2020
Final 5-year findings from the phase 3 HELIOS study of ibrutinib plus bendamustine and rituximab in patients with relapsed/refractory chronic lymphocytic leukemia/small lymphocytic lymphoma
FRASER, GAM, A CHANAN-KHAN, F DEMIRKAN, Silva RS, S GROSICKI et. al.Základní údaje
Originální název
Final 5-year findings from the phase 3 HELIOS study of ibrutinib plus bendamustine and rituximab in patients with relapsed/refractory chronic lymphocytic leukemia/small lymphocytic lymphoma
Autoři
FRASER, GAM, A CHANAN-KHAN, F DEMIRKAN, Silva RS, S GROSICKI, A JANSSENS, Jiří MAYER, NL BARTLETT, MS DILHUYDY, J LOSCERTALES, A AVIGDOR, S RULE, O SAMOILOVA, MA PAVLOVSKY, A GOY, A MATO, M HALLEK, M SALMAN, M TAMEGNON, S SUN, A CONNOR, K NOTTAGE, N SCHUIER, S BALASUBRAMANIAN, A HOWES a P CRAMER
Vydání
LEUKEMIA & LYMPHOMA, LONDON, INFORMA HEALTHCARE, 2020, 1042-8194
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 3.280
UT WoS
000556471600001
Klíčová slova anglicky
Ibrutinib; HELIOS phase 3 trial; 5-year follow-up; overall survival; relapsed chronic lymphocytic leukemia
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 5. 5. 2021 09:45, Mgr. Tereza Miškechová
Anotace
V originále
We report final analysis outcomes from the phase 3 HELIOS study (NCT01611090). Patients with relapsed/refractory chronic lymphocytic leukemia/small lymphocytic lymphoma without deletion 17p (n = 578) were randomized 1:1 to 420 mg daily ibrutinib or placebo plus <= 6 cycles of bendamustine plus rituximab (BR), followed by ibrutinib or placebo alone. Median follow-up was 63.7 months. Median investigator-assessed progression-free survival was longer with ibrutinib plus BR (65.1 months) than placebo plus BR (14.3 months; hazard ratio [HR] 0.229 [95% confidence interval (CI) 0.183-0.286];p < .0001). Despite crossover of 63.3% of patients from the placebo plus BR arm to ibrutinib treatment upon disease progression, ibrutinib plus BR versus placebo plus BR demonstrated an overall survival benefit (HR 0.611 [95% CI 0.455-0.822];p = .0010; median not reached in either arm). Long-term follow-up data confirm the survival benefit of ibrutinib plus BR over BR alone. Safety profiles were consistent with those known for ibrutinib and BR.