Evidence map›Paper›PMID 37069326›Full record

Trial reportLeukemia2023

Health-related quality of life of patients with resistant/intolerant chronic phase chronic myeloid leukemia treated with asciminib or bosutinib in the phase 3 ASCEMBL trial.

Delphine Réa, Carla Boquimpani, Michael J Mauro, Yosuke Minami, Alex Allepuz, Vikalp Kumar Maheshwari, Denise D'Alessio, Ying Wu, Rachael Lawrance, Sarunas Narbutas and 2 more

Open access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Leukemia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Patient-reported toxicity symptoms during tyrosine kinase inhibitor treatment in chronic myeloid leukemia: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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

12 authors at 9 institutions in 8 countries.

Delphine RéaHôpital Saint-Louis, CIC 1427, Paris, France. delphine.rea@aphp.fr.ORCID 0000-0001-5379-7461
Carla BoquimpaniHEMORIO, State Institute of Hematology Arthur de Siquiera Cavalcanti, Rio de Janeiro, Brazil.
Michael J MauroMemorial Sloan-Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-2251-4032
Yosuke MinamiNational Cancer Center Hospital East, Kashiwa, Japan.ORCID 0000-0003-0863-0739
Alex AllepuzNovartis Pharma AG, Basel, Switzerland.
Vikalp Kumar MaheshwariNovartis Healthcare Pvt. Ltd., Hyderabad, India.
Denise D'AlessioNovartis Services Inc, East Hanover, NJ, USA.
Ying WuNovartis Services Inc, East Hanover, NJ, USA.
Rachael LawranceAdelphi Values, Bollington, Cheshire, UK.ORCID 0000-0002-9499-8443
Sarunas NarbutasYouth Cancer Europe and CML Advocates Network, Vilnius, Lithuania.
Giora SharfLeukemia Patient Advocates Foundation, Netanya, Israel.
Andreas HochhausUniversitätsklinikum Jena, Jena, Germany.ORCID 0000-0003-0626-0834
Novartis (United States) · USAdelphi Group (United Kingdom) · GBHemorio · BRHôpital Saint-Louis · FRJena University Hospital · DEMemorial Sloan Kettering Cancer Center · USNational Cancer Center Hospital East · JPNovartis (India) · INNovartis (Switzerland) · CH

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

In ASCEMBL, an open-label, randomized Phase 3 study, asciminib demonstrated superior efficacy and better safety profile compared with bosutinib in patients with chronic myeloid leukemia in chronic phase (CML-CP) previously treated with ≥2 tyrosine kinase inhibitors. Health-related quality of life (HRQOL) reported by patients is key to understanding the benefit and impact of treatment on patients' lives, and is becoming increasingly important as the life expectancy of CML-CP patients increases and patients require long-term treatment. In ASCEMBL, patients completed questionnaires to assess CML symptoms and interference with daily life (M.D. Anderson Symptom Inventory - CML [MDASI-CML]), general HRQOL (five-level EQ-5D [EQ-5D-5L], Patient Global Impression of Change - CML [PGIC-CML]), and impact of CML on working life and activity (Work Productivity and Activity Impairment questionnaire - CML [WPAI-CML]). Patients' CML symptoms and HRQOL remained stable during 48 weeks of treatment with asciminib, with a general trend for decreased CML symptom severity, particularly for fatigue, and improvement in HRQOL. A clinically meaningful increase in diarrhea severity was observed in patients treated with bosutinib compared to asciminib. These data provide better understanding of the patient perspective and treatment impact on HRQOL in a later-line setting, where little information has been published to date.

Indexed as

Leukemia, Myelogenous, Chronic, BCR-ABL PositiveLeukemia, Myeloid, Chronic-PhaseAniline CompoundsHumansNiacinamideNitrilesPyrazolesQuality of LifeQuinolinesAniline CompoundsasciminibbosutinibNiacinamideNitrilesPyrazolesQuinolines

Identifiers

PMID37069326
PMCPMC10169655
OpenAlexW4366090384

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.