Management of adverse events associated with idelalisib treatment in chronic lymphocytic leukemia and follicular lymphoma: A multidisciplinary position paper.


Journal

Hematological oncology
ISSN: 1099-1069
Titre abrégé: Hematol Oncol
Pays: England
ID NLM: 8307268

Informations de publication

Date de publication:
Feb 2019
Historique:
received: 26 06 2018
revised: 09 07 2018
accepted: 10 07 2018
pubmed: 7 9 2018
medline: 6 3 2019
entrez: 7 9 2018
Statut: ppublish

Résumé

The introduction of new therapeutic agents in chronic lymphocytic leukemia (CLL) and follicular lymphoma (FL), including the new kinase inhibitor idelalisib, has changed the therapeutic landscape of these diseases. However, the use of idelalisib is associated with a peculiar profile of side effects, which require an optimization of the current approach to prophylaxis and supportive treatment. Moving from the recognition that the abovementioned issue represents an unmet need in CLL and FL, a multidisciplinary panel of experts was convened to produce a consensus document aiming to provide practical recommendations for the management of the side effects during idelalisib therapy for CLL and FL. The present publication represents a consensus document from a series of meetings held during 2017. The Panel generated clinical key questions using the criterion of clinical relevance through a Delphi process and explored 4 domains, ie, diarrhea/colitis, transaminitis, pneumonitis, and infectious complications. Using the consensus method, the Panel was able to shape recommendations which may assist hematologist to minimize adverse events and guarantee adherence to treatment in patients with CLL and FL candidate to receive idelalisib.

Identifiants

pubmed: 30187496
doi: 10.1002/hon.2540
pmc: PMC6585802
doi:

Substances chimiques

Antineoplastic Agents 0
Purines 0
Quinazolinones 0
Cytochrome P-450 CYP3A EC 1.14.14.1
Aldehyde Oxidase EC 1.2.3.1
idelalisib YG57I8T5M0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

3-14

Informations de copyright

© 2018 The Authors Hematological Oncology Published by John Wiley & Sons Ltd.

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Auteurs

Antonio Cuneo (A)

Hematology Section, Department of Medical Sciences, Azienda Ospedaliero-Universitaria, Arcispedale S. Anna, University of Ferrara, Ferrara, Italy.

Giovanni Barosi (G)

IRCCS Policlinico S. Matteo Foundation, Pavia, Italy.

Romano Danesi (R)

Clinical Pharmacology and Pharmacogenetics Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Stefano Fagiuoli (S)

Gastroenterology and Transplant Hepatology, "Papa Giovanni XXIII" Hospital, Bergamo, Italy.

Paolo Ghia (P)

Università Vita-Salute San Raffaele and IRCCS Istituto Scientifico San Raffaele, Milan, Italy.

Alfredo Marzano (A)

Division of Gastroenterology, San Giovanni Battista Hospital, University of Torino, Turin, Italy.

Marco Montillo (M)

Department of Hematology, Niguarda Cancer Center Niguarda Hospital Milano, Milan, Italy.

Venerino Poletti (V)

Department of Diseases of the Thorax, Ospedale GB Morgagni, Forlì, Italy.
Department of Respiratory Diseases & Allergy, Aarhus University Hospital, Aarhus, Denmark.

Pierluigi Viale (P)

Infectious Disease Unit, Teaching Hospital S. Orsola-Malpighi, Alma Mater Studiorum - University of Bologna, Bologna, Italy.

Pier Luigi Zinzani (PL)

Institute of Hematology Lorenzo e Ariosto Seràgnoli, University of Bologna, Bologna, Italy.

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