1. Infections in patients with lymphoproliferative diseases treated with targeted agents: SEIFEM multicentric retrospective study
- Author
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Maria Chiara Tisi, Michelina Dargenio, for Sorveglianza Epidemiologica Infezioni nelle Emopatie, Federica Lessi, Francesca Farina, Livio Pagano, Andrea Visentin, Angelica Spolzino, Luca Laurenti, Davide Facchinelli, M. Picardi, Gianpaolo Nadali, Chiara Cattaneo, Fabio Trastulli, Luisa Verga, Francesco Marchesi, Anna Candoni, Alessandro Busca, Lucia Prezioso, Gessica Marchesini, Rosa Fanci, Marchesini, G., Nadali, G., Facchinelli, D., Candoni, A., Cattaneo, C., Laurenti, L., Fanci, R., Farina, F., Lessi, F., Visentin, A., Marchesi, F., Prezioso, L., Spolzino, A., Tisi, M. C., Trastulli, F., Picardi, M., Verga, L., Dargenio, M., Busca, A., and Pagano, L.
- Subjects
Male ,medicine.medical_treatment ,infections ,lymphoproliferative diseases ,targeted therapy ,Targeted therapy ,chemistry.chemical_compound ,0302 clinical medicine ,Piperidines ,Risk Factors ,Agammaglobulinaemia Tyrosine Kinase ,Medicine ,Molecular Targeted Therapy ,Enzyme Inhibitors ,Aged, 80 and over ,Bacterial Infections ,Hematology ,Middle Aged ,Clinical Practice ,Italy ,Virus Diseases ,030220 oncology & carcinogenesis ,Ibrutinib ,Female ,Idelalisib ,Research Paper ,medicine.medical_specialty ,Lymphoproliferative disorders ,Opportunistic Infections ,03 medical and health sciences ,Internal medicine ,Humans ,In patient ,Protein Kinase Inhibitors ,lymphoproliferative disease ,Aged ,Quinazolinones ,Retrospective Studies ,business.industry ,Adenine ,Retrospective cohort study ,medicine.disease ,Haematological Malignancy – Clinical ,Lymphoproliferative Disorders ,infection ,Settore MED/15 - MALATTIE DEL SANGUE ,chemistry ,Purines ,Case-Control Studies ,Frequent infections ,business ,Invasive Fungal Infections ,030215 immunology - Abstract
Summary We describe the opportunistic infections occurring in 362 patients with lymphoproliferative disorders treated with ibrutinib and idelalisib in clinical practice. Overall, 108 of 362 patients (29·8%) developed infections, for a total of 152 events. Clinically defined infections (CDI) were 49·3% (75/152) and microbiologically defined infections (MDI) were 50·7% (77/152). Among 250 patients treated with ibrutinib, 28·8% (72/250) experienced one or more infections, for a total of 104 episodes. MDI were 49% (51/104). Bacterial infections were 66·7% (34/51), viral 19·6% (10/51) and invasive fungal diseases (IFD) 13·7% (7/51). Among the 112 patients treated with idelalisib, 32·1% (36/112) experienced one or more infections, for a total of 48 episodes. MDI were 54·2% (26/48). Bacterial infections were 34·6% (9/26), viral 61·5% (16/26) and IFD 3·8% (1/26). With ibrutinib, the rate of bacterial infections was significantly higher compared to idelalisib (66·7% vs. 34·6%; P = 0·007), while viral infections were most frequent in idelalisib (61·5% vs. 19·6%; P
- Published
- 2020