ŽÁČKOVÁ, Daniela, Lukáš SEMERÁD, Edgar FABER, Hana KLAMOVÁ, Lukáš STEJSKAL, Petra BĚLOHLÁVKOVÁ, Michal KARAS, Eduard CMUNT, Olga ČERNÁ, Jiřina PROCHÁZKOVÁ, Petra ČIČÁTKOVÁ, Anežka KVETKOVÁ, Tomáš HORŇÁK, Ivana SKOUMALOVÁ, Dana SRBOVÁ, Cyril ŠÁLEK, David BUFFA, Jaroslava VOGLOVÁ, Tomáš JURČEK, Adam FOLTA, Ivana JEŽÍŠKOVÁ, Hana ŽIŽKOVÁ, Kateřina MACHOVÁ POLÁKOVÁ, Tomáš PAPAJÍK, Pavel ŽÁK, Pavel JINDRA, Adam SVOBODNÍK, Radka ŠTĚPÁNOVÁ and Jiří MAYER. Why are not all eligible chronic myeloid leukemia patients willing to attempt tyrosine kinase inhibitor discontinuation? A Czech nationwide analysis related to the TKI stopping trial HALF. Leukemia. LONDON: SPRINGERNATURE, 2024. ISSN 0887-6924. Available from: https://dx.doi.org/10.1038/s41375-024-02215-9.
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Basic information
Original name Why are not all eligible chronic myeloid leukemia patients willing to attempt tyrosine kinase inhibitor discontinuation? A Czech nationwide analysis related to the TKI stopping trial HALF
Authors ŽÁČKOVÁ, Daniela, Lukáš SEMERÁD, Edgar FABER, Hana KLAMOVÁ, Lukáš STEJSKAL, Petra BĚLOHLÁVKOVÁ, Michal KARAS, Eduard CMUNT, Olga ČERNÁ, Jiřina PROCHÁZKOVÁ, Petra ČIČÁTKOVÁ, Anežka KVETKOVÁ, Tomáš HORŇÁK, Ivana SKOUMALOVÁ, Dana SRBOVÁ, Cyril ŠÁLEK, David BUFFA, Jaroslava VOGLOVÁ, Tomáš JURČEK, Adam FOLTA, Ivana JEŽÍŠKOVÁ, Hana ŽIŽKOVÁ, Kateřina MACHOVÁ POLÁKOVÁ, Tomáš PAPAJÍK, Pavel ŽÁK, Pavel JINDRA, Adam SVOBODNÍK, Radka ŠTĚPÁNOVÁ and Jiří MAYER.
Edition Leukemia, LONDON, SPRINGERNATURE, 2024, 0887-6924.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30205 Hematology
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 11.400 in 2022
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1038/s41375-024-02215-9
UT WoS 001183688000001
Tags 14110212
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 29/4/2024 15:12.
Abstract
Tyrosine kinase inhibitor (TKI) therapy discontinuation with the aim of achieving treatment-free remission (TFR) is becoming more frequent, as an increasing number of chronic myeloid leukemia (CML) patients are achieving stable deep molecular response (DMR; i.e. BCR::ABL1 transcript level ≤0.01% on the International Scale); however, many challenges remain unresolved. Among others, a nonnegligible proportion of patients reported fear, anxiety, or depression both during TFR and when they had to reinitiate TKI therapy. Similar negative feelings are frequently mentioned in the context of the decision to not stop TKI treatment; furthermore, a considerable proportion of patients (17–50%) have been reported to be unwilling to attempt TFR. However, little is known about how many truly eligible patients are unwilling to attempt TFR, the reasons for their decision and what factors are associated with their unwillingness to discontinue long-term therapy since the reports mentioned above have substantial limitations. The surveys were often conducted in a limited number of centres, focused on patients who are able to use internet tools, focused on more educated patients who are connected to patient supportive organisations, and usually not specifically focused on patients who fulfilled the criteria for TKI discontinuation.
Links
LM2023049, research and development projectName: Český národní uzel Evropské sítě infrastruktur klinického výzkumu
Investor: Ministry of Education, Youth and Sports of the CR
LX22NPO5102, research and development projectName: Národní ústav pro výzkum rakoviny (Acronym: NÚVR)
Investor: Ministry of Education, Youth and Sports of the CR, National institute for cancer research, 5.1 EXCELES
NU22-03-00136, research and development projectName: Účinnost a bezpečnost vysazení inhibitorů tyrozinkináz po dvoustupňové redukci jejich dávky u pacientů s chronickou myeloidní leukemií (Prospektivní akademická multicentrická studie fáze II - HALF)
Investor: Ministry of Health of the CR, Subprogram 1 - standard
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