Evidence map›Paper›PMID 39300220›Full record

ArticleLeukemia2024

Impact of BCR::ABL1 single nucleotide variants on asciminib efficacy.

Andrew J Innes, Chloe Hayden, Victoria Orovboni, Simone Claudiani, Fiona Fernando, Afzal Khan, David Rees, Jennifer Byrne, Paolo Gallipoli, Sebastian Francis and 21 more

Abstract 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. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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.

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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
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  8. Article
  9. Article
  10. Allele-Specific PCR for Detection of Missense Mutations in the ChimericInternational journal of molecular sciences · 2025
    Article
  11. Review
  12. Article
  13. 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

31 authors.

Andrew J Innes *Centre for Haematology, Faculty of Medicine, Imperial College London, London, United Kingdom. a.innes@imperial.ac.uk.ORCID 0000-0003-0918-8882
Chloe Hayden *North West London Pathology, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, United Kingdom.
Victoria OrovboniNorth West London Pathology, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, United Kingdom.
Simone ClaudianiCentre for Haematology, Faculty of Medicine, Imperial College London, London, United Kingdom.
Fiona FernandoCentre for Haematology, Faculty of Medicine, Imperial College London, London, United Kingdom.
Afzal KhanCentre for Haematology, Faculty of Medicine, Imperial College London, London, United Kingdom.
David ReesMedical School, Faculty of Medicine, Imperial College London, London, United Kingdom.
Jennifer ByrneCentre for Clinical Haematology, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom.
Paolo GallipoliCentre for Haemato-Oncology, Barts Cancer Institute, Queen Mary University of London, London, United Kingdom.ORCID 0000-0001-7254-2253
Sebastian FrancisDepartment of haematology, Sheffield Teaching Hospitals NHS Trust, Sheffield, United Kingdom.
Mhairi CoplandPaul O'Gorman Leukaemia Research Centre, School of Cancer Sciences, University of Glasgow, Glasgow, United Kingdom.ORCID 0000-0002-7655-016X
Gillian HornePaul O'Gorman Leukaemia Research Centre, School of Cancer Sciences, University of Glasgow, Glasgow, United Kingdom.ORCID 0000-0001-9741-7352
Manoj RaghavanCentre for Clinical Haematology, Queen Elizabeth Hospital, Birmingham, United Kingdom.ORCID 0000-0002-5464-2602
Claire ArnoldDepartment of Haematology, Belfast City Hospital, Belfast, United Kingdom.
Angela CollinsDepartment of Haematology, Norfolk and Norwich University Hospital, Norwich, United Kingdom.
Tanya CranfieldDepartment of Haematology, Queen Alexandra Hospital, Portsmouth, United Kingdom.
Nicholas CunninghamDepartment of Haematology, Belfast City Hospital, Belfast, United Kingdom.
Akila DangaDepartment of Haematology, The Hillingdon Hospital, London, United Kingdom.
Peter ForsythDepartment of Haematology, Raigmore Hospital, NHS Highland, Inverness, United Kingdom.
Rebecca FrewinDepartment of Haematology, Gloucestershire Royal Hospital, Gloucester, United Kingdom.
Paula GarlandDepartment of Haematology, Princess Royal University Hospital, London, United Kingdom.
Guy HannahDepartment of Haematology, Kings College Hospital, London, United Kingdom.
Daniele AvenosoDepartment of Haematology, Kings College Hospital, London, United Kingdom.ORCID 0000-0003-4218-4170
Sandra HassanDepartment of Haematology, Queen's Hospital, Romford, United Kingdom.
Brian J P HuntlyWellcome-MRC Cambridge Stem Cell Institute, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0003-0312-161X
Jissan HusainDepartment of Haematology, Ashford and St Peter's Hospitals NHS Foundation Trust, Chertsey, United Kingdom.
Sudhakaran MakkuniDepartment of Haematology, Mid and South Essex NHS Foundation Trust, Basildon, United Kingdom.
Kate RothwellDepartment of Haematology, Leeds Teaching Hospitals NHS Trust, Basildon, United Kingdom.
Jamshid KhorashadCentre for Haematology, Faculty of Medicine, Imperial College London, London, United Kingdom.
Jane F ApperleyCentre for Haematology, Faculty of Medicine, Imperial College London, London, United Kingdom.
Dragana MilojkovicCentre for Haematology, Faculty of Medicine, Imperial College London, London, United Kingdom.

Funding

Medical Research Council MC_PC_17230
6 · The paper itself

Abstract

Asciminib is a potent and selective inhibitor of BCR::ABL1, with potential to avoid toxicity resulting from off-target kinase inhibition. Forty-nine patients treated with asciminib under a managed access program in the UK were evaluated for toxicity and response. Intolerance, rather than resistance (65% vs. 35%), was the most common reason for cessation of the last-line of treatment but asciminib was well tolerated, with most patients (29, 59%) remaining on treatment at a median of 14 months follow-up, and only 6 (12%) stopping for intolerance. Of 44 patients assessable for response, 29 (66%) achieved a complete cytogenetic response (CCyR) or better, with poorer responses seen in those stopping their last-line of therapy for resistance. Fewer patients with a prior history of a non-T315I-BCR::ABL1 single nucleotide variant (BSNV), or a non-T315I-BSNV detectable at baseline achieved CCyR. Serial tracking of BSNV by next generation sequencing demonstrated clonal expansion of BSNV-harbouring populations, which in some settings was associated with resistance (E459K, F317L, F359I), while in others was seen in the context of ongoing response, often with intensified dosing (T315I, I502F). These data suggest that asciminib exerts selective pressure on some BSNV-harbouring populations in vivo, some of which may respond to intensified dosing.

Indexed as

Fusion Proteins, bcr-ablAdultAgedAged, 80 and overDrug Resistance, NeoplasmFemaleHumansLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMaleMiddle AgedNiacinamidePolymorphism, Single NucleotideProtein Kinase InhibitorsPyrazolesYoung AdultasciminibFusion Proteins, bcr-ablNiacinamideProtein Kinase InhibitorsPyrazoles

Identifiers

PMID39300220
PMCPMC11518997

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.