Changes in chronic myeloid leukemia treatment modalities and outcomes after introduction of second-generation tyrosine kinase inhibitors as first-line therapy: a multi-institutional retrospective study by the CML Cooperative Study Group.

Autor: Iriyama N; Division of Hematology and Rheumatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kami-cho, Itabashi-ku, Tokyo, 173-8610, Japan. iriyama.noriyoshi@nihon-u.ac.jp., Iwanaga E; Department of Hematology, Rheumatology and Infectious Diseases, Kumamoto University Hospital, Kumamoto, Japan., Kimura Y; Department of Hematology, Japan Community Health Care Organization, Saitama Medical Center, Saitama, Japan., Watanabe N; Department of Hematology, Juntendo University School of Medicine, Tokyo, Japan., Ishikawa M; Department of Hemato-Oncology, Saitama Medical University International Medical Center, Saitama, Japan., Nakayama H; Department of Hematology, Yokohama Municipal Citizen's Hospital, Yokohama, Japan., Sato E; Department of Hematology, Juntendo University Nerima Hospital, Tokyo, Japan., Tabayashi T; Department of Hematology, Saitama Medical Center, Saitama Medical University, Saitama, Japan., Mitsumori T; Department of Hematology, Juntendo University Urayasu Hospital, Urayasu, Japan., Takaku T; Department of Hematology, Juntendo University School of Medicine, Tokyo, Japan., Nakazato T; Department of Hematology, Yokohama Municipal Citizen's Hospital, Yokohama, Japan., Tokuhira M; Department of Hematology, Japan Community Health Care Organization, Saitama Medical Center, Saitama, Japan., Fujita H; Department of Hematology, Saiseikai Yokohama Nanbu Hospital, Yokohama, Japan., Ando M; Department of Hematology, Juntendo University School of Medicine, Tokyo, Japan., Hatta Y; Division of Hematology and Rheumatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kami-cho, Itabashi-ku, Tokyo, 173-8610, Japan., Kawaguchi T; Department of Hematology, Rheumatology and Infectious Diseases, Kumamoto University Hospital, Kumamoto, Japan.; Department of Medical Technology, Kumamoto Health Science University, Kumamoto, Japan.
Jazyk: angličtina
Zdroj: International journal of hematology [Int J Hematol] 2024 Jul; Vol. 120 (1), pp. 60-70. Date of Electronic Publication: 2024 Apr 08.
DOI: 10.1007/s12185-024-03758-4
Abstrakt: This study investigated changes in treatment modalities and outcomes of chronic myeloid leukemia in the chronic phase (CP-CML) after the approval of second-generation tyrosine kinase inhibitors (2G-TKIs) for first-line therapy. Patients were grouped into those who underwent TKI therapy up to December 2010 (imatinib era group, n = 185) and after January 2011 (2G-TKI era group, n = 425). All patients in the imatinib era group were initially treated with imatinib, whereas patients in the 2G-TKI era group were mostly treated with dasatinib (55%) or nilotinib (36%). However, outcomes including progression-free survival, overall survival, and CML-related death (CRD) did not differ significantly between groups. When stratified by risk scores, the prognostic performance of the ELTS score was superior to that of the Sokal score. Even though both scoring systems predicted CRD in the imatinib era, only the ELTS score predicted CRD in the 2G-TKI era. Notably, the outcome of patients classified as high-risk by ELTS score was more favorable in the 2G-TKI era group than in the imatinib era group. Thus, expanding treatment options may have improved patient outcomes in CP-CML, particularly in patients classified as high-risk by ELTS score.
(© 2024. Japanese Society of Hematology.)
Databáze: MEDLINE
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