1. Adherence, persistence and efficacy of dasatinib and nilotinib in the treatment of patients resistant or intolerant to imatinib with chronic myeloid leukemia in chronic phase: an Italian multicenter study over two years in real life
- Author
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Maria Monteverde, Caterina de Rosa, Felice Musicco, Francesca Federici, Giancarlo Torquati, Arianna Pasquazi, Anna Rita Scortechini, Alberto Costantini, Maria Cantonetti, Luca Franceschini, Antonietta Vozza, Angela Frazzetto, M Scaldaferri, Fabrizio Pane, Katiuscia Di Biagio, Chiara Rossi, Maria Grazia Celeste, Gaetano La Barba, Luigia Luciano, Irene Colasanto, Manuela Rizzo, Rosaria Lanzillo, Fiorenzo Santoleri, Francesco Cattel, and Elena Ranucci
- Subjects
Oncology ,medicine.medical_specialty ,Dasatinib ,Medication adherence ,Antineoplastic Agents ,030204 cardiovascular system & hematology ,Persistence (computer science) ,03 medical and health sciences ,0302 clinical medicine ,Leukemia, Myelogenous, Chronic, BCR-ABL Positive ,hemic and lymphatic diseases ,Internal medicine ,medicine ,Humans ,In real life ,030212 general & internal medicine ,Protein Kinase Inhibitors ,business.industry ,Myeloid leukemia ,Imatinib ,General Medicine ,Thiazoles ,Pyrimidines ,Treatment Outcome ,Italy ,Nilotinib ,Multicenter study ,Imatinib Mesylate ,business ,medicine.drug - Abstract
The use of dasatinib and nilotinib in the treatment of patients with chronic myeloid leukemia represents a valid therapeutic option for patients resistant or intolerant to imatinib. In this multicentre study, adherence, persistence and efficacy in real life over two years of treatment were evaluated.Adherence to treatment was calculated as the ratio between the dose received and the prescribed dose. The dose received was calculated using pharmacy refill data. The persistence with treatment was calculated as the difference between the end and the beginning of the treatment. Efficacy was assigned as Progression-Free Survival (PFS) and Events-Free Survival (EFS) and represented through the Kaplan-Meier curve.The number of patients analysed was 117, 70 treated with dasatinib and 47 with nilotinib. Adherence to treatment for dasatinib and nilotinib at two years was 0.91 and 0.82 respectively. Persistence at two years was 77% while the PFS was 92% for both drugs in the study.Adherence to the treatment calculated over two years showed a superiority of dasatinib over nilotinib. Nevertheless, the efficacy in terms of PFS and EFS is superimposable between the two drugs in the study.
- Published
- 2021
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