Evidence map›Paper›PMID 38278960›Full record

ArticleLeukemia2024

Treatment-free remission after a second TKI discontinuation attempt in patients with Chronic Myeloid Leukemia re-treated with dasatinib - interim results from the DAstop2 trial.

Hjalmar Flygt, Stina Söderlund, Johan Richter, Susanne Saussele, Perttu Koskenvesa, Leif Stenke, Satu Mustjoki, Andreja Dimitrijevic, Jesper Stentoft, Waleed Majeed and 10 more

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in Leukemia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03573596 (Persistence Of Major Molecular Remission In Chronic Myeloid Leukemia After A Second Stop Of Tki Treatment In Patients Who Failed An Initial Stop Attempt), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT03573596 phase2unknown statusnot on this map

Persistence Of Major Molecular Remission In Chronic Myeloid Leukemia After A Second Stop Of Tki Treatment In Patients Who Failed An Initial Stop Attempt: A Multicenter Prospective Trial

TypeinterventionalSponsorAmsterdam UMC, location VUmcRan2018 to 2024Enrolled134ConditionsCML, RelapsedArmsDasatinib
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Article
  4. Road to treatment-free remission in chronic myeloid leukemia.International journal of hematology · 2026
    Review
  5. Review
  6. Observational
  7. Observational
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Kinetics ofFrontiers in oncology · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Hjalmar FlygtDepartment of Medical Science and Division of Hematology, Uppsala University Hospital, Uppsala, Sweden. hjalmar.flygt@medsci.uu.se.ORCID 0000-0002-8912-2324
Stina SöderlundDepartment of Medical Science and Division of Hematology, Uppsala University Hospital, Uppsala, Sweden.
Johan RichterDepartment of Hematology, Oncology and Radiation Physics, Skåne University Hospital, Lund, Sweden.ORCID 0000-0002-0374-6823
Susanne SausseleMedical Clinic, Medical Faculty Mannheim of the University of Heidelberg, Mannheim, Germany.ORCID 0000-0003-0357-5785
Perttu KoskenvesaDepartment of Hematology, Hematology Research Unit Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
Leif StenkeDepartment of Hematology, Karolinska University Hospital and Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
Satu MustjokiDepartment of Hematology, Hematology Research Unit Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.ORCID 0000-0002-0816-8241
Andreja DimitrijevicDepartment of Hematology, Odense University Hospital, Odense, Denmark.ORCID 0000-0002-0125-1886
Jesper StentoftDepartment of Hematology, Aarhus University Hospital, Aarhus, Denmark.
Waleed MajeedDepartment of Hemato-Oncology, Stavanger University Hospital, Stavanger, Norway.
Lydia RoyFrench CML group Fi-LMC, Centre Léon Bérard, Lyon, Hôpital Universitaire Henri Mondor, AP-HP, Service d'hématologie Clinique & Faculté de Santé, Université Paris Est Créteil, Créteil, France.
Dominik WolfDepartment of Hematology and Oncology, Comprehensive Cancer Center Innsbruck (CCCI), Tyrolean Cancer Research Institute (TKFI), Medical University Innsbruck, Innsbruck, Austria.
Arta DreimaneDepartment of Hematology, Linköping University Hospital, Linköping, Sweden.
Bjørn Tore GjertsenDepartment of Internal Medicine, Hematology Section, Haukeland University Hospital, Bergen, Norway.
Tobias Gedde-DahlDepartment of Hematology, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Erik AhlstrandDepartment of Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Berit MarkevärnDepartment of Hematology, Umeå University Hospital, Umeå, Sweden.
Henrik Hjorth-HansenDepartment of Hematology, St. Olavs Hospital, Trondheim, Norway.
Jeroen Janssen *Department of Hematology, Radboud University medical center, Nijmegen, The Netherlands.
Ulla Olsson-Strömberg *Department of Medical Science and Division of Hematology, Uppsala University Hospital, Uppsala, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tyrosine kinase inhibitor (TKI) discontinuation in chronic myeloid leukemia (CML) has become part of routine care for patients with a sustained deep molecular response (DMR). Approximately 50% experience a molecular relapse upon TKI cessation. Most of them quickly regain DMR upon TKI resumption. Whether these patients can achieve a second treatment-free remission (TFR) remains unclear. DAstop2 (ClinicalTrials.gov ID: NCT03573596) is a prospective study including patients with a failed first TFR attempt re-treated with any TKI for ≥ one year. Upon entering the study, patients received the TKI dasatinib for additional two years. Patients with sustained DMR for ≥1 year qualified for a second TKI stop. Ninety-four patients were included between Oct 2017-Dec 2021. At the time of data analysis, 62 patients had attempted a 2

Indexed as

Leukemia, Myelogenous, Chronic, BCR-ABL PositiveProtein Kinase InhibitorsDasatinibHumansProspective StudiesRemission InductionTreatment OutcomeDasatinibProtein Kinase Inhibitors

Identifiers

PMID38278960
PMCPMC10997502

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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.