Evidence map›Paper›PMID 39305107›Full record

ArticleCancer2025

Imatinib dose reduction after major molecular response in chronic-phase chronic myeloid leukemia.

Zongru Li, Xiaoshuai Zhang, Yijing Zhao, Linping Lu, Yong Guo, Robert Peter Gale, Yazhen Qin, Qian Jiang

Abstract read
In one paragraph

Article in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. [Guideline for the diagnosis and treatment of chronic myeloid leukemia in China (2025)].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2025
    Guideline
  2. Review
  3. Article
  4. Leukemia epidemiology in China: Burden, trends, and determinants in the 21st century.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2025
    Article
  5. 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

8 authors.

Zongru LiNational Clinical Research Center for Hematologic Disease, Peking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Xiaoshuai ZhangNational Clinical Research Center for Hematologic Disease, Peking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Yijing ZhaoNational Clinical Research Center for Hematologic Disease, Peking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Linping LuSchool of Biomedical Engineering, Tsinghua University, Beijing, China.
Yong GuoSchool of Biomedical Engineering, Tsinghua University, Beijing, China.
Robert Peter GaleDepartment of Immunology and Inflammation, Centre for Haematology, Imperial College London, London, UK.
Yazhen QinNational Clinical Research Center for Hematologic Disease, Peking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Qian JiangNational Clinical Research Center for Hematologic Disease, Peking University Institute of Hematology, Peking University People's Hospital, Beijing, China.ORCID https://orcid.org/0000-0001-7131-0522

Funding

Beijing Nova Program of Science and Technology Z211100002121058National Natural Science Foundation of China 81970140National Natural Science Foundation of China 82100168Peking University Medicine Fund of Fostering Young Scholars' Scientific & Technological Innovation BMU2021PYB005Peking University People's Hospital Research and Development Funds RDL2023-11Peking University People's Hospital Research and Development Funds RDY2020-29Peking University People's Hospital Research and Development Funds RS2020-03
6 · The paper itself

Abstract

backgroundIn people with chronic-phase chronic myeloid leukemia (CML) receiving imatinib and achieving major molecular response (MMR), dose reduction may decrease adverse events but may be associated with a loss of molecular response. Whether digital droplet polymerase chain reaction (ddPCR) can identify persons in whom dose reduction might be unsuccessful is unknown.

methodsData from 716 consecutive subjects who achieved MMR after initial imatinib therapy (400 mg/day) were obtained. A total of 486 subjects remained on full-dose imatinib, whereas 230 subjects had their dose reduced to 300 or 200 mg/day. The outcomes of these cohorts were compared via landmark and propensity score matching analyses.

resultsImatinib dose reduction showed no significant effect on the subsequent achievement of deeper molecular responses (4- and 4.5-log reductions in BCR::ABL1 transcripts; MR

conclusionsImatinib dose reduction after achieving MMR does not adversely affect response deepening or MMR maintenance in chronic-phase CML but compromises MR

Indexed as

Antineoplastic AgentsImatinib MesylateLeukemia, Myeloid, Chronic-PhaseAdultAgedDose-Response Relationship, DrugFemaleFusion Proteins, bcr-ablHumansMaleMiddle AgedProtein Kinase InhibitorsTreatment OutcomeAntineoplastic AgentsFusion Proteins, bcr-ablImatinib MesylateProtein Kinase Inhibitorschronic myeloid leukemiadeep molecular responsedigital droplet polymerase chain reactiondose reductionimatinib

Identifiers

PMID39305107
PMCPMC11694160

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.