Evidence map›Paper›PMID 39792178›Full record

ArticleAnnals of hematology2025

Sustained treatment-free remission in two chronic myeloid leukemia patients after asciminib discontinuation: a report of two cases.

Arjen Yousefi, Mark-David Levin, Jan J Cornelissen, Peter E Westerweel

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In one paragraph

Article in Annals of hematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

  1. Article
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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

4 authors.

Arjen YousefiDepartment of internal medicine, Albert Schweitzer Hospital, Dordrecht, The Netherlands.ORCID http://orcid.org/0009-0007-2198-2137
Mark-David LevinDepartment of internal medicine, Albert Schweitzer Hospital, Dordrecht, The Netherlands.ORCID http://orcid.org/0000-0003-2139-3547
Jan J CornelissenDepartment of hematology, Erasmus Medical Center, Rotterdam, The Netherlands.
Peter E WesterweelDepartment of internal medicine, Albert Schweitzer Hospital, Dordrecht, The Netherlands. p.e.westerweel@asz.nl.ORCID http://orcid.org/0000-0002-0746-7039

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Selected chronic myeloid leukemia (CML) patients may discontinue their tyrosine kinase inihibitor (TKI) in an attempt to achieve sustained treatment-free remission (TFR), which mitigates therapy-related side effects and limits treatment costs. TFR has been extensively studied following the discontinuation of adenosine triphosphate (ATP) - competitive TKI. However, there is minimal data concerning TFR after the discontinuation of the novel TKI asciminib. Here, we present two CML patients intolerant to multiple ATP-competitive TKIs who achieved a deep molecular response (DMR) during asciminib treatment and sustained this remission after asciminib discontinuation. One of the cases developed transient myalgia and arthralgia after asciminib discontinuation consistent with a TKI withdrawal syndrome. Both patients have been free of molecular relapse for more than at least 8 months after TKI discontinuation without increase in molecular BCR::ABL1 signal. These two cases provide proof of principle that sustained TFR after discontinuing asciminib in CML patients is feasible.

Indexed as

Antineoplastic AgentsLeukemia, Myelogenous, Chronic, BCR-ABL PositiveProtein Kinase InhibitorsPyrazolesFusion Proteins, bcr-ablHumansNiacinamideRemission InductionAntineoplastic AgentsasciminibFusion Proteins, bcr-ablNiacinamideProtein Kinase InhibitorsPyrazolesAsciminibChronic myeloid leukemiaTKI withdrawal syndromeTreatment-free remission

Identifiers

PMID39792178
PMCPMC12031823

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