Evidence map›Paper›PMID 36949155›Full record

ArticleLeukemia2023

Asciminib monotherapy in patients with CML-CP without BCR::ABL1 T315I mutations treated with at least two prior TKIs: 4-year phase 1 safety and efficacy results.

Michael J Mauro, Timothy P Hughes, Dong-Wook Kim, Delphine Rea, Jorge E Cortes, Andreas Hochhaus, Koji Sasaki, Massimo Breccia, Moshe Talpaz, Oliver Ottmann and 16 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase I
In one paragraph

Article in Leukemia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02081378 (A Phase I, Multicenter, Open-label Study of Oral ABL001 in Patients With Chronic Myelogenous Leukemia), which is not on this map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
12.8field-weighted citation impact, top 1% 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.

NCT02081378 phase1completednot on this map

A Phase I, Multicenter, Open-label Study of Oral ABL001 in Patients With Chronic Myelogenous Leukemia (CML) or Philadelphia Chromosome-positive Acute Lymphoblastic Leukemia (Ph+ ALL)

TypeinterventionalSponsorNovartis PharmaceuticalsRan2014 to 2023Enrolled326ConditionsChronic Myelogenous Leukemia, Philadelphia Chromosome-positive Acute Lymphoblastic LeukemiaArmsAsciminib (ABL001), Nilotinib, Imatinib, Dasatinib
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Reconsidering dualTranslational cancer research · 2026
    Article
  13. Article
  14. Article
  15. Review
  16. Vascular Toxicities of Cancer Therapies: 2025 Update.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  17. Advances in Targeting BCR-ABLMolecules (Basel, Switzerland) · 2026
    Review
  18. Article
  19. Article
  20. Chronic Myeloid Leukemia and the T315IInternational journal of molecular sciences · 2025
    Review
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

26 authors at 20 institutions in 13 countries.

Michael J Mauro *Memorial Sloan Kettering Cancer Center, New York, NY, USA. maurom@mskcc.org.ORCID 0000-0002-2251-4032
Timothy P Hughes *South Australian Health and Medical Research Institute and University of Adelaide, Adelaide, SA, Australia.
Dong-Wook KimUijeongbu Eulji Medical Center, Geumo-dong, Uijeongbu-si, South Korea.
Delphine ReaAdult Hematology and INSERM CIC1427, Hôpital Saint-Louis, Paris, France.
Jorge E CortesGeorgia Cancer Center, Augusta, GA, USA.ORCID 0000-0002-8636-1071
Andreas HochhausUniversitätsklinikum Jena, Jena, Germany.ORCID 0000-0003-0626-0834
Koji SasakiThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-9140-0610
Massimo BrecciaDepartment of Translational and Precision Medicine-Az., Policlinico Umberto I-Sapienza University, Rome, Italy.ORCID 0000-0003-1163-6162
Moshe TalpazDivision of Hematology-Oncology, University of Michigan Rogel Cancer Center, Ann Arbor, MI, USA.
Oliver OttmannCardiff University, Cardiff, UK.
Hironobu MinamiKobe University Hospital, Kobe, Japan.
Yeow Tee GohDepartment of Haematology, Singapore General Hospital, Bukit Merah, Singapore.ORCID 0000-0002-7069-0997
Daniel J DeAngeloDana-Farber Cancer Institute, Boston, MA, USA.ORCID 0000-0001-7865-2306
Michael C HeinrichDepartment of Medicine, Division of Hematology and Oncology, Portland VA Health Care System and Oregon Health & Science University, Knight Cancer Institute, Portland, OR, USA.ORCID 0000-0003-3790-0478
Valle Gómez-García de SoriaHospital de la Princesa, Madrid, Spain.
Philipp le CoutreCharité-Universitätsmedizin Berlin, Berlin, Germany.
Francois-Xavier MahonDepartment of Hematology, Institut Bergonié, Bordeaux, France.
Jeroen J W M JanssenVU University Medical Center, Amsterdam, The Netherlands.
Michael DeiningerVersiti Blood Research Institute, Milwaukee, WI, USA.
Naranie ShanmuganathanRoyal Adelaide Hospital, Adelaide, SA, Australia.ORCID 0000-0001-5895-8797
Mark B GeyerMemorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0001-5248-9117
Silvia CacciatoreNovartis Pharma AG, Basel, Switzerland.
Fotis PolydorosNovartis Pharma AG, Basel, Switzerland.
Nithya AgrawalNovartis Pharma AG, Basel, Switzerland.ORCID 0000-0003-4279-8324
Matthias HochNovartis Pharma AG, Basel, Switzerland.
Fabian LangDepartment for Hematology/Oncology, Goethe University Hospital, Frankfurt am Main, Germany.
Novartis (Switzerland) · CHMemorial Sloan Kettering Cancer Center · USAmsterdam UMC Location Vrije Universiteit Amsterdam · NLCardiff University · GBCharité - Universitätsmedizin Berlin · DEDana-Farber Cancer Institute · USGoethe University Frankfurt · DEHospital Universitario de La Princesa · ESInserm · FRInstitut Bergonié · FRJena University Hospital · DEKobe University Hospital · JPNational Cancer Center of Georgia · GEOregon Health & Science University · USPoliclinico Umberto I · ITRoyal Adelaide Hospital · AUSingapore General Hospital · SGSouth Australian Health and Medical Research Institute · AUThe Catholic University of Korea Uijeongbu St. Mary's Hospital · KRThe University of Texas MD Anderson Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
Novel models for functional profiling of germline SDH variants associated with cancerR21CA263400 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI HEINRICH, MICHAEL C · 2021 to 2022
$320k
BLRD VA I01 BX005358NCATS NIH HHS UL1 TR002369NCI NIH HHS P30 CA008748NCI NIH HHS R21 CA263400
6 · The paper itself

Abstract

Asciminib is approved for patients with Philadelphia chromosome-positive chronic-phase chronic myeloid leukemia (CML-CP) who received ≥2 prior tyrosine kinase inhibitors or have the T315I mutation. We report updated results of a phase 1, open-label, nonrandomized trial (NCT02081378) assessing the safety, tolerability, and antileukemic activity of asciminib monotherapy 10-200 mg once or twice daily in 115 patients with CML-CP without T315I (data cutoff: January 6, 2021). After ≈4-year median exposure, 69.6% of patients remained on asciminib. The most common grade ≥3 adverse events (AEs) included increased pancreatic enzymes (22.6%), thrombocytopenia (13.9%), hypertension (13.0%), and neutropenia (12.2%); all-grade AEs (mostly grade 1/2) included musculoskeletal pain (59.1%), upper respiratory tract infection (41.7%), and fatigue (40.9%). Clinical pancreatitis and arterial occlusive events (AOEs) occurred in 7.0% and 8.7%, respectively. Most AEs occurred during year 1; the subsequent likelihood of new events, including AOEs, was low. By data cutoff, among patients without the indicated response at baseline, 61.3% achieved BCR::ABL1 ≤ 1%, 61.6% achieved ≤0.1% (major molecular response [MMR]), and 33.7% achieved ≤0.01% on the International Scale. MMR was maintained in 48/53 patients who achieved it and 19/20 who were in MMR at screening, supporting the long-term safety and efficacy of asciminib in this population.

Indexed as

Antineoplastic AgentsLeukemia, Myelogenous, Chronic, BCR-ABL PositiveNeutropeniaDrug Resistance, NeoplasmFusion Proteins, bcr-ablHumansMutationNiacinamideProtein Kinase InhibitorsPyrazolesAntineoplastic AgentsasciminibFusion Proteins, bcr-ablNiacinamideProtein Kinase InhibitorsPyrazoles

Identifiers

PMID36949155
PMCPMC10169635
OpenAlexW4353057083

What OpenQuestion holds

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LicenceCC BY
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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.