Treatment Patterns in Patients with Chronic-Phase Chronic Myeloid Leukaemia in Routine Clinical Practice: the SIMPLICITY Italian Population.

Chronic-Phase Chronic Myeloid Leukaemia Italy Response Monitoring SIMPLICITY TKI switching patterns

Journal

Mediterranean journal of hematology and infectious diseases
ISSN: 2035-3006
Titre abrégé: Mediterr J Hematol Infect Dis
Pays: Italy
ID NLM: 101530512

Informations de publication

Date de publication:
2019
Historique:
received: 10 10 2018
accepted: 28 03 2019
entrez: 18 6 2019
pubmed: 18 6 2019
medline: 18 6 2019
Statut: epublish

Résumé

While tyrosine kinase inhibitors (TKIs) have transformed CP-CML management, limited data exist on their use in clinical practice. SIMPLICITY (NCT01244750) is an observational study in CP-CML patients, exploring first-line (1L) TKI use and management patterns in the US and Europe. Over half of the patients recruited in Europe are from Italy (n=266). This is an analysis of the Italian cohort and a comparison with the rest of the European SIMPLICITY population. Baseline demographic, factors influencing the choice of first-line TKI, response monitoring patterns and predictors of monitoring, and treatment interruptions, discontinuations and switching by index TKIs are presented for the Italian cohort in the first year of treatment and compared with that for the overall European SIMPLICITY cohort. Italian patients received 1L imatinib (IM; retrospective [(n=31]; prospective [n=106]), dasatinib (DAS; n=56) or nilotinib (NIL; n=73). Documented cytogenetic response monitoring by 12 months was lower than expected, but almost all patients had documented molecular response monitoring. Fewer patients discontinued first-line TKI by 12 months in Italy compared with the rest of the European SIMPLICITY population (p=0.003). Of those with ≥12 months follow-up since the start of 1L TKI, only 7.1% (n=19) of Italian patients switched to a second-line TKI, a third less than in the rest of the European SIMPLICITY population. Of interest, intolerance as opposed to resistance, was the main reason for switching. This analysis provides valuable insights into management and treatment patterns in Italian patients with CML within routine clinical practice.

Sections du résumé

BACKGROUND AND OBJECTIVES OBJECTIVE
While tyrosine kinase inhibitors (TKIs) have transformed CP-CML management, limited data exist on their use in clinical practice.
METHODS METHODS
SIMPLICITY (NCT01244750) is an observational study in CP-CML patients, exploring first-line (1L) TKI use and management patterns in the US and Europe. Over half of the patients recruited in Europe are from Italy (n=266). This is an analysis of the Italian cohort and a comparison with the rest of the European SIMPLICITY population. Baseline demographic, factors influencing the choice of first-line TKI, response monitoring patterns and predictors of monitoring, and treatment interruptions, discontinuations and switching by index TKIs are presented for the Italian cohort in the first year of treatment and compared with that for the overall European SIMPLICITY cohort.
RESULTS RESULTS
Italian patients received 1L imatinib (IM; retrospective [(n=31]; prospective [n=106]), dasatinib (DAS; n=56) or nilotinib (NIL; n=73). Documented cytogenetic response monitoring by 12 months was lower than expected, but almost all patients had documented molecular response monitoring. Fewer patients discontinued first-line TKI by 12 months in Italy compared with the rest of the European SIMPLICITY population (p=0.003). Of those with ≥12 months follow-up since the start of 1L TKI, only 7.1% (n=19) of Italian patients switched to a second-line TKI, a third less than in the rest of the European SIMPLICITY population. Of interest, intolerance as opposed to resistance, was the main reason for switching.
CONCLUSIONS CONCLUSIONS
This analysis provides valuable insights into management and treatment patterns in Italian patients with CML within routine clinical practice.

Identifiants

pubmed: 31205629
doi: 10.4084/MJHID.2019.025
pii: mjhid-11-1-e2019025
pmc: PMC6548212
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e2019025

Déclaration de conflit d'intérêts

Competing interests: The authors have declared that no competing interests exist.

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Auteurs

Elisabetta Abruzzese (E)

S. Eugenio Hospital, Roma, Italy.

Alberto Bosi (A)

U.O. di Ematologia, Azienda Ospedaliera Universitaria Careggi, Firenze, Italy.

Massimo Breccia (M)

Azienda Policlinico Umberto I-Università Sapienza, Roma, Italy.

Mariella D'Adda (M)

Azienda Ospedaliera Spedali Civili di Brescia, Italy.

Nicola Di Renzo (N)

U.O. di Ematologia e Trapianto di Cellule Staminali P.O "Vito Fazzi" - Lecce, Italy.

Anna Marina Liberati (AM)

Università degli Studi di Perugia, - A.O. Santa Maria di Terni, Italy.

Raffaele Porrini (R)

Ospedale Sant'Andrea Roma, Italy.

Ester Maria Orlandi (EM)

Fondazione IRCCS Policlinico S. Matteo, Pavia, Italy.

Fabrizio Pane (F)

University of Naples Federico II, Italy.

Ester Pungolino (E)

A.O. Ospedale Niguarda Ca' Granda, Milano, Italy.

Federica Sorà (F)

UOC di Ematologia, Policlinico Universitario 'A. Gemelli', Roma, Italy.

Fabio Stagno (F)

Divisione Clinicizzata di Ematologia, AOU Policlinico - V. Emanuele Catania, Italy.

Ginny P Sen (GP)

ICON Clinical Research, San Diego, California, USA.

Fabiana Gentilini (F)

Bristol-Myers Squibb, Rome, Italy.

Francesco De Solda (F)

Bristol-Myers Squibb, Rome, Italy.

Carlo Gambacorti-Passerini (C)

Azienda Ospedaliera San Gerardo, University of Milano Bicocca, Monza, Italy.

Classifications MeSH