2013
Evaluation of 5-year imatinib treatment of 458 patients with CP-CML in routine clinical practice and prognostic impact of different BCR-ABL cutoff levels.
KLAMOVÁ, Hana; Kateřina MACHOVÁ POLÁKOVÁ; Jan MUŽÍK; Zdeněk RÁČIL; Daniela ŽÁČKOVÁ et al.Základní údaje
Originální název
Evaluation of 5-year imatinib treatment of 458 patients with CP-CML in routine clinical practice and prognostic impact of different BCR-ABL cutoff levels.
Autoři
KLAMOVÁ, Hana; Kateřina MACHOVÁ POLÁKOVÁ; Jan MUŽÍK; Zdeněk RÁČIL; Daniela ŽÁČKOVÁ; Kateřina STEINEROVÁ; Michal KARAS; Edgar FABER; Eva DEMEČKOVÁ; Zuzana MICHALOVIČOVÁ-SNINSKÁ; Jaroslava VOGLOVÁ; Ludmila DEMITROVIČOVÁ; Eva MIKUŠOVÁ; Elena TÓTHOVÁ; Juraj CHUDEJ; Imrich MARKULJAK; Eduard CMUNT; Jana MORAVCOVÁ; Dana DVOŘÁKOVÁ; Kyra MICHALOVÁ; Marie JAROŠOVÁ; Markéta MARKOVÁ ŠŤASTNÁ; Petr CETKOVSKÝ; Ladislav DUŠEK; Vladimír KOZA; Marek TRNĚNÝ a Karel INDRÁK
Vydání
Cancer Medicine, Houston, John Wiley & Sons Ltd. 2013, 2045-7634
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30200 3.2 Clinical medicine
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/13:00069003
Organizační jednotka
Lékařská fakulta
UT WoS
000209210600010
Klíčová slova anglicky
BCR-ABL ratios; CML; ELN definitions; imatinib
Příznaky
Mezinárodní význam
Změněno: 16. 1. 2014 12:40, RNDr. Jan Mužík, Ph.D.
Anotace
V originále
We evaluated responses to the treatment and long-term outcomes of chronic myeloid leukemia patients treated with imatinib as first-line treatment in routine clinical setting from two countries with centralized tyrosine kinase inhibitors (TKIs) treatment. We assessed prognostic significance of European LeukemiaNet (ELN) 2006- and 2009-defined responses and the prognostic value of molecular responses at defined time points on 5-year survivals. The ELN optimal response criteria and their predictive role were significantly beneficial for event-free survival at all given time points. We found significant improvement in survivals of patients with BCR-ABL lower than 10% in the 6th and 12th months. Significantly better outcome was found in patients who achieved major molecular response (MMR) in the 12th month. The cumulative incidences of complete cytogenetic response (CCyR) and MMR were significantly associated with the molecular response in the 3rd month. The ELN response criteria and their predictive role were helpful at given time points; however, the 2009 definition did not significantly alter the prognostic accuracy compared with that of the 2006 definition. The significant value was observed for cytogenetic responses at the 6th and 12th month. Moreover, progression-free and event-free survivals were improved with MMR at the 12th month.