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. 2014 Apr;21(2):e265–e309. doi: 10.3747/co.21.1834

TABLE IV.

Quality of the studies

2.2.2.

2.2.2.

2.2.2.

2.2.2.

2.2.2.

2.2.2.

2.2.2.

2.2.2.

2.2.2.

Reference Study design Outcomes
Follow-up duration Not included in final analysis
Primary Secondary (n) (%)
Randomized studies
  Ottmann et al., 200710 Wassmann et al., 200311 Randomized controlled trial Hematologic response after induction Complete molecular response
Recurrence
Death
Discontinuation of imatinib
Toxicity
Median: 11 months 2/55 3
  Lilly et al., 201012 Randomized open-label phase iii Major hematologic response Overall response
Cytogenetic response
Progression-free survival
Overall survival
Safety
Time to response
2 Years 1
Observational studies
  Ottmann et al., 200213 Prospective case series Complete hematologic response
Marrow complete response
Partial response
Cytogenic response
Time to progression
Overall survival
Approximately 12 months Not stated
  Wassmann et al., 200214 Case series Efficacy Tolerability Response to hematopoietic stem-cell transplantation Median: 13 months 8/30 (not transplanted)
  Pfeifer et al., 200315 Retrospective case series Incidence and risk factors for cns relapse Complete remission Not stated 0
  Scheuring et al., 200316 Retrospective case series Predictors Prognosis of BCR-ABL to duration of response Complete remission
Molecular response
Time to progression
Overall survival
4 Weeks Variable
  Shimoni et al., 200317 Case series Stem-cell transplantation and donor lymphocyte infusion outcomes Complete remission
Cytogenic response
Toxicity
Graft-vs-host disease
Engraftment
Median: 10 months 0
  Wassmann et al., 200318 Prospective case series Efficacy
Tolerability
Safety
Time to progression
Relapse
Refractoriness
Overall survival
Median: 16 months 0
  Houot et al., 200419 Retrospective case series Characteristics
Response
Not stated Median: 8 months 0
  Piccaluga et al., 200420 Case series Significance of molecular remission Not stated Up to 40 months 0
  Thomas et al., 200421 Prospective cohort Not stated Not stated Median: 20 months 0
  Towatari et al., 200422 Prospective case series Complete remission Toxicity
Response duration
Survival
Median: 12 months 0
  Wassmann et al., 200423 Retrospective case series Factors predicting response and response duration Time to progression
Overall survival
Not stated 0
  Brandwein et al., 200524 Retrospective case series Predictors of response Complete remission
Progression-free survival
Overall survival
Not stated 0
  Lee et al., 200525 Prospective cohort Complete remission
Remission duration
Overall survival
Not stated Median: 26 months 0
  Lee et al., 200526 Lee et al., 200327 Prospective cohort Time to stem-cell transplantation
Transplantation outcome
Response rate
Overall survival
Disease-free survival
Median: 25 months 0
  Potenza et al., 200528 Case series Efficacy Minimal residual disease 24 Months 0
  Deininger et al., 200629 Retrospective cohort Overall survival
Progression-free survival
Relapse rate
Time to engraftment
Not stated 21.6 Months 0
  Delannoy et al., 200630 Prospective cohort Overall survival Complete remission
Relapse-free survival
Toxicity
Minimum residual disease
Median: 24 months survivors 14 1/30 (complete response) 3
  Kantarjian et al., 200631 Prospective case series Safety
Hematologic response
Cytogenic response
Tolerability
Not stated 12 Months Not stated; 45% did not complete the study
  Rea et al., 200632 Case series Complete hematologic response Overall survival
Disease-free survival
Median: approximately 8 months 0
  Wassmann et al., 200633 Prospective cohort Feasibility
Toxicity
Complete remission
Response rate
Transplantation rate
Minimal residual disease
Not stated, to stem-cell transplantation 0
  Yanada et al., 200634, 200835; Zembutsu et al., 200736 Prospective cohort Complete remission Response duration
Overall survival
Toxicity
38 Months 0
Carpenter et al., 200737 Prospective case series Safety and tolerability 90 days after stem-cell transplantation Survival
Molecular relapse
Median: 11 months 0
  de Labarthe et al., 200738 Prospective case series Not stated Not stated Median: 18 months 0
  Ottmann et al., 200739 Prospective case series Major hematologic response plus overall hematologic response Cytogenic response
Duration of hematologic response
Safety
Tolerability
Minimum: 8 months 0
  Pfeifer et al., 200740 Retrospective Kinase domain mutation Kinase domain mutation and hematologic response
Relapse
na 7/55 12
  Vignetti et al., 200741 Prospective case series Complete hematologic response
Complete molecular response
Complete remission
Toxicities
Not stated Maximum: 32 months 1/30 3
  Burke et al., 200942 Prospective case series Overall survival
Relapse-free survival
Risk of relapse
Cardiac toxicity
Not stated Median: 0.93 years 0
  Nicolini et al., 200943 Cross-sectional survey Mutation testing
Overall survival
Progression-free survival
Not stated Not stated 0
  Sakamaki et al., 200944 Prospective case series Hematologic response
Major cytogenic response
Safety
Not stated Not stated 1
  Tojo et al., 200945 Prospective case series Hematologic response
Complete remission
Pharmacokinetics
Safety
Not stated Minimum: 12 months 0
  Bassan et al., 201046 Bassan et al., 200947 (abstract) Prospective case series Overall survival Disease-free survival
Treatment-related mortality
Cumulative incidence relapse
Minimal residual disease
Median: 5 years 6
  Li et al., 201048 Retrospective case series Overall survival
Disease-free survival
Complete remission
Molecular complete response
Relapse
Not stated Median: 12.5 months 0
  Nishiwaki et al., 201049 Retrospective case series Hematologic response
Overall survival
Minimal residual disease
Not stated Maximum: 2 years 0
2Olsson–Stromberg et al., 201050 Not stated Mutation analysis Not stated Not stated 0
  Ravandi et al., 201051 Ravandi et al., 200852 (abstract) Prospective case series Minimal residual disease
Complete remission
Disease-free survival
Event-free survival
Overall survival
Adverse events Median: 14 months 2/35 (complete response) 6
  Ribera et al., 201053 Ribera et al., 200454 (abstract) Prospective case series Complete hematologic response
Percentage of patients reaching transplantation
Feasibility of imatinib treatment
Toxicity
Safety
Disease-free survival
Overall survival
Median: 4.1 years 0
  Riva et al., 201055 Prospective cohort Minimal residual disease
Hematologic response
Not stated Minimum: 4 months 0
  Chen et al., 201156 Prospective case series Minimal residual disease
Overall survival
Disease-free survival
Response rate
Safety
Not stated Median: 24 months 0
  Foà et al., 201157 Foà et al., 200758 (abstract) Prospective case series Complete hematologic response Toxicity
Immunophenotypic response rate
Molecular response
Disease-free survival
Response rate
Overall survival
Median: 24.8 months 2/55 4
  Mizuta et al., 201159 Yanada et al., 200634, 200835; Zembutsu et al., 200736 Prospective cohort Transplantation outcome
Overall survival
Disease-free survival
Response duration
Not stated 0
  Wang et al., 201160 Retrospective case series Complete remission
Overall survival
Relapse-free survival
Not stated Approximately 40 months 0
  Bose et al., 201261 Prospective case series Safety
Complete hematologic response
Pharmacodynamics
Not stated Not stated 1/22 (cml)
  Caocci et al., 201262 Prospective case series Minimal residual disease Not stated 17 Months after stem-cell transplantation 0
  Chen et al., 201263 Prospective case series Safety Response rate
Disease-free survival
Overall survival
31 Months 2/82 (imatinib group) 2
  Lee et al., 201264 Prospective case series Complete hematologic response
Major molecular response
Complete molecular response
Overall survival
Disease-free survival
Not stated 61 Months 18
  Pfeifer et al., 201265 Patients from Ottmann et al., 200739; Ottmann et al., 200213; Wassmann et al., 200423 Prospective case series Mutation status Not stated Multiple Not available
  Thyagu et al., 201266 Prospective case series Complete remission
Major cytogenic response
Overall survival
Event-free survival
Not stated 85 Months 0
Abstracts
  Dombret et al., 200467 Prospective case series Increased molecular response
Feasibility of autologous stem-cell collection
Safety Not stated Not stated
  Thomas et al., 200468 Prospective case series Not stated Not stated Median: 24 months 4/22 18
  Wetzler et al., 200669 Case series Not stated Not stated Not stated 11/18 65
  Fielding et al., 200770 Prospective cohort Role of etoposide or total body irradiation in sct Not stated More than 6 months Not stated
  Pasquini et al., 200771 Randomized controlled trial Major hematologic response Not stated Median: 6.5 months Not stated
  Gambacorti–Passerini et al., 200872 Prospective case series Complete hematologic response
Major cytogenic response
Adverse events
Not stated Median: 6.1 weeks 0
  Thomas et al., 200887 Prospective case series Complete hematologic response
Complete molecular response
Not stated Not stated Not stated
  Arellano et al., 200973 Prospective case series Complete hematologic response
Complete molecular response
Disease-free survival
Overall survival
Not stated Median: 18.3 months 1 (after complete cytogenic response)
  Carella et al., 200974 Prospective case series Complete remission
Molecular response
Not stated Not stated Not stated
  Pfeifer et al., 200975 (patients from Ottmann et al., 200739) Prospective case series Complete remission
Minimal residual disease
Mutational analysis
Disease-free survival
Overall survival
Response rate
Not stated 0
  Ribera et al., 200454 Prospective case series Complete remission
Complete molecular response
Major molecular response
Disease-free survival
Overall survival
Not stated Median: 4.1 years 0
  Pfeifer et al., 201076 Prospective case series Complete remission
Minimal residual disease
Mutation analysis
Not stated Median: 26 months 0
  Rousselot et al., 201077 Prospective case series Complete remission
Relapse-free survival
Cytogenetics
Not stated Maximum: 4 years 0
  Thomas et al., 201078 Prospective case series Complete remission
Major cytogenic response
Overall survival
Not stated Median: 16.3 months 0
  Kim et al., 201179 Prospective case series Hematologic complete response
Major cytogenic response
Overall survival
Event-free survival
Relapse-free survival
Not stated Median: 77 months 0
  Lee et al., 201180 Prospective case series Complete remission
Minimal residual disease
Major molecular response
Not stated Median: 1.4 months 0
  Lee et al., 201181 Ravandi et al., 200852; Ravandi et al., 200982 Prospective case series Complete remission
Disease-free survival
Overall survival
Not stated Median: 10 months 6/36
  Liu–Dumlao et al., 201183 Ravandi et al., 200982 Prospective case series Complete remission
Cytogenic response
Molecular response
Not stated Median: 26.1 months Not stated
  Pfeifer et al., 201184 Prospective case series Minimal residual disease
Remission duration
Tolerability
Not stated Median: 139 weeks 0
  Brummendorf et al., 201285 Prospective case series Major hematologic response
Complete hematologic response
Not stated Median: 30 months Not stated
Major cytogenic response
Complete cytogenic response
Not stated Median: 31 months 0
  Cortes et al., 201286 Prospective case series Adverse events
Major hematologic response
Molecular response
Cytogenic response
Dose-limiting toxicities
Not stated Median: 56 weeks 0