Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
December 8, 2025BloodOpen Access

Somatic mutations at diagnosis in patients with chronic Phase CML receiving frontline imatinib are associated with a higher rate of treatment failure: First analysis from the international CML foundation (iCMLf) genomics alliance on the harmony platform

View Full Paper
Ask AI
Bookmark
Share

Authors

JRJenny RinkeRSRwth StuckeyMYMohamed A. Yassin

Discussion

Loading...

Member takes

Overview

Analysis reveals somatic mutations at diagnosis affect progression-free survival in chronic phase CML patients treated with imatinib, indicating treatment management implications.

Key Points

  • To evaluate the impact of somatic mutations at diagnosis on treatment outcomes in chronic phase CML patients receiving imatinib.
  • Analyzed genomic data from 468 chronic phase CML patients treated with imatinib.
  • Used next-generation sequencing to identify somatic mutations in myeloid genes.
  • Kaplan–Meier curves estimated progression-free survival (PFS) and failure-free survival (FFS).
  • 20.5% of patients had pathogenic variants at diagnosis, primarily ASXL1 mutations.
  • Five-year PFS for patients with pathogenic variants was 76.3%, compared to 83.1% for those without variants.
  • Five-year FFS was significantly lower in patients with pathogenic variants (43.8% vs 65.2%).

Cite This Study

Rinke et al. (2025) studied this question.

synapsesocial.com/papers/693624d44fa91c937236cfd9https://doi.org/10.1182/blood-2025-75
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Genetic evolution in CML patients from diagnosis to TKI failure: An analysis of 121 paired diagnosis and treatment failure samples2025
  2. 2Mutations in myeloid transcription factors and activated signaling genes predict chronic myeloid leukemia outcomes2024 · 16 citations
  3. 3ASXL1 and NOTCH1 mutations independently predict TKI treatment failure in chronic myeloid leukemia2025
  4. 4Impact of Somatic Mutations on Treatment Response and Resistance in Chronic Myeloid Leukemia2026
  5. 5Prognostic impact of ASXL1 somatic mutation on patients with chronic myeloid leukemia: A systemic review and meta-analysis.2026