Evidence map›Paper›PMID 40296377›Full record

ArticleCancer medicine2025

Bosutinib for Successful Treatment-Free Remission in Chronic Myeloid Leukemia.

Yuki Fujioka, Maiko Abumiya, Takaaki Ono, Naoto Takahashi

Abstract read
In one paragraph

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

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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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.

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4 · The record

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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.

Yuki FujiokaDepartment of Hematology, Nephrology and Rheumatology, Akita University Graduate School of Medicine, Akita, Japan.ORCID https://orcid.org/0000-0002-9449-7462
Maiko AbumiyaDepartment of Pharmacy, Akita University Hospital, Akita, Japan.
Takaaki OnoDivision of Transfusion and Cell Therapy, Hamamatsu University Hospital, Hamamatsu, Japan.
Naoto TakahashiDepartment of Hematology, Nephrology and Rheumatology, Akita University Graduate School of Medicine, Akita, Japan.ORCID https://orcid.org/0000-0002-6758-3787

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION AND

objectiveThis study explored the status of patients with chronic myeloid leukemia following the safe discontinuation of frontline or second-line bosutinib treatment. The goal was to assess the long-term outcomes and factors influencing treatment-free remission (TFR) following cessation of bosutinib therapy.

methodsThe median duration of bosutinib treatment among 16 patients was 48 months. All patients achieved a deep molecular response before bosutinib discontinuation, which was sustained for a median pre-cessation period of 27 months. Patients were monitored for molecular response and clinical outcomes.

resultsAfter bosutinib discontinuation, the major molecular response was lost in six patients: within 6 months in five patients and at 19 months in one patient. All six patients achieved a major molecular response after at least 3 months of bosutinib re-treatment. Ten patients exhibited successful TFR without loss of major molecular response for a median duration of 48 (16-101) months. Kaplan-Meier analysis revealed a 68.8% treatment-free survival at 12 months. After bosutinib cessation, eight patients developed Grade 1-2 withdrawal syndrome. No differences were observed in the clinical characteristics or bosutinib treatment between patients with TFR at 12 months (TFR group) and those without remission (recurrence group), except for the deep molecular response duration before bosutinib cessation (31 vs. 24 months, p = 0.009). T-cell profiling using flow cytometry revealed a higher percentage of effector memory CD8

conclusionBosutinib can be safely discontinued under certain conditions, similar to other tyrosine kinase inhibitors. Additionally, T-cell profile analysis before and after bosutinib discontinuation may predict successful TFR.

Indexed as

Aniline CompoundsLeukemia, Myelogenous, Chronic, BCR-ABL PositiveNitrilesProtein Kinase InhibitorsQuinolinesAdultAgedFemaleFusion Proteins, bcr-ablHumansKaplan-Meier EstimateMaleMiddle AgedRemission InductionTreatment OutcomeAniline CompoundsbosutinibFusion Proteins, bcr-ablNitrilesProtein Kinase InhibitorsQuinolinesbosutinibchronic myeloid leukemiaeffector memory CD8+ T cellseffector regulatory T celltreatment‐free remission

Identifiers

PMID40296377
PMCPMC12037706

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