Retrospective Analysis Of Chronic Myeloid Leukemia Patients Treated In The Department Of Internal Medicine And Oncology, Semmelweis University, Between 2003 And 2019

ORVOSI HETILAP(2021)

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Abstract
Introduction: As a result of advances in diagnostic techniques and the introduction of tyrosine kinase inhibitors, the prognosis of chronic myeloid leukemia has improved over the last decades. Objective: Most of our knowledge about chronic myeloid leukemia results from clinical trials, therefore data derived from non-selected patient population is substantial. Method: Data of chronic myeloid leukemia patients treated with tyrosine kinase inhibitors at the Department of Internal Medicine and Oncology, Semmelweis University, between 2003 and 2019 were analysed retrospectively. Results: 88 patients received treatment, 73 patients were on therapy at the time of the analysis. Overall survival at 5 years was 86%, progression-free survival at 5 years was 70%. 9 patients died, 2 of them due to progressive disease. 38 patients needed 2nd line therapy, the main reason of treatment change was failure of therapy. Subsequent treat-ment modifications were conducted mostly because of intolerance. More than half of the patients on 1st line treat-ment reached major molecular response and 85% of the patients on treatment at the end of the analysis are in major molecular response. Discussion: Based on our data, survival and therapeutic response of patients in our center are similar to the internati-onal results. Conclusion: This analysis provides real-world data about treatment results of chronic myeloid leukemia in the tyro sine kinase inhibitor era.
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Key words
chronic myeloid leukemia, BCR-ABL tyrosine kinase
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