Evidence map›Paper›PMID 39267544›Full record

ArticleCancer medicine2024

Clinical efficacy and safety of first-line nilotinib or imatinib therapy in patients with chronic myeloid leukemia-Nationwide real life data.

Petra Belohlavkova, Daniela Zackova, Hana Klamova, Edgar Faber, Michal Karas, Lukas Stejskal, Eduard Cmunt, Olga Cerna, Ivana Jeziskova, Katerina Machova Polakova and 4 more

Abstract read
In one paragraph

Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

14 authors.

Petra Belohlavkova4th Department of Internal Medicine and Haematology, University Hospital Hradec Kralove and Charles University, Prague, Czech Republic.ORCID 0000-0001-8728-7443
Daniela ZackovaDepartment of Internal Medicine-Haematology and Oncology, University Hospital Brno and Masaryk University, Brno, Czech Republic.ORCID 0000-0001-9802-8148
Hana KlamovaInstitute of Haematology and Blood Transfusion, Prague, Czech Republic.
Edgar FaberDepartment of Haemato-oncology, University Hospital Olomouc and Palacky University, Olomouc, Czech Republic.
Michal KarasDepartment of Haemato-oncology, University Hospital Plzen and Charles University, Plzen, Czech Republic.
Lukas StejskalDepartment of Haemato-oncology, University Hospital Ostrava and Ostrava University, Ostrava, Czech Republic.
Eduard Cmunt1st Department of Internal Medicine-Haematology, General University Hospital and Charles University, Prague, Czech Republic.
Olga CernaDepartment of Internal Medicine-Haematology, University Hospital Kralovske Vinohrady and Charles University, Prague, Czech Republic.
Ivana JeziskovaDepartment of Internal Medicine-Haematology and Oncology, University Hospital Brno and Masaryk University, Brno, Czech Republic.
Katerina Machova PolakovaInstitute of Haematology and Blood Transfusion, Prague, Czech Republic.
Pavel Zak4th Department of Internal Medicine and Haematology, University Hospital Hradec Kralove and Charles University, Prague, Czech Republic.
Tereza JurkovaInstitute of Biostatistics and Analyses, Masaryk University, Brno, Czech Republic.
Marika ChrapavaInstitute of Biostatistics and Analyses, Masaryk University, Brno, Czech Republic.
Jiri MayerDepartment of Internal Medicine-Haematology and Oncology, University Hospital Brno and Masaryk University, Brno, Czech Republic.

Funding

DRO and the Cooperatio Program 00179906The project National Institute for Cancer Research The project National Institute for Cancer Research LX22NPO5102
6 · The paper itself

Abstract

backgroundTo evaluate the outcomes of first-line imatinib versus nilotinib treatment for chronic myeloid leukemia in the chronic phase (CML-CP) in real-world clinical practice.

methodsA propensity score analysis was performed to eliminate imbalances between the treatment groups. In the analysis, 163 patients in the nilotinib group and 163 patients in the matched imatinib group were retrospectively evaluated.

resultsNilotinib-treated patients achieved complete cytogenetic response (CCyR) and major molecular response more rapidly than imatinib-treated patients. However, there was no significant difference in 5-year overall survival (OS) or progression-free survival (PFS) between the two groups (OS: 94.3% vs. 90.5%, p = 0.602; PFS: 92.9% vs. 88.0%, p = 0.614). Nilotinib-treated patients had a higher failure-free survival (FFS) and event-free survival (EFS) than imatinib-treated patients (FFS: 71.7% vs. 54.3%, p = 0.040; EFS: 71.7% vs. 53.5%, p = 0.025).

conclusionsThis retrospective analysis from clinical practice did not confirm any benefit of frontline nilotinib treatment for OS and PFS; however, it did demonstrate higher FFS and EFS in the nilotinib cohort.

Indexed as

Imatinib MesylateLeukemia, Myelogenous, Chronic, BCR-ABL PositivePyrimidinesAdultAgedAntineoplastic AgentsFemaleHumansMaleMiddle AgedProgression-Free SurvivalPropensity ScoreProtein Kinase InhibitorsRetrospective StudiesTreatment OutcomeYoung AdultAntineoplastic AgentsImatinib MesylatenilotinibProtein Kinase InhibitorsPyrimidineschronic myeloid leukemiafirst‐line treatmentimatinibnilotinib

Identifiers

PMID39267544
PMCPMC11393449

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.