Evidence map›Paper›PMID 39250708›Full record

Trial reportBlood advances2024

A multicenter phase 2 clinical trial of low-dose subcutaneous decitabine in myelofibrosis.

Chenyu Lin, Anand A Patel, Dezheng Huo, Theodore Karrison, Koen van Besien, John Godwin, Dorie Sher, Howie Weiner, Margaret Green, James L Wade and 5 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Blood advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00095784 (A Phase II Study of Decitabine in Myelofibrosis), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

NCT00095784 phase2active not recruitingnot on this map

A Phase II Study of Decitabine in Myelofibrosis

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2004 to 2027Enrolled21ConditionsPrimary Myelofibrosis, Secondary MyelofibrosisArmsDecitabine, Laboratory Biomarker Analysis
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. New approaches to tackle cytopenic myelofibrosis.Hematology. American Society of Hematology. Education Program · 2022
    Article
  5. Review
  6. Novel Therapies for Myelofibrosis.Current hematologic malignancy reports · 2017
    Review
  7. Review
  8. Review
  9. Review
  10. Review
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

15 authors.

Chenyu LinThe University of Chicago Pritzker School of Medicine, Chicago, IL.ORCID 0000-0002-4542-4232
Anand A PatelSection of Hematology/Oncology, Department of Medicine, The University of Chicago, Chicago, IL.ORCID 0000-0002-0296-8686
Dezheng HuoDepartment of Public Health Sciences, The University of Chicago, Chicago, IL.
Theodore KarrisonDepartment of Public Health Sciences, The University of Chicago, Chicago, IL.
Koen van BesienDivision of Hematology and Cellular Therapy, University Hospitals Cleveland Medical Center, Cleveland, OH.ORCID 0000-0002-8164-6211
John GodwinEarle A. Chiles Research Institute, Providence Portland Cancer Institute, Portland, OR.
Dorie SherSection of Hematology/Oncology, Department of Medicine, The University of Chicago, Chicago, IL.
Howie WeinerSection of Hematology/Oncology, Department of Medicine, The University of Chicago, Chicago, IL.
Margaret GreenSection of Hematology/Oncology, Department of Medicine, The University of Chicago, Chicago, IL.
James L WadeMedical Oncology, Decatur Memorial Hospital, Decatur, IL.
Rebecca KlisovicDivision of Hematology & Medical Oncology, Emory University School of Medicine, Atlanta, GA.ORCID 0000-0001-6028-7347
Maria R BaerUniversity of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center, Baltimore, MD.ORCID 0000-0002-9499-1348
Richard A LarsonSection of Hematology/Oncology, Department of Medicine, The University of Chicago, Chicago, IL.ORCID 0000-0001-9168-3203
Wendy StockSection of Hematology/Oncology, Department of Medicine, The University of Chicago, Chicago, IL.
Olatoyosi OdenikeSection of Hematology/Oncology, Department of Medicine, The University of Chicago, Chicago, IL.

Funding

NKLAM--A NOVEL GENE REQUIRED FOR NK FUNCTIONR01CA062201 · NCI · UNIVERSITY OF ARKANSAS MED SCIS LTL ROCK · PI KORNBLUTH, JACKI · 1994 to 1996
–
NCI NIH HHS N01 CM062201
6 · The paper itself

Abstract

abstractMyelofibrosis (MF) in the chronic phase is a challenging disease to treat, and conventional treatment options are geared toward symptom palliation. In this prospective, multicenter, phase 2 trial, 21 patients with MF (18 chronic phase, 2 accelerated phase, and 1 blast phase) were treated with a 10-day schedule of subcutaneous decitabine at 0.3 mg/kg per day. The overall response rate was 33% (95% confidence interval, 15-57), primarily manifested as an improvement in cytopenias. The median duration of response was 7 months (range, 3-44). A high International Prognostic Scoring System risk score, high baseline fetal hemoglobin level, and sustained decrease in circulating CD34+ cell counts were associated with response to decitabine. All patients experienced at least 1 grade 3/4 cytopenia. Nonhematologic toxicities were less frequent, with fatigue, anorexia, and hypocalcemia being the most common. Given the lack of effective therapies in MF with severe cytopenias, this study supports further investigation into the use of hypomethylating agents as single agents or in combination therapies. This trial was registered at www.ClinicalTrials.gov as #NCT00095784.

Indexed as

AzacitidineDecitabinePrimary MyelofibrosisAdultAgedAged, 80 and overAntimetabolites, AntineoplasticFemaleHumansInjections, SubcutaneousMaleMiddle AgedProspective StudiesTreatment OutcomeAntimetabolites, AntineoplasticAzacitidineDecitabine

Identifiers

PMID39250708
PMCPMC11599980

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.