Evidence map›Paper›PMID 38388649›Full record

ArticleLeukemia2024

Chronic myeloid leukemia diagnosed in pregnancy: management and outcome of 87 patients reported to the European LeukemiaNet international registry.

Ekaterina Chelysheva, Jane Apperley, Anna Turkina, Mohamed A Yassin, Delphine Rea, Franck E Nicolini, Daniela Barraco, Khamida Kazakbaeva, Sukhrob Saliev, Adi Shacham Abulafia and 9 more

Erratum issuedOpen access · bronzeAbstract 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. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 3% 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

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

  1. Guideline
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  14. Management of CML and Pregnancy in Low-and Middle-income Countries.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2025
    Review
  15. Article
  16. Perspectives on Drug Development for the Treatment of Chronic Myeloid Leukemia in Pregnant Patients and Patients Who Are Breastfeeding.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 13 institutions in 8 countries.

Ekaterina ChelyshevaNational Medical Research Center for Hematology, Moscow, Russian Federation. denve@bk.ru.ORCID 0000-0001-6423-1789
Jane ApperleyCentre for Haematology, Imperial College London, London, UK.ORCID 0000-0002-1710-1794
Anna TurkinaNational Medical Research Center for Hematology, Moscow, Russian Federation.ORCID 0000-0001-9947-2371
Mohamed A YassinDepartment of Medical Oncology/ Hematology Section, National Centre For Cancer Care & Research, Doha, Qatar.
Delphine ReaService d'hématologie Adulte and FiLMC Hôpital Saint-Louis, Paris, France.
Franck E NicoliniHematology department and INSERM 1052 CRCL, Centre Léon Bérard, Lyon, France.
Daniela BarracoDivision of Hematology, University Hospital "Ospedale di Circolo e Fondazione Macchi - ASST Sette Laghi", Varese, Italy.
Khamida KazakbaevaRepublician Specilized Scientific and Practical Medical Centre of Hematology, Tashkent, Uzbekistan.
Sukhrob SalievRepublician Specilized Scientific and Practical Medical Centre of Hematology, Tashkent, Uzbekistan.
Adi Shacham AbulafiaInstitute of Hematology, Davidoff Cancer Center, Rabin Medical Center, Beilinson Campus, Petah-Tikva, Israel.
Salam Al-KindiDepartment of Haematology, Sultan Qaboos University, Muscat, Oman.ORCID 0000-0001-6863-5748
Jennifer ByrneCentre for Clinical Haematology, Nottingham University Hospitals NHS Trust, Nottingham, England, UK.
Harry F RobertsonCentre for Haematology, Imperial College London, London, UK.
Marco CerranoDivision of Hematology, A.O.U. Città della Salute e della Scienza di Torino, Turin, Italy.
Roman ShmakovFSBI «National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I.Kulakov» Ministry of Healthcare of the Russian Federation, Moscow, Russian Federation.ORCID 0000-0002-2206-1002
Evgenia PolushkinaFSBI «National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I.Kulakov» Ministry of Healthcare of the Russian Federation, Moscow, Russian Federation.
Paolo de FabritiisHematology, S. Eugenio Hospital, Tor Vergata University, ASL Roma2, Rome, Italy.
Malgorzata Monika TrawinskaHematology, S. Eugenio Hospital, Tor Vergata University, ASL Roma2, Rome, Italy.
Elisabetta AbruzzeseHematology, S. Eugenio Hospital, Tor Vergata University, ASL Roma2, Rome, Italy.ORCID 0000-0001-5228-6491
ASL Roma · ITImperial College London · GBNational Medical Research Center for Hematology · RUNational Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I.Kulakov of the Ministry of Healthcare of the Russian Federation · RUTashkent Pediatric Medical Institute · UZAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITHôpital Saint-Louis · FRInserm · FRNational Center for Cancer Care and Research · QANottingham University Hospitals NHS Trust · GBOspedale di Circolo e Fondazione Macchi · ITRabin Medical Center · ILSultan Qaboos University · OM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The management of chronic myeloid leukemia (CML) diagnosed during pregnancy is a rare and challenging situation. We report the treatment and outcome of 87 cases diagnosed in chronic phase from 2001-2022 derived from the largest international observational registry, supported by the European LeukemiaNet (ELN), of 400 pregnancies in 299 CML women. Normal childbirth occurred in 76% without an increased rate of birth abnormalities or life-threatening events, including in patients untreated or treated with interferon-α and/or imatinib in 2nd-3rd trimester. The low birth weight rate of 12% was comparable to that seen in the normal population. Elective and spontaneous abortions occurred in 21% and 3%, respectively. The complete hematologic response rate before labor was 95% with imatinib and 47% with interferon only. No disease progression during pregnancy was observed, 28% of the patients switched their therapy at varying times after delivery. Treatment options balance the efficacy and safety for mother and infant: interferon-α can commence in the 1st trimester and continued throughout in cases of good disease control and tolerability. Because of limited placental crossing, selected tyrosine kinase inhibitors (imatinib and nilotinib) seem to be safe and effective options in 2nd and 3rd trimester while hydroxycarbamide offers few benefits.

Indexed as

Leukemia, Myelogenous, Chronic, BCR-ABL PositiveLeukemia, Myeloid, Chronic-PhaseFemaleHumansImatinib MesylateInterferon-alphaPlacentaPregnancyProtein Kinase InhibitorsTreatment OutcomeImatinib MesylateInterferon-alphaProtein Kinase Inhibitors

Identifiers

PMID38388649
PMCPMC11408247
OpenAlexW4392111492

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.