First-line imatinib in elderly patients with chronic myeloid
leukaemia from the CAMELIA registry: Age and dose still matter

J 2019

First-line imatinib in elderly patients with chronic myeloid leukaemia from the CAMELIA registry: Age and dose still matter

BĚLOHLÁVKOVÁ, Petra, Kateřina STEINEROVÁ, Michal KARAS, Ivana SKOUMALOVÁ, Peter ROHOŇ et. al.

Basic information

Original name

First-line imatinib in elderly patients with chronic myeloid leukaemia from the CAMELIA registry: Age and dose still matter

Authors

BĚLOHLÁVKOVÁ, Petra (203 Czech Republic, guarantor), Kateřina STEINEROVÁ (203 Czech Republic), Michal KARAS (203 Czech Republic), Ivana SKOUMALOVÁ (203 Czech Republic), Peter ROHOŇ (703 Slovakia), Karel INDRÁK (203 Czech Republic), Jaroslava VOGLOVÁ (203 Czech Republic), Filip VRBACKÝ, Eduard CMUNT (203 Czech Republic), Tereza NEČASOVÁ (203 Czech Republic, belonging to the institution), Zlatuše KŘÍSTKOVÁ (203 Czech Republic, belonging to the institution), Marek TRNĚNÝ (203 Czech Republic), Pavel ŽÁK (203 Czech Republic), Tomáš PAPAJÍK (203 Czech Republic) and Edgar FABER (703 Slovakia)

Edition

Leukemia Research, OXFORD, PERGAMON-ELSEVIER SCIENCE LTD, 2019, 0145-2126

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

References:

URL

Impact factor

Impact factor: 2.214

RIV identification code

RIV/00216224:14110/19:00109603

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1016/j.leukres.2019.04.011

UT WoS

000468184500011

Keywords (in Czech)

Věk; Chronická myeloidní leukémie; Imatinib; Léčba; Dávkování

Keywords in English

Age; Chronic myeloid leukaemia; Imatinib; Treatment; Dosage

Abstract

V originále

We retrospectively evaluated the role of age and dosage in 372 CML patients (170 women, 202 men) treated with first-line imatinib (IMA) from the records of the CAMELIA registry. The median follow-up of the patients was 82.3 (18.0-177.3) months. The treatment results of 80 elderly patients aged over 65 years at diagnosis were compared in analysis "A" with those of 292 younger patients and in analysis " B" with those of 90 patients younger than 40 and 202 patients aged 40-64. The elderly patients had statistically adverse values of the Sokal, ELTS, and ECOG scores and Charlson comorbidity index in both analyses (p from= 0.012 to <= 0.001). Despite a more frequent use of a daily dose lower than 400 mg - in 31 elderly patients (38.8%) than in 45 younger ones (15.4%) (p < 0.001), there were no statistically significant differences in the achievement of optimal haematological, cytogenetic, and molecular responses according to the ELN criteria in both the analyses, A and B. The comparisons of overall survival with CML-related death (OSCML) and event-free survival (EFS) were insignificant inanalysis A (p = 0.07 and 0.396, respectively) but progression-free survival (PFS) differed significantly (p = 0.007). In analysis B OSCML and PFS differed significantly (p = 0.027 and 0.003) but EFS was similar (p = 0.351). Elderly patients with a sustained dose of IMA of 400 mg/day have insignificantly better OS, PFS, and EFS compared to patients treated with a lower dosage of IMA. The results in the treatment of the elderly CML patients were comparable with those of the younger ones in terms of the probabilities of the achievement of optimal ELN responses. However, the results for the survival probabilities were influenced by age and the IMA dosage.

Citovat

BĚLOHLÁVKOVÁ, Petra, Kateřina STEINEROVÁ, Michal KARAS, Ivana SKOUMALOVÁ, Peter ROHOŇ, Karel INDRÁK, Jaroslava VOGLOVÁ, Filip VRBACKÝ, Eduard CMUNT, Tereza NEČASOVÁ, Zlatuše KŘÍSTKOVÁ, Marek TRNĚNÝ, Pavel ŽÁK, Tomáš PAPAJÍK and Edgar FABER. First-line imatinib in elderly patients with chronic myeloid leukaemia from the CAMELIA registry: Age and dose still matter. Leukemia Research. OXFORD: PERGAMON-ELSEVIER SCIENCE LTD, 2019, vol. 81, JUN 2019, p. 67-74. ISSN 0145-2126. Available from: https://dx.doi.org/10.1016/j.leukres.2019.04.011.

@article{1528856,
   author = {Bělohlávková, Petra and Steinerová, Kateřina and Karas, Michal and Skoumalová, Ivana and Rohoň, Peter and Indrák, Karel and Voglová, Jaroslava and Vrbacký, Filip and Cmunt, Eduard and Nečasová, Tereza and Křístková, Zlatuše and Trněný, Marek and Žák, Pavel and Papajík, Tomáš and Faber, Edgar},
   article_location = {OXFORD},
   article_number = {JUN 2019},
   doi = {http://dx.doi.org/10.1016/j.leukres.2019.04.011},
   keywords = {Age; Chronic myeloid leukaemia; Imatinib; Treatment; Dosage},
   language = {eng},
   issn = {0145-2126},
   journal = {Leukemia Research},
   title = {First-line imatinib in elderly patients with chronic myeloid leukaemia from the CAMELIA registry: Age and dose still matter},
   url = {http://www.sciencedirect.com/science/article/pii/S014521261930075X},
   volume = {81},
   year = {2019}
}

TY  - JOUR
ID  - 1528856
AU  - Bělohlávková, Petra - Steinerová, Kateřina - Karas, Michal - Skoumalová, Ivana - Rohoň, Peter - Indrák, Karel - Voglová, Jaroslava - Vrbacký, Filip - Cmunt, Eduard - Nečasová, Tereza - Křístková, Zlatuše - Trněný, Marek - Žák, Pavel - Papajík, Tomáš - Faber, Edgar
PY  - 2019
TI  - First-line imatinib in elderly patients with chronic myeloid leukaemia from the CAMELIA registry: Age and dose still matter
JF  - Leukemia Research
VL  - 81
IS  - JUN 2019
SP  - 67-74
EP  - 67-74
PB  - PERGAMON-ELSEVIER SCIENCE LTD
SN  - 01452126
KW  - Age
KW  - Chronic myeloid leukaemia
KW  - Imatinib
KW  - Treatment
KW  - Dosage
UR  - http://www.sciencedirect.com/science/article/pii/S014521261930075X
L2  - http://www.sciencedirect.com/science/article/pii/S014521261930075X
N2  - We retrospectively evaluated the role of age and dosage in 372 CML patients (170 women, 202 men) treated with first-line imatinib (IMA) from the records of the CAMELIA registry. The median follow-up of the patients was 82.3 (18.0-177.3) months. The treatment results of 80 elderly patients aged over 65 years at diagnosis were compared in analysis "A" with those of 292 younger patients and in analysis " B" with those of 90 patients younger than 40 and 202 patients aged 40-64. The elderly patients had statistically adverse values of the Sokal, ELTS, and ECOG scores and Charlson comorbidity index in both analyses (p from= 0.012 to <= 0.001). Despite a more frequent use of a daily dose lower than 400 mg - in 31 elderly patients (38.8%) than in 45 younger ones (15.4%) (p < 0.001), there were no statistically significant differences in the achievement of optimal haematological, cytogenetic, and molecular responses according to the ELN criteria in both the analyses, A and B. The comparisons of overall survival with CML-related death (OSCML) and event-free survival (EFS) were insignificant inanalysis A (p = 0.07 and 0.396, respectively) but progression-free survival (PFS) differed significantly (p = 0.007). In analysis B OSCML and PFS differed significantly (p = 0.027 and 0.003) but EFS was similar (p = 0.351). Elderly patients with a sustained dose of IMA of 400 mg/day have insignificantly better OS, PFS, and EFS compared to patients treated with a lower dosage of IMA. The results in the treatment of the elderly CML patients were comparable with those of the younger ones in terms of the probabilities of the achievement of optimal ELN responses. However, the results for the survival probabilities were influenced by age and the IMA dosage.
ER  -

BĚLOHLÁVKOVÁ, Petra, Kateřina STEINEROVÁ, Michal KARAS, Ivana SKOUMALOVÁ, Peter ROHOŇ, Karel INDRÁK, Jaroslava VOGLOVÁ, Filip VRBACKÝ, Eduard CMUNT, Tereza NEČASOVÁ, Zlatuše KŘÍSTKOVÁ, Marek TRNĚNÝ, Pavel ŽÁK, Tomáš PAPAJÍK and Edgar FABER. First-line imatinib in elderly patients with chronic myeloid leukaemia from the CAMELIA registry: Age and dose still matter. \textit{Leukemia Research}. OXFORD: PERGAMON-ELSEVIER SCIENCE LTD, 2019, vol.~81, JUN 2019, p.~67-74. ISSN~0145-2126. Available from: https://dx.doi.org/10.1016/j.leukres.2019.04.011.

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