Evidence map›Paper›PMID 40646132›Full record

GuidelineLeukemia2025

2025 European LeukemiaNet recommendations for the management of chronic myeloid leukemia.

Jane F Apperley, Dragana Milojkovic, Nicholas C P Cross, Henrik Hjorth-Hansen, Andreas Hochhaus, Hagop Kantarjian, Jeffrey H Lipton, Hemant Malhotra, Dietger Niederwieser, Jerald Radich and 28 more

Abstract readPractice Guideline
In one paragraph

Guideline in Leukemia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 5 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

100 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. [Guideline for the diagnosis and treatment of chronic myeloid leukemia in China (2025)].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2025
    Guideline
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Road to treatment-free remission in chronic myeloid leukemia.International journal of hematology · 2026
    Review
  18. Review
  19. Article
  20. Article

40 more citing papers are in PubMed but not listed here.

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

38 authors.

Jane F ApperleyCentre for Haematology, Imperial College London, Hammersmith Hospital, London, UK. j.apperley@imperial.ac.uk.ORCID 0000-0002-1710-1794
Dragana MilojkovicDepartment of Haematology, Hammersmith Hospital, London, UK.
Nicholas C P CrossHuman Development and Health, University of Southampton, Southampton, UK.ORCID 0000-0001-5481-2555
Henrik Hjorth-HansenDepartment of Hematology, St Olavs Hospital, Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.ORCID 0000-0002-2670-5696
Andreas HochhausHematology/Oncology, Universitätsklinikum Jena, Jena, Germany.
Hagop KantarjianLeukemia Department, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-1908-3307
Jeffrey H LiptonPrincess Margaret Cancer Centre, University of Toronto, Toronto, ON, Canada.
Hemant MalhotraDepartment of Medical Oncology, Sri Ram Cancer & Super-Specialty Center, Mahatma Gandhi Medical College Hospital, Mahatma Gandhi University of Medical Sciences & Technology, Jaipur, India.
Dietger NiederwieserCenter for Cellular Immunotherapies, University of Pennsylvania & Penn Medicine, Philadelphia, PA, USA.ORCID 0000-0002-4737-1103
Jerald RadichTranslational Science & Therapeutics Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Philippe RousselotHematology Department, Centre Hospitalier de Versailles, Le Chesnay Rocquencourt, France.ORCID 0000-0003-3238-4494
Susanne SausseleIII. Med Clinic, Medical Faculty Mannheim of the University of Heidelberg, Mannheim, Germany.ORCID 0000-0003-0357-5785
Charles A SchifferKarmanos Cancer Institute, Wayne State University School of Medicine, Detroit, MI, USA.
Richard SilverDivision of Hematology and Medical Oncology, Cornell Medicine, New York, NY, USA.ORCID 0000-0002-8524-0964
Simona SoveriniDepartment of Medical and Surgical Sciences (DIMEC), Institute of Hematology Lorenzo e Ariosto Seràgnoli, University of Bologna, Bologna, Italy.ORCID 0000-0002-4508-0353
Leif StenkeDepartment of Hematology, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden.
Anna TurkinaNational Medical Research Center for Hematology, Moscow, Russia.ORCID 0000-0001-9947-2371
Luis Felipe CasadoServicio de Hematología, HM Centro Integral Oncológico Clara Campal, Instituto de Investigación Sanitaria HM Hospitales, Madrid, Spain.
Fausto CastagnettiInstitute of Hematology Seràgnoli, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.ORCID 0000-0002-0602-2628
Francisco CervantesIDIBAPS, Hospital Clínic, Barcelona, Spain.
Richard E ClarkDepartment of Molecular & Clinical Cancer Medicine, University of Liverpool, Liverpool, UK.ORCID 0000-0002-1261-3299
Jorge CortesGeorgia Cancer Center at Augusta University, Augusta, GA, USA.ORCID 0000-0002-8636-1071
Michael DeiningerDepartment of Medicine, Division of Hematology/Oncology, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-2987-1331
Timothy P HughesPrecision Cancer Medicine Theme, South Australian Health & Medical Research Institute, Adelaide, and University of Adelaide, Adelaide, SA, Australia.ORCID 0000-0002-0910-3730
Jeroen JanssenDepartment of Hematology, Radboud University Medical Center, Nijmegen, The Netherlands.
Qian JiangPeking University People's Hospital, Peking University Institute of Hematology, Beijing, China.ORCID 0000-0001-7131-0522
Dong-Wook KimDepartment of Hematology, Eulji Medical Center, Eulji University, Daejeon, South Korea.ORCID 0000-0003-3967-4267
Richard A LarsonUniversity of Chicago Comprehensive Cancer Center, Chicago, IL, USA.ORCID 0000-0001-9168-3203
Francois X MahonDépartement d'Hématologie, Institut Bergonié, University of Bordeaux, Inserm, UMR1312, Bordeaux, France.
Michael MauroMemorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-2251-4032
Jiri MayerUniversity Hospital Brno and Masaryk University, Brno, Czech Republic.ORCID 0000-0003-0567-9887
Franck E NicoliniHematology Department and INSERM U1052, CRCL, Centre Léon Bérard, Lyon Cédex 08, France.
Fabrizio PaneDepartment of Oncology and Hematology, University Federico II of Naples, Naples, Italy.
Delphine ReaDépartement d'Hématologie, Hôpital Saint-Louis, APHP, Paris, France.
Johan RichterDepartment of Molecular Medicine and Gene Therapy, Lund University, Lund, Sweden.ORCID 0000-0002-0374-6823
Gianantonio RostiIRCCS/IRST Dino Amadori, Meldola, FC, Italy.
Giuseppe SaglioDepartment of Clinical and Biological Sciences, University of Turin, Turin, Italy.ORCID 0000-0002-1046-3514
Rüdiger HehlmannMedizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, and ELN Foundation, Weinheim, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this 5th version of the European LeukemiaNet guidance for adult patients, there are important changes in several areas of management based on evidence available since 2020, including the World Health Organisation's reclassification of CML as a biphasic disease. Previous advice to switch the tyrosine kinase inhibitor (TKI) on failure of molecular milestones, is modified to better account for individual patient circumstances. Our recommendations are summarized in tables designed to be read in conjunction with the text which offers justification and additional advice. We describe decision-making for first-line treatment, both in available drugs and their initial dosing. Similarly we elaborate on dose reduction rather than drug switching to manage toxicities and discuss treatment sequencing. Data have matured for the outcome of treatment discontinuation and for management of parenting for both men and women. We acknowledge that most patients will remain on treatment for many years and emphasize the needs to minimize side effects, manage co-morbidities and optimize quality of life. Recent advances in allogeneic stem cell transplantation have broadened access to alternative donors, and lessened limitations of age and co-morbidities such that transplant remains a valuable option for patients for whom long-term disease control is not achieved through TKI therapy.

Indexed as

Leukemia, Myelogenous, Chronic, BCR-ABL PositiveProtein Kinase InhibitorsDisease ManagementEuropeHumansProtein Kinase Inhibitors

Identifiers

PMID40646132
PMCPMC12310532

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Registered trials

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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.