Evidence map›Paper›PMID 37606693›Full record

ArticleAnnals of hematology2023

Gilteritinib and the risk of intracranial hemorrhage: a case series of a possible, under-reported side effect.

Salvatore Perrone, Stefano Imperatore, Giuseppe Sucato, Ermanno Notarianni, Andrea Corbingi, Costanza Andriola, Mariasanta Napolitano, Alessandro Pulsoni, Matteo Molica

Open access · hybridAbstract readMulticenter StudyCase Reports
In one paragraph

Article in Annals of hematology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

9 authors at 3 institutions in 1 country.

Salvatore PerroneDepartment of Hematology, S.M. Goretti Hospital, Polo Universitario Pontino, "Sapienza," Via A. Canova, 04100, Latina, Italy.
Stefano ImperatoreDepartment of Hematology, S.M. Goretti Hospital, Polo Universitario Pontino, "Sapienza," Via A. Canova, 04100, Latina, Italy.
Giuseppe SucatoDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, Palermo, Italy.
Ermanno NotarianniDiagnostic and Interventional Unit, "Santa Maria Goretti" Hospital, Via Antonio Canova, Latina, Italy.
Andrea CorbingiDepartment of Hematology, S.M. Goretti Hospital, Polo Universitario Pontino, "Sapienza," Via A. Canova, 04100, Latina, Italy.
Costanza AndriolaDepartment of Hematology, S.M. Goretti Hospital, Polo Universitario Pontino, "Sapienza," Via A. Canova, 04100, Latina, Italy.
Mariasanta NapolitanoDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, Palermo, Italy.
Alessandro PulsoniDepartment of Hematology, S.M. Goretti Hospital, Polo Universitario Pontino, "Sapienza," Via A. Canova, 04100, Latina, Italy. alessandro.pulsoni@uniroma1.it.
Matteo MolicaDepartment of Hematology-Oncology, Azienda Ospedaliera Pugliese-Ciaccio, Catanzaro, Italy.ORCID https://orcid.org/0000-0001-7429-8004
Ospedale Santa Maria Goretti · ITUniversity of Palermo · ITAzienda Ospedaliera Pugliese Ciaccio · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gilteritinib is currently approved for patients with relapsed/refractory AML with FLT3 mutations, based on the positive results of the pivotal ADMIRAL study. In ADMIRAL trial, no increased risk of bleeding was reported, but in the previous dose finding study, a single event of intracranial hemorrhage (ICH) was registered after exposure to subtherapeutic doses of gilteritinib. Here, we report the first case series on five ICHs diagnosed in patients with FLT3-mutated AML, occurred within the first month of exposure to gilteritinib. Our cohort included 24 patients treated in three Italian centers. Most of these ICH cases were non-severe and self-limiting, while one was fatal. This link with ICHs remains in any case uncertain for the presence of active AML. We further reported that an analysis of the post-marketing surveillance data (EudraVigilance) retrieved other 11 cases of ICHs present in the database after gilteritinib treatment. A causality assessment was performed according to the Dx3 method to evaluate the possibility that ICHs might be an actual side effect of gilteritinib. In conclusion, further research is needed to elucidate the potential role of gilteritinib in the pathogenesis of ICHs.

Indexed as

Aniline CompoundsIntracranial HemorrhagesPyrazinesAdultAgedFemalefms-Like Tyrosine Kinase 3HumansLeukemia, Myeloid, AcuteMaleMiddle AgedMutationAniline CompoundsFLT3 protein, humanfms-Like Tyrosine Kinase 3gilteritinibPyrazinesAcute myeloid leukemiaFLT3GilteritinibIntracranial hemorrhage (ICH)Subdural hemorrhage

Identifiers

PMID37606693
PMCPMC10567884
OpenAlexW4386046875

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.