Evidence map›Paper›PMID 36727397›Full record

ArticleHaematologica2023

Molecular response in newly diagnosed chronic-phase chronic myeloid leukemia: prediction modeling and pathway analysis.

Jerald P Radich, Matthew Wall, Susan Branford, Catarina D Campbell, Shalini Chaturvedi, Daniel J DeAngelo, Michael Deininger, Justin Guinney, Andreas Hochhaus, Timothy P Hughes and 13 more

Registry-linked trialAbstract read
In one paragraph

Article in Haematologica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00471497 (A Phase III Multi-center, Open-label, Randomized Study of Imatinib Versus Nilotinib in Adult Patients With Newly Diagnosed Philadelphia Chromosome Positive), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT00471497 phase3completednot on this map

A Phase III Multi-center, Open-label, Randomized Study of Imatinib Versus Nilotinib in Adult Patients With Newly Diagnosed Philadelphia Chromosome Positive (Ph+) Chronic Myelogenous Leukemia in Chronic Phase (CML-CP)

TypeinterventionalSponsorNovartis PharmaceuticalsRan2007 to 2019Enrolled846ConditionsMyelogenous Leukemia, ChronicArmsnilotinib, imatinib
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. 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

23 authors.

Jerald P RadichFred Hutchinson Cancer Research Center, Seattle, WA. jradich@fredhutch.org.
Matthew WallSage Bionetworks, Seattle, WA.
Susan BranfordSA Pathology, Centre for Cancer Biology, Adelaide, SA.
Catarina D CampbellNovartis Institutes for Biomedical Research, Cambridge, MA.
Shalini ChaturvediNovartis Pharmaceuticals Corporation, East Hanover, NJ.
Daniel J DeAngeloDana-Farber Cancer Institute, Boston, MA.
Michael DeiningerHuntsman Cancer Institute, The University of Utah, Salt Lake City, UT.
Justin GuinneySage Bionetworks, Seattle, WA.
Andreas HochhausUniversitätsklinikum Jena, Jena.
Timothy P HughesSouth Australian Health and Medical Research Institute and University of Adelaide, Adelaide.
Hagop M KantarjianMD Anderson Cancer Center, University of Texas, Houston, TX.
Richard A LarsonMedicine- Hematology/Oncology, University of Chicago.
Sai LiNovartis Pharmaceuticals Corporation, Basel, Basel-Stadt.
Rodrigo MaegawaNovartis Pharmaceuticals Corporation, East Hanover, NJ.
Kaushal MishraNovartis Pharmaceuticals Corporation, East Hanover, NJ.
Vanessa ObournNovartis Institutes for Biomedical Research, Cambridge, MA.
Javier Pinilla-IbarzMoffitt Cancer Center, University of South Florida, Tampa, FL.
Das PurkayasthaNovartis Pharmaceuticals Corporation, Basel, Basel-Stadt.
Islam SadekNovartis Pharmaceuticals Corporation, East Hanover, NJ.
Giuseppe SaglioUniversity of Turin, Turin, Italy.
Alok ShresthaNovartis Pharmaceuticals Corporation, East Hanover, NJ.
Brian S WhiteSage Bionetworks, Seattle, WA.
Brian J DrukerKnight Cancer Institute, Oregon Health and Science University, Portland, OR.

Funding

CHRONIC MYELOGENOUS LEUKEMIA AND BCR-ABL SUBSTRATESR01CA065823 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI DRUKER, BRIAN J · 1995 to 2021
$4.7M
NCI NIH HHS R01 CA065823
6 · The paper itself

Abstract

Tyrosine kinase inhibitor therapy revolutionized chronic myeloid leukemia treatment and showed how targeted therapy and molecular monitoring could be used to substantially improve survival outcomes. We used chronic myeloid leukemia as a model to understand a critical question: why do some patients have an excellent response to therapy, while others have a poor response? We studied gene expression in whole blood samples from 112 patients from a large phase III randomized trial (clinicaltrials gov. Identifier: NCT00471497), dichotomizing cases into good responders (BCR::ABL1 ≤10% on the International Scale by 3 and 6 months and ≤0.1% by 12 months) and poor responders (failure to meet these criteria). Predictive models based on gene expression demonstrated the best performance (area under the curve =0.76, standard deviation =0.07). All of the top 20 pathways overexpressed in good responders involved immune regulation, a finding validated in an independent data set. This study emphasizes the importance of pretreatment adaptive immune response in treatment efficacy and suggests biological pathways that can be targeted to improve response.

Indexed as

Antineoplastic AgentsLeukemia, Myelogenous, Chronic, BCR-ABL PositiveLeukemia, Myeloid, Chronic-PhaseFusion Proteins, bcr-ablHumansProtein Kinase InhibitorsTreatment OutcomeAntineoplastic AgentsFusion Proteins, bcr-ablProtein Kinase Inhibitors

Identifiers

PMID36727397
PMCPMC10230428

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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.