Evidence map›Paper›PMID 37899244›Full record

ArticleInternal medicine (Tokyo, Japan)2024

The Impact of Pretransplant Use of Tyrosine Kinase Inhibitors on Allogeneic Stem Cell Transplantation in Patients with Chronic Myeloid Leukemia - A Single-institution Retrospective Study.

Shinya Fujita, Hidenori Kasahara, Jun Kato, Yuya Koda, Kohei Shiroshita, Kentaro Yamaguchi, Mikio Okayama, Ryohei Abe, Taku Kikuchi, Takayuki Shimizu and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 62% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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

13 authors at 2 institutions in 1 country.

Shinya FujitaDivision of Hematology, Department of Medicine, Keio University School of Medicine, Japan.
Hidenori KasaharaDivision of Hematology, Department of Medicine, Keio University School of Medicine, Japan.
Jun KatoDivision of Hematology, Department of Medicine, Keio University School of Medicine, Japan.
Yuya KodaDivision of Hematology, Department of Medicine, Keio University School of Medicine, Japan.
Kohei ShiroshitaDivision of Hematology, Department of Medicine, Keio University School of Medicine, Japan.
Kentaro YamaguchiDivision of Hematology, Department of Medicine, Keio University School of Medicine, Japan.
Mikio OkayamaDivision of Hematology, Department of Medicine, Keio University School of Medicine, Japan.
Ryohei AbeDivision of Hematology, Department of Medicine, Keio University School of Medicine, Japan.
Taku KikuchiDivision of Hematology, Department of Medicine, Keio University School of Medicine, Japan.
Takayuki ShimizuDivision of Hematology, Department of Medicine, Keio University School of Medicine, Japan.
Takehiko MoriDivision of Hematology, Department of Medicine, Keio University School of Medicine, Japan.
Keisuke KataokaDivision of Hematology, Department of Medicine, Keio University School of Medicine, Japan.
Shinichiro OkamotoDivision of Hematology, Department of Medicine, Keio University School of Medicine, Japan.
Keio University · JPTokyo Medical and Dental University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective Chronic myeloid leukemia (CML) is a malignant hematological disorder, and allogeneic stem cell transplantation (allo-SCT) was its only curative treatment until the introduction of tyrosine kinase inhibitors (TKIs). Allo-SCT is still considered for CML patients who are resistant to TKIs and in an advanced phase. Currently, second- and third-generation (2/3G TKIs are typically incorporated into the first-line treatment of CML. However, the impact of 2/3G TKIs on subsequent allo-SCT remains unclear. We therefore evaluated the effect of 2/3G TKIs on allo-SCT. Methods We retrospectively evaluated the effect of pretransplant therapy with TKIs on the outcome of allo-SCT for CML using clinical data at our institution. Patients Thirty-two CML patients who received their first allo-SCT procedure at our institute from 2001 to 2020 were included. We divided the patients into three subgroups based on TKI treatment before allo-SCT. Patients receiving no TKIs, only imatinib (IM), and 2/3G TKIs were classified into the Non-TKI, IM, and 2/3G TKI groups, respectively. Results In a univariate analysis, the pretransplant use of 2/3G TKIs was significantly associated with a higher 5-year overall survival (91.7%) and relapse-free survival (75.0%) than the use of IM (37.5% and 12.5%) in patients presenting with or progressing to the advanced phase. In addition, pretransplant use of 2/3G TKIs did not increase the incidence of graft-versus-host disease (GVHD). Conclusion We demonstrated that the pretransplant use of 2/3G TKIs was safe and improved the outcome of CML patients who presented with or progressed to the advanced phase without increasing the frequency of GVHD.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myelogenous, Chronic, BCR-ABL PositiveProtein Kinase InhibitorsTransplantation, HomologousAdultAgedFemaleHumansImatinib MesylateMaleMiddle AgedRetrospective StudiesTreatment OutcomeTyrosine Kinase InhibitorsYoung AdultImatinib MesylateProtein Kinase InhibitorsTyrosine Kinase Inhibitorsallogeneic stem cell transplantationchronic myeloid leukemiapretransplant use of tyrosine kinase inhibitorssecond- and third-generation tyrosine kinase inhibitors

Identifiers

PMID37899244
PMCPMC11189713
OpenAlexW4388014777

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.