Evidence map›Paper›PMID 38548962›Full record

ArticleLeukemia2024

Management and outcome of patients with chronic myeloid leukemia in blast phase in the tyrosine kinase inhibitor era - analysis of the European LeukemiaNet Blast Phase Registry.

Annamaria Brioli, Elza Lomaia, Christian Fabisch, Tomasz Sacha, Hana Klamova, Elena Morozova, Aleksandra Golos, Philipp Ernst, Ulla Olsson-Stromberg, Daniela Zackova and 28 more

Abstract read
In one paragraph

Article in Leukemia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

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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

38 authors.

Annamaria BrioliKlinik und Poliklinik für Innere Medizin C, Hämatologie und Onkologie, Universitätsmedizin Greifswald, Greifswald, Germany. brioli.annamaria@mh-hannover.de.ORCID 0000-0002-4072-7592
Elza LomaiaResearch Department of Immuno-Oncology, Almazov National Medical Research Centre, Saint Petersburg, Russian Federation.ORCID 0000-0003-3290-7961
Christian FabischKlinik für Innere Medizin II, Universitätsklinikum Jena, Comprehensive Cancer Center Central Germany, Campus Jena, Jena, Germany.
Tomasz SachaDepartment of Hematology, Jagiellonian University Medical College, Krakow, Poland.ORCID 0000-0002-7207-6595
Hana KlamovaInstitute of Hematology and Blood Transfusion, Prague, Czech Republic.
Elena MorozovaRaisa Gorbacheva memorial Research Institute for Pediatric Oncology, Hematology, Transplantation, First State Pavlov Medical University of Saint Petersburg, Saint Petersburg, Russian Federation.
Aleksandra GolosHematooncology Department, Copernicus Memorial Hospital, Lodz, Poland.
Philipp ErnstKlinik für Innere Medizin II, Universitätsklinikum Jena, Comprehensive Cancer Center Central Germany, Campus Jena, Jena, Germany.ORCID 0000-0001-5165-9874
Ulla Olsson-StrombergDepartment of Hematology, University Hospital Uppsala, Uppsala, Sweden.
Daniela ZackovaDepartment of Internal Medicine, Hematology and Oncology, University Hospital Brno and Masaryk University, Brno, Czech Republic.
Franck E NicoliniCentre Léon Bérard, Hématology Départment and CRCL INSERM U590, Lyon, France.
Han BaoInstitut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie (IBE), Medizinische Fakultät, Ludwig-Maximilians-Universität München, Munich, Germany.
Fausto CastagnettiIRCCS Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli", Bologna, Italy.ORCID 0000-0002-0602-2628
Elzbieta PatkowskaHematology Department, Institute of Hematology and Transfusion Medicine, Warsaw, Poland.ORCID 0000-0001-8691-4310
Jiri MayerDepartment of Internal Medicine, Hematology and Oncology, University Hospital Brno and Masaryk University, Brno, Czech Republic.
Klaus HirschbühlHematology and Oncology, Faculty of Medicine, University of Augsburg, Augsburg, Germany.ORCID 0000-0002-4847-7460
Helena PodgornikDepartment of Haematology, University Medical Centre Ljubljana, Ljubljana, Slovenia.ORCID 0000-0003-3752-2067
Edyta PaczkowskaDepartment of General Pathology, Pomeranian Medical University in Szczecin, Szczecin, Poland.ORCID 0000-0001-7052-9741
Anne ParryCentre Hospitalier Annecy Genevois, Annecy, France.
Thomas ErnstKlinik für Innere Medizin II, Universitätsklinikum Jena, Comprehensive Cancer Center Central Germany, Campus Jena, Jena, Germany.ORCID 0000-0003-2147-489X
Astghik VoskanyanHematology Center after Prof. R. Yeolyan, Yerevan, Armenia.
Elzbieta SzczepanekDepartment of Hematology, Jagiellonian University Medical College, Cracow, Poland.
Susanne SausseleIII. Med. Klinik, Med. Fakultät Mannheim, Universität Heidelberg, Mannheim, Germany.ORCID 0000-0003-0357-5785
Georg-Nikolaus FrankeUniversity of Leipzig Medical Center, Department of Hematology, Cellular Therapy, Hemostaseology and Infectious Diseases, Comprehensive Cancer Center Central Germany, Campus Leipzig, Leipzig, Germany.ORCID 0000-0001-8239-002X
Alexander KianiMedizinische Klinik IV, Klinikum Bayreuth GmbH, Bayreuth, and Comprehensive Cancer Center Erlangen-EMN, Bayreuth, Germany.ORCID 0000-0002-2494-4087
Edgar FaberDepartment of Hemato-Oncology, University Hospital Olomouc, Faculty of Medicine and Dentistry, Palacky University in Olomouc, Olomouc, Czech Republic.
Stefan KrauseUniklinik Erlangen, Medizinische Klinik 5, Erlangen, Germany.ORCID 0000-0002-5259-4651
Luis Felipe CasadoServicio de Hematología, Hospital General Universitario de Toledo, Toledo, Spain.
Krzysztof LewandowskiDepartment of Hematology & Bone Marrow Transplantation, Poznań University of Medical Sciences, Poznań, Poland.
Matthias EderKlinik für Hämatologie, Hämostaseologie, Onkologie und Stammzelltransplantation, Medizinische Hochschule Hannover, Hannover, Germany.
Peter AnhutOnkologische Schwerpunktpraxis Anhut, Kronach, Germany.
Justyna GilOncology Centre of the Podkarpackie Province, Department of Hematooncology, Brzozow, Poland.
Thomas SüdhoffKlinikum Passau, Klinik für Onkologie, Hämatologie und Palliativmedizin, Passau, Germany.
Holger HebartZentrum für Innere Medizin, Hämatologie/Onkologie, Stauferklinikum Schwäbisch Gmünd, Mutlangen, Germany.ORCID 0000-0003-4536-9955
Sonja HeiblAbteilung für Innere Medizin IV, Klinikum Wels-Grieskirchen, Wels, Austria.
Markus PfirrmannInstitut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie (IBE), Medizinische Fakultät, Ludwig-Maximilians-Universität München, Munich, Germany.
Andreas HochhausKlinik für Innere Medizin II, Universitätsklinikum Jena, Comprehensive Cancer Center Central Germany, Campus Jena, Jena, Germany.
Michael LausekerInstitut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie (IBE), Medizinische Fakultät, Ludwig-Maximilians-Universität München, Munich, Germany. lauseker@ibe.med.uni-muenchen.de.ORCID 0000-0002-6662-7127

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blast phase (BP) of chronic myeloid leukemia (CML) still represents an unmet clinical need with a dismal prognosis. Due to the rarity of the condition and the heterogeneity of the biology and clinical presentation, prospective trials and concise treatment recommendations are lacking. Here we present the analysis of the European LeukemiaNet Blast Phase Registry, an international collection of the clinical presentation, treatment and outcome of blast phases which had been diagnosed in CML patients after 2015. Data reveal the expected heterogeneity of the entity, lacking a clear treatment standard. Outcomes remain dismal, with a median overall survival of 23.8 months (median follow up 27.8 months). Allogeneic stem cell transplantation (alloSCT) increases the rate of deep molecular responses. De novo BP and BP evolving from a previous CML do show slightly different features, suggesting a different biology between the two entities. Data show that outside clinical trials and in a real-world setting treatment of blast phase is individualized according to disease- and patient-related characteristics, with the aim of blast clearance prior to allogeneic stem cell transplantation. AlloSCT should be offered to all patients eligible for this procedure.

Indexed as

Blast CrisisLeukemia, Myelogenous, Chronic, BCR-ABL PositiveRegistriesTyrosine Kinase InhibitorsAdolescentAdultAgedAged, 80 and overDisease ManagementEuropeFemaleFollow-Up StudiesHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedTyrosine Kinase Inhibitors

Identifiers

PMID38548962
PMCPMC11073984

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.