J 2013

Current survival measures reliably reflect modern sequential treatment in CML: Correlation with prognostic stratifications

PAVLÍK, Tomáš; Eva JANOUŠOVÁ; Jiří MAYER; Karel INDRÁK; Marie JAROSOVA et al.

Základní údaje

Originální název

Current survival measures reliably reflect modern sequential treatment in CML: Correlation with prognostic stratifications

Autoři

PAVLÍK, Tomáš; Eva JANOUŠOVÁ; Jiří MAYER; Karel INDRÁK; Marie JAROSOVA; Hana KLAMOVA; Daniela ŽÁČKOVÁ; Jaroslava VOGLOVÁ; Edgar FABER; Michal KARAS; Katerina POLAKOVA MACHOVA; Zdeněk RÁČIL; Eva DEMEČKOVÁ; Ludmila DEMITROVIČOVÁ; Elena TOTHOVÁ; Juraj CHUDEJ; Imrich MARKULJAK; Eduard CMUNT; Tomas KOZAK; Jan MUŽÍK a Ladislav DUŠEK

Vydání

American Journal of Hematology, Hoboken, Wiley-Blackwell, 2013, 0361-8609

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

Impakt faktor

Impact factor: 3.477

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/13:00069543

Organizační jednotka

Lékařská fakulta

UT WoS

000323313500013

Klíčová slova anglicky

CHRONIC MYELOID-LEUKEMIA; TYROSINE KINASE INHIBITORS; COMPLETE CYTOGENETIC RESPONSE; CHRONIC-PHASE; BCR-ABL; MOLECULAR RESPONSE; IMATINIB MESYLATE; INTERFERON-ALPHA; THERAPY; FAILURE

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 17. 2. 2014 10:53, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Using the data of 723 chronic myeloid leukemia (CML) patients in the chronic phase, we analyzed the prognostic value of the Sokal, Euro, and EUTOS scores as well as the level of BCR-ABL1 and the achievement of complete cytogenetic response (CCgR) at 3 months of imatinib therapy in relation to the so-called current survival measures: the current cumulative incidence (CCI) reflecting the probability of being alive and in CCgR after starting imatinib therapy; the current leukemia-free survival (CLFS) reflecting the probability of being alive and in CCgR after achieving the first CCgR; and the overall survival. The greatest difference between the CCI curves at 5 years after initiating imatinib therapy was observed for the BCR-ABL1 transcripts at 3 months. The 5-year CCI was 94.3% in patients with BCR-ABL1 transcripts10% and 57.1% in patients with BCR-ABL1 transcripts>10% (P=0.005). Therefore, the examination of BCR-ABL1 transcripts at 3 months may help in early identification of patients who are likely to perform poorly with imatinib. On the other hand, CLFS was not significantly affected by the considered stratifications. In conclusion, our results indicate that once the CCgR is achieved, the prognosis is good irrespective of the starting prognostic risks.