J 2017

Treatment and outcome of 2904 CML patients from the EUTOS population-based registry

HOFFMANN, V.S., M. BACCARANI, J. HASFORD, F. CASTAGNETTI, F. Di RAIMONDO et. al.

Basic information

Original name

Treatment and outcome of 2904 CML patients from the EUTOS population-based registry

Authors

HOFFMANN, V.S. (276 Germany), M. BACCARANI (380 Italy), J. HASFORD (276 Germany), F. CASTAGNETTI (380 Italy), F. Di RAIMONDO (380 Italy), L.F. CASADO (724 Spain), A. TURKINA (643 Russian Federation), Daniela ŽÁČKOVÁ (203 Czech Republic, guarantor, belonging to the institution), G. OSSENKOPPELE (528 Netherlands), A. ZARITSKEY (643 Russian Federation), M. HÖGLUND (752 Sweden), B. SIMONSSON (752 Sweden), K. INDRAK (203 Czech Republic), Z. SNINSKA (703 Slovakia), T. SACHA (616 Poland), R. CLARK (826 United Kingdom of Great Britain and Northern Ireland), A. BOGDANOVIC (688 Serbia), A. HELLMANN (616 Poland), L. GRISKEVICIUS (440 Lithuania), G. SCHUBERT-FRITSCHLE (276 Germany), D. SERTIC (191 Croatia), J. GUILHOT (250 France), S. LEJNIECE (428 Latvia), I. ZUPAN (705 Slovenia), S. BURGSTALLER (40 Austria), P. KOSKENVESA (246 Finland), H. EVERAUS (233 Estonia), P. COSTEAS (196 Cyprus), D. LINDOERFER (276 Germany), G. ROSTI (380 Italy), S. SAUSSELE (276 Germany), A. HOCHHAUS (276 Germany) and R. HEHLMANN (276 Germany)

Edition

Leukemia, London, Nature Publishing Group, 2017, 0887-6924

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30204 Oncology

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 10.023

RIV identification code

RIV/00216224:14110/17:00096120

Organization unit

Faculty of Medicine

UT WoS

000395887600010

Keywords in English

CHRONIC MYELOID-LEUKEMIA; EUROPEAN-LEUKEMIANET; TREATED FRONTLINE; IMATINIB; MANAGEMENT; SURVIVAL; RECOMMENDATIONS; INTERFERON; DASATINIB; NILOTINIB

Tags

Tags

International impact, Reviewed
Změněno: 20/3/2018 15:54, Soňa Böhmová

Abstract

V originále

The European Treatment and Outcome Study (EUTOS) population-based registry includes data of all adult patients newly diagnosed with Philadelphia chromosome-positive and/or BCR-ABL1+ chronic myeloid leukemia (CML) in 20 predefined countries and regions of Europe. Registration time ranged from 12 to 60 months between January 2008 and December 2013. Median age was 55 years and median observation time was 29 months. Eighty percent of patients were treated first line with imatinib, and 17% with a second-generation tyrosine kinase inhibitor, mostly according to European LeukemiaNet recommendations. After 12 months, complete cytogenetic remission (CCyR) and major molecular response (MMR) were achieved in 57% and 41% of patients, respectively. Patients with high EUTOS risk scores achieved CCyR and MMR significantly later than patients with low EUTOS risk. Probabilities of overall survival (OS) and progression-free survival for all patients at 12, 24 and 30 months was 97%, 94% and 92%, and 95%, 92% and 90%, respectively. The new EUTOS long-term survival score was validated: the OS of patients differed significantly between the three risk groups. The probability of dying in remission was 1% after 24 months. The current management of patients with tyrosine kinase inhibitors resulted in responses and outcomes in the range reported from clinical trials. These data from a large population-based, patient sample provide a solid benchmark for the evaluation of new treatment policies.