J 2017

Evaluation of cardiovascular ischemic event rates in dasatinib-treated patients using standardized incidence ratios

SAGLIO, Giuseppe, Philipp le COUTRE, Jorge CORTES, Jiří MAYER, Philip ROWLINGS et. al.

Basic information

Original name

Evaluation of cardiovascular ischemic event rates in dasatinib-treated patients using standardized incidence ratios

Authors

SAGLIO, Giuseppe (380 Italy), Philipp le COUTRE (276 Germany), Jorge CORTES (840 United States of America), Jiří MAYER (203 Czech Republic, guarantor, belonging to the institution), Philip ROWLINGS (36 Australia), Francois Xavier MAHON (250 France), Glenn KROOG (840 United States of America), Kyna GOODEN (840 United States of America), Milayna SUBAR (840 United States of America) and Neil P. SHAH (840 United States of America)

Edition

Annals of hematology, Berlin, Springer Verlag, 2017, 0939-5555

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30205 Hematology

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 2.845

RIV identification code

RIV/00216224:14110/17:00098740

Organization unit

Faculty of Medicine

UT WoS

000404207100007

Keywords in English

Chronic myeloid leukemia; Tyrosine kinase inhibitors; Dasatinib; Cardiovascular; Ischemic

Tags

Tags

International impact, Reviewed
Změněno: 20/3/2018 17:50, Soňa Böhmová

Abstract

V originále

With high survival rates for chronic myeloid leukemia (CML) patients treated with BCR-ABL1 tyrosine kinase inhibitors (TKIs), emerging consequences, such as arterial ischemic events, require consideration when evaluating treatment options. Cardiovascular ischemic event incidence in clinical trials was evaluated in 2712 dasatinib-treated patients with Philadelphia chromosome-positive (Ph+) leukemias from 11 first- and second-line trials (pooled), newly diagnosed CML patients treated with dasatinib or imatinib (DASISION), and prostate cancer patients treated with dasatinib or placebo plus docetaxel/prednisone (READY). Overall, 2-4% of dasatinib-treated patients had cardiovascular ischemic events. Most dasatinib-treated patients with an event had a history of and/or risk factor for atherosclerosis (pooled 77 with history/risk and event/96 with events; DASISION 8/10; READY 15/18). Most cardiovascular ischemic events occurred within 1 year of initiating dasatinib (pooled 69/96; DASISION 7/10; READY 16/18). Comparison of observed and expected event rates through standardized incidence ratios indicates that dasatinib does not increase risk for cardiovascular ischemic events compared with external reference populations.