Evidence map›Paper›PMID 39433446›Full record

ArticleEuropean journal of haematology2025

Asciminib in Advanced-Line Treatment of Chronic Myeloid Leukemia.

Adi Shacham-Abulafia, Yulia Volcheck, Martin Ellis, Shirley Shapira, Sigal Tavor, Anna Gourevitch, Natalia Kreiniz, Anfisa Stanevski, Pia Raanani, Maya Koren-Michowitz

Abstract readMulticenter Study
In one paragraph

Article in European journal of haematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Pharmacokinetic profile of novel reduced-dose DanzitenCancer chemotherapy and pharmacology · 2025
    Article
  3. A new chapter in CML treatment: the promise of asciminib.Annals of medicine and surgery (2012) · 2025
    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

10 authors.

Adi Shacham-AbulafiaDavidoff Cancer Center, Rabin Medical Center, Institute of Hematology, Petah-Tikva, Israel.ORCID https://orcid.org/0000-0002-2035-2703
Yulia VolcheckHematology Division, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Martin EllisSchool of Medicine, Faculty of Medicine and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Shirley ShapiraSchool of Medicine, Faculty of Medicine and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Sigal TavorHemato-Oncology Department, Assuta Medical Center, Tel Aviv, Israel.
Anna GourevitchHematology Institute, Soroka University Medical Center, Beer-Sheva, Israel.
Natalia KreinizThe Division of Hematology, Bnai Zion Medical Center, Haifa, Israel.
Anfisa StanevskiDavidoff Cancer Center, Rabin Medical Center, Institute of Hematology, Petah-Tikva, Israel.
Pia RaananiDavidoff Cancer Center, Rabin Medical Center, Institute of Hematology, Petah-Tikva, Israel.
Maya Koren-MichowitzSchool of Medicine, Faculty of Medicine and Health Sciences, Tel Aviv University, Tel Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAsciminib, a novel allosteric BCR::ABL1 inhibitor, targets the ABL1 myristoyl pocket to potentially reduce toxicity and enhance efficacy. It is approved for Philadelphia chromosome-positive chronic-phase chronic myeloid leukemia (CML-CP) in patients with resistance or intolerance to two or more tyrosine kinase inhibitors (TKIs) or those with the T315I mutation.

methodsThis retrospective analysis evaluated patients with CML treated with asciminib under a managed-access program across eight Israeli centers from July 2019 to August 2022. We assessed treatment responses, toxicities, event-free survival (EFS), and overall survival (OS) using Kaplan-Meier methods.

resultsThe study included 30 patients who had received a median of three prior TKIs, with 73% starting asciminib due to intolerance. After a median follow-up of 7.1 months, 85% of those without prior complete cytogenetic response (CCyR) achieved CCyR, and 60% previously not in major molecular response (MMR) attained MMR. Resistance was rare (10%), with no cardiovascular events reported despite high baseline comorbidity (73%). Median EFS was 47 months; median OS was not reached.

conclusionAsciminib demonstrates significant efficacy and tolerability in heavily pretreated patients with CML-CP, with no new cardiovascular events observed. Further long-term studies are necessary to explore its full cardiovascular impact.

Indexed as

Leukemia, Myelogenous, Chronic, BCR-ABL PositiveProtein Kinase InhibitorsAdultAgedAged, 80 and overAntineoplastic AgentsDrug Resistance, NeoplasmFemaleFusion Proteins, bcr-ablHumansMaleMiddle AgedMutationNiacinamidePyrazolesRetrospective StudiesAntineoplastic AgentsasciminibFusion Proteins, bcr-ablNiacinamideProtein Kinase InhibitorsPyrazolesasciminibcardiovascular eventschronic myeloid leukemiatyrosine kinase inhibitors

Identifiers

PMID39433446
PMCPMC11707816

What OpenQuestion holds

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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.