GEISSLER, Klaus, Zdenek KORISTEK, del Castillo Teresa BERNAL, Jan NOVAK, Gabriela RODRIGUEZ-MACIAS, Stephan K METZELDER, Arpad ILLES, Jiří MAYER, Montserrat ARNAN, Mary-Margaret KEATING, Juergen KRAUTER, Monia LUNGHI, Nicola Stefano FRACCHIOLLA, Uwe PLATZBECKER, Valeria SANTINI, Yuri SANO, Aram OGANESIAN, Harold KEER a Michael LUEBBERT. Oral decitabine/cedazuridine versus intravenous decitabine for acute myeloid leukaemia: A randomised, crossover, registration, pharmacokinetics study. British journal of haematology. Hoboken: Wiley-Blackwell, 2024, s. 1-12. ISSN 0007-1048. Dostupné z: https://dx.doi.org/10.1111/bjh.19741.
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Základní údaje
Originální název Oral decitabine/cedazuridine versus intravenous decitabine for acute myeloid leukaemia: A randomised, crossover, registration, pharmacokinetics study
Autoři GEISSLER, Klaus, Zdenek KORISTEK, del Castillo Teresa BERNAL, Jan NOVAK, Gabriela RODRIGUEZ-MACIAS, Stephan K METZELDER, Arpad ILLES, Jiří MAYER, Montserrat ARNAN, Mary-Margaret KEATING, Juergen KRAUTER, Monia LUNGHI, Nicola Stefano FRACCHIOLLA, Uwe PLATZBECKER, Valeria SANTINI, Yuri SANO, Aram OGANESIAN, Harold KEER a Michael LUEBBERT.
Vydání British journal of haematology, Hoboken, Wiley-Blackwell, 2024, 0007-1048.
Další údaje
Originální jazyk angličtina
Typ výsledku Článek v odborném periodiku
Obor 30205 Hematology
Stát vydavatele Spojené státy
Utajení není předmětem státního či obchodního tajemství
WWW URL
Impakt faktor Impact factor: 6.500 v roce 2022
Organizační jednotka Lékařská fakulta
Doi http://dx.doi.org/10.1111/bjh.19741
UT WoS 001318836700001
Klíčová slova anglicky acute myeloid leukaemia; decitabine/cedazuridine; DNA methyltransferase inhibitors; hypomethylating agents; somatic mutations
Štítky 14110212
Příznaky Mezinárodní význam, Recenzováno
Změnil Změnila: Mgr. Tereza Miškechová, učo 341652. Změněno: 1. 10. 2024 10:42.
Anotace
This study compared decitabine exposure when administered IV (DEC-IV) at a dose of 20 mg/m(2) for 5-days with orally administered decitabine with cedazuridine (DEC-C), as well as the clinical efficacy and safety of DEC-C in patients with acute myeloid leukaemia (AML) who were ineligible for intensive induction chemotherapy. In all, 89 patients were randomised 1:1 to DEC-IV or oral DEC-C (days 1-5 in a 28-day treatment cycle), followed by 5 days of the other formulation in the next treatment cycle. All patients received oral DEC-C for subsequent treatment cycles until treatment discontinuation. Equivalent systemic decitabine exposures were demonstrated (5-day area under the curve ratio between the two decitabine formulations of 99.64 [90% confidence interval 91.23%, 108.80%]). Demethylation rates also were similar (<= 1.1% difference). Median overall survival (OS), clinical response and safety profile with oral DEC-C were consistent with those previously observed with DEC-IV. Next-generation sequencing was performed to identify molecular abnormalities that impact OS and TP53 mutations were associated with a poor outcome. These findings support the use of oral DEC-C in patients with AML.
VytisknoutZobrazeno: 2. 10. 2024 00:31