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Venetoclax combinations delay the time to deterioration of HRQoL in unfit patients with acute myeloid leukemia
KW. Pratz, P. Panayiotidis, C. Recher, X. Wei, BA. Jonas, P. Montesinos, V. Ivanov, AC. Schuh, CD. DiNardo, J. Novak, V. Pejsa, D. Stevens, SP. Yeh, I. Kim, M. Turgut, N. Fracchiolla, K. Yamamoto, Y. Ofran, AH. Wei, CN. Bui, K. Benjamin, R....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, práce podpořená grantem
NLK
Directory of Open Access Journals
od 2011
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od 2011
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od 2011-01-28
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od 2011-01-01
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od 2011
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od 2011
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od 2011-01-01
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od 2011-01-01
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od 2011-01-01
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od 2011-01-01
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od 2010
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od 2011-01-01
- MeSH
- akutní myeloidní leukemie * farmakoterapie etiologie MeSH
- bicyklické sloučeniny heterocyklické MeSH
- cytarabin terapeutické užití MeSH
- kvalita života * MeSH
- lidé MeSH
- protokoly protinádorové kombinované chemoterapie škodlivé účinky MeSH
- sulfonamidy MeSH
- únava etiologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
Phase 3 trials Viale-A and Viale-C evaluated health-related quality of life (HRQoL) in patients with AML unfit for intensive chemotherapy who received venetoclax (VEN) + (AZA) (Viale-A) or low-dose cytarabine (LDAC) (Viale-C) or placebo (PBO) + AZA or LDAC. Patient-reported outcomes included: EORTC QLQ-C30 global health status (GHS/QoL) and physical functioning (PF), PROMIS Cancer Fatigue Short Form 7a (Fatigue), and EQ-5D-5L health status visual analog scale (HS-VAS). Time to deterioration (TTD), defined as worsening from baseline in meaningful change thresholds (MCT) of ≥10, 5, or 7 points for GHS/QoL or PF, fatigue, and HS-VAS, respectively, was assessed; differences between groups were analyzed using Kaplan-Meier and unadjusted log-rank analyses. VEN + AZA vs PBO + AZA patients had longer TTD in GHS/QoL (P = 0.066) and fatigue (P = 0.189), and significantly longer TTD in PF (P = 0.028) and HS-VAS (P < 0.001). VEN + LDAC vs PBO + LDAC patients had significantly longer TTD in GHS/QoL (P = 0.011), PF (P = 0.020), and fatigue (P = 0.004), and a trend in HS-VAS (P = 0.057). Approximately 43%, 35%, 32%, and 18% of patients treated with VEN + AZA, AZA + PBO, VEN + LDAC, or LDAC + PBO, respectively, saw improvements >MCT in GHS/QoL. Overall, VEN may positively impact HRQoL in patients with AML ineligible for intensive chemotherapy, leading to longer preservation of functioning and overall health status.
AbbVie Inc North Chicago IL USA
Abramson Cancer Center University of Pennsylvania Philadelphia PA USA
Almazov National Medical Research Center Saint Petersburg Russian Federation
Australian Center for Blood Diseases The Alfred Hospital and Monash University Melbourne Australia
Department of Hematology and Cell Therapy Aichi Cancer Center Nagoya Japan
Department of Internal Medicine China Medical University Hospital Taichung Taiwan
Genentech Inc South San Francisco CA USA
Hematology Unit Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan Italy
Hospital Universitario y Politécnico La Fe Valencia Spain
National and Kapodistrian University of Athens Medical School Laiko General Hospital Athens Greece
Norton Cancer Institute Louisville KY USA
Princess Margaret Cancer Centre and University of Toronto Toronto ON Canada
Seoul National University Hospital Seoul Republic of Korea
The Affiliated Cancer Hospital of Zhengzhou University Henan Cancer Hospital Zhengzhou China
Citace poskytuje Crossref.org
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