Evidence map›Paper›PMID 37738125›Full record

ArticleBlood advances2023

The long-term efficacy and safety of nilotinib in pediatric patients with CML: a 5-year update of the DIALOG study.

Nobuko Hijiya, Alexey Maschan, Carmelo Rizzari, Hiroyuki Shimada, Carlo Dufour, Hiroaki Goto, Hyoung Jin Kang, Terri Guinipero, Zeynep Karakas, Francisco Bautista and 10 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Blood advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01844765 (A Multi-center, Open Label, Non-controlled Phase II Study to Evaluate Efficacy and Safety of Oral Nilotinib in Pediatric Patients With Newly Diagnosed Ph+ Chronic Myelogenous Leukemia), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.3field-weighted citation impact, top 10% 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.

NCT01844765 phase2completednot on this map

A Multi-center, Open Label, Non-controlled Phase II Study to Evaluate Efficacy and Safety of Oral Nilotinib in Pediatric Patients With Newly Diagnosed Ph+ Chronic Myelogenous Leukemia (CML) in Chronic Phase (CP) or With Ph+ CML in CP or Accelerated Phase (AP) Resistant or Intolerant to Either Imatinib or Dasatinib

TypeinterventionalSponsorNovartis PharmaceuticalsRan2013 to 2020Enrolled59ConditionsPhiladelphia Positive (Ph+) Chronic Myelogenous LeukemiaArmsnilotinib
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. [How I treat pediatric chronic myeloid leukemia].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Review
  5. 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

20 authors at 19 institutions in 12 countries.

Nobuko HijiyaDivision of Pediatric Hematology/Oncology/Stem Cell Transplantation, Columbia University Irving Medical Center, New York, NY.ORCID 0000-0002-0199-054X
Alexey MaschanDmitrii Rogachev Federal Research Center for Pediatric Hematology, Oncology and Immunology, Moscow, Russia.ORCID 0000-0002-0016-6698
Carmelo RizzariPediatria, Fondazione IRCSS San Gerardo dei Tintori, Universitá di Milano-Bicocca, Monza, Italy.ORCID 0000-0002-4828-3893
Hiroyuki ShimadaDepartment of Pediatrics, Keio University School of Medicine, Shinjuku-ku, Japan.ORCID 0000-0002-5168-3222
Carlo DufourIstituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Istituto Giannina Gaslini, Genova, Italy.
Hiroaki GotoDivision of Hematology/Oncology, Kanagawa Children's Medical Center, Yokohama, Japan.
Hyoung Jin KangDepartment of Pediatrics, Seoul National University College of Medicine, Seoul, South Korea.
Terri GuiniperoNationwide Children's Hospital, The Ohio State University, Columbus, OH.
Zeynep KarakasPediatric Hematology/Oncology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
Francisco BautistaDepartment of Pediatric Oncology, Hematology and Stem Cell Transplantation, Hospital Niño Jesús, Madrid, Spain.ORCID 0000-0002-0421-8862
Stéphane DucassouGroupe Hospitalier Pellegrin-Hôpital des Enfants, Bordeaux, France.
Keon Hee YooSamsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Christian Michel ZwaanPrincess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Frédéric MillotUnité d'Onco-Hématologie Pédiatrique, Centre d'Investigation Clinique (CIC) 1402 INSERM, Centre Hospitalier Universitaire (CHU) de Poitiers, Poitiers, France.
Briana C PattersonAflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta and Emory University School of Medicine, Atlanta, GA.
Jill SamisAnn and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.ORCID 0000-0001-9369-1661
Miguel IzquierdoNovartis Pharma AG, Basel, Switzerland.
Ksenia TitorenkoNovartis Pharmaceuticals Corporations, Munich, Germany.ORCID 0000-0002-5379-388X
Sai LiNovartis Pharma AG, Basel, Switzerland.
Darintr SosothikulIntergrative and Innovative Hematology/Oncology Research Unit, Division of Hematology/Oncology, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.ORCID 0000-0003-1097-3482
Novartis (Switzerland) · CHChulalongkorn University · THColumbia University Irving Medical Center · USDmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology · RUEmory University · USHôpital des Enfants · FRHospital Infantil Universitario Niño Jesús · ESInserm · FRIstanbul University · TRIstituto Giannina Gaslini · ITKanagawa Children's Medical Center · JPKeio University · JPLurie Children's Hospital · USNationwide Children's Hospital · USNovartis (Germany) · DEPrincess Máxima Center · NLSamsung Medical Center · KRSeoul National University · KRUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The efficacy and safety of nilotinib in pediatric patients with imatinib/dasatinib resistant/intolerant (R/I) or newly diagnosed (ND) Philadelphia chromosome-positive (Ph+) chronic myeloid leukemia in chronic phase (CML-CP) was demonstrated in the phase 2, open-label DIALOG study. In this final analysis, long-term efficacy and safety are presented for patients who completed 66 cycles (of 28 days) of treatment with nilotinib (230 mg/m2 twice daily) or discontinued early. Overall, 59 patients were enrolled and 58 were treated (R/I, n = 33; ND, n = 25; median time on treatment: 60.5 and 51.9 months, respectively). In the R/I cohort, the cumulative major molecular response (MMR; BCR::ABL1 international scale [IS] ≤ 0.1%) rate was 60.6%, and no patients had a confirmed loss of MMR. Among ND patients, the best overall MMR rate was 76.0%; 3 patients had a confirmed loss of MMR. The cumulative molecular response MR4 (BCR::ABL1IS ≤ 0.01%) and MR4.5 (BCR::ABL1IS ≤ 0.0032%) rates by 66 cycles were 27.3% and 12.1% in the R/I cohort, and 56.0% and 44.0% in the ND cohort, respectively. The safety profile of nilotinib was consistent with those of earlier reports. No on-treatment deaths occurred. These long-term (up to ∼5 years) data support the efficacy and safety of nilotinib in pediatric patients with Ph+ CML-CP. This trial was registered at www.clinicaltrials.gov.uk as #NCT01844765.

Indexed as

Antineoplastic AgentsLeukemia, Myelogenous, Chronic, BCR-ABL PositiveChildHumansImatinib MesylatePyrimidinesAntineoplastic AgentsImatinib MesylatePyrimidines

Identifiers

PMID37738125
PMCPMC10711170
OpenAlexW4386955073

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.