstellas Pharma US, Northbrook, IL, USA.
Qiaoyang LuAstellas Pharma US, Northbrook, IL, USA.
Ramon V TiuAstellas Pharma US, Northbrook, IL, USA.
Jessica K AltmanRobert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Astellas Pharma (United States) · USAstellas Pharma (Germany) · DECentre de Recherche en Cancérologie de Toulouse · FREmory University · USHospital Universitari i Politècnic La Fe · ESIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori · ITJohns Hopkins University · USNational Taiwan University Hospital · TWNorthwestern University · USTohoku University Hospital · JPUlsan College · KRUniversity Hospital Carl Gustav Carus · DEUniversity of California, San Francisco · USUniversity of Fukui · JPUniversity of Pennsylvania · USVanderbilt University · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The fms-like tyrosine kinase 3 (FLT3) inhibitor gilteritinib is indicated for relapsed or refractory (R/R) FLT3-mutated acute myeloid leukemia (AML), based on its observed superior response and survival outcomes compared with salvage chemotherapy (SC). Frontline use of FLT3 tyrosine kinase inhibitors (TKIs) midostaurin and sorafenib may contribute to cross-resistance to single-agent gilteritinib in the R/R AML setting but has not been well characterized. To clarify the potential clinical impact of prior TKI use, we retrospectively compared clinical outcomes in patients with R/R FLT3-mutated AML in the CHRYSALIS and ADMIRAL trials who received prior midostaurin or sorafenib against those without prior FLT3 TKI exposure. Similarly high rates of composite complete remission (CRc) were observed in patients who received a FLT3 TKI before gilteritinib (CHRYSALIS, 42%; ADMIRAL, 52%) and those without prior FLT3 TKI therapy (CHRYSALIS, 43%; ADMIRAL, 55%). Among patients who received a prior FLT3 TKI in ADMIRAL, a higher CRc rate (52%) and trend toward longer median overall survival was observed in the gilteritinib arm versus the SC arm (CRc = 20%; overall survival, 5.1 months; HR = 0.602; 95% CI: 0.299, 1.210). Remission duration was shorter with prior FLT3 TKI exposure. These findings support gilteritinib for FLT3-mutated R/R AML after prior sorafenib or midostaurin.

Indexed as

fms-Like Tyrosine Kinase 3Leukemia, Myeloid, AcuteAniline CompoundsHumansMutationProtein Kinase InhibitorsPyrazinesRetrospective StudiesSorafenibStaurosporineAniline CompoundsFLT3 protein, humanfms-Like Tyrosine Kinase 3gilteritinibmidostaurinProtein Kinase InhibitorsPyrazinesSorafenibStaurosporine

Identifiers

PMID35637252
PMCPMC9151663
OpenAlexW4281622146

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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.