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  1. Article: Disease Perception Is Correlated with Health-Related Quality of Life in Patients Suffering from Myelodysplastic Syndromes: Results of the Belgian Be-QUALMS Study.

    Heyrman, Bert / Meers, Stef / De Becker, Ann / Wouters, Kristien / Van Hoof, Achiel / Van De Velde, Ann / Graux, Carlos / Mazure, Dominiek / Selleslag, Dominik / Maes, Helena / Lemmens, Jan / Beckers, Marielle / Breems, Dimitri / Sid, Sélim / Berneman, Zwi / Anguille, Sébastien

    Cancers

    2023  Volume 15, Issue 13

    Abstract: Patients with myelodysplastic syndromes suffer from an impaired quality of life that is only partially explained by physical symptoms. In an observational study, we aimed to investigate the impact of current MDS treatments and the influence of disease ... ...

    Abstract Patients with myelodysplastic syndromes suffer from an impaired quality of life that is only partially explained by physical symptoms. In an observational study, we aimed to investigate the impact of current MDS treatments and the influence of disease perception on quality of life. Serial measurement of health-related quality of life was performed by 'the QUALMS', a validated MDS-specific patient reported outcome tool. Disease perception was evaluated by means of the Brief Illness Perception Questionnaire (B-IPQ). We prospectively collected data on 75 patients that started on a new treatment and could not demonstrate a significant change in QUALMS score or B-IPQ score during treatment. Six out of eight items evaluated in the B-IPQ correlated significantly with QUALMS score. In this small sample, no significant difference in QUALMS score was found between lower vs. higher risk MDS patients or other studied variables, e.g., targeted hemoglobin showed no correlation with QUALMS score. In daily practice attention must be paid to initial formation of disease perception as it correlates independently with health-related quality of life and does not change during treatment (clinicaltrials.gov identifier: NCT04053933).
    Language English
    Publishing date 2023-06-22
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15133296
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Acute myeloid leukemia with monosomal karyotype at the far end of the unfavorable prognostic spectrum.

    Breems, Dimitri A / Löwenberg, Bob

    Haematologica

    2011  Volume 96, Issue 4, Page(s) 491–493

    MeSH term(s) Humans ; Karyotyping ; Leukemia, Myeloid, Acute/diagnosis ; Leukemia, Myeloid, Acute/genetics ; Leukemia, Myeloid, Acute/mortality ; Leukemia, Myeloid, Acute/therapy ; Monosomy/genetics ; Prognosis
    Language English
    Publishing date 2011-03-31
    Publishing country Italy
    Document type Comment ; Editorial
    ZDB-ID 2333-4
    ISSN 1592-8721 ; 0017-6567 ; 0390-6078
    ISSN (online) 1592-8721
    ISSN 0017-6567 ; 0390-6078
    DOI 10.3324/haematol.2011.043208
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Measurable residual disease-guided therapy in intermediate-risk acute myeloid leukemia patients is a valuable strategy in reducing allogeneic transplantation without negatively affecting survival.

    Tettero, Jesse M / Ngai, Lok Lam / Bachas, Costa / Breems, Dimitri A / Fischer, Thomas / Gjertsen, Bjorn T / Gradowska, Patrycja / Griskevicius, Laimonas / Janssen, Jeroen J W M / Juliusson, Gunnar / Maertens, Johan / Manz, Markus G / Pabst, Thomas / Passweg, Jakob / Porkka, Kimmo / Valk, Peter J M / Löwenberg, Bob / Ossenkoppele, Gert J / Cloos, Jacqueline

    Haematologica

    2023  Volume 108, Issue 10, Page(s) 2794–2798

    MeSH term(s) Humans ; Transplantation, Homologous ; Hematopoietic Stem Cell Transplantation ; Leukemia, Myeloid, Acute/therapy ; Neoplasm, Residual ; Recurrence ; Transplantation Conditioning
    Language English
    Publishing date 2023-10-01
    Publishing country Italy
    Document type Letter
    ZDB-ID 2333-4
    ISSN 1592-8721 ; 0017-6567 ; 0390-6078
    ISSN (online) 1592-8721
    ISSN 0017-6567 ; 0390-6078
    DOI 10.3324/haematol.2022.282639
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: A phase 1b study of glasdegib + azacitidine in patients with untreated acute myeloid leukemia and higher-risk myelodysplastic syndromes.

    Sekeres, Mikkael A / Schuster, Michael / Joris, Magalie / Krauter, Jürgen / Maertens, Johan / Breems, Dimitri / Gyan, Emmanuel / Kovacsovics, Tibor / Verma, Amit / Vyas, Paresh / Wang, Eunice S / Ching, Keith / O'Brien, Thomas / Gallo Stampino, Corrado / Ma, Weidong Wendy / Kudla, Arthur / Chan, Geoffrey / Zeidan, Amer M

    Annals of hematology

    2022  Volume 101, Issue 8, Page(s) 1689–1701

    Abstract: This phase 1b study evaluated glasdegib (100 mg once daily) + azacitidine in adults with newly diagnosed acute myeloid leukemia (AML), higher-risk myelodysplastic syndromes (MDS), or chronic myelomonocytic leukemia (CMML) who were ineligible for ... ...

    Abstract This phase 1b study evaluated glasdegib (100 mg once daily) + azacitidine in adults with newly diagnosed acute myeloid leukemia (AML), higher-risk myelodysplastic syndromes (MDS), or chronic myelomonocytic leukemia (CMML) who were ineligible for intensive chemotherapy. Of 72 patients enrolled, 12 were in a lead-in safety cohort (LIC) and 60 were in the AML and MDS (including CMML) expansion cohorts. In the LIC, the safety profile of glasdegib + azacitidine was determined to be consistent with those of glasdegib or azacitidine alone, with no evidence of drug-drug interaction. In the expansion cohort, the most frequently (≥ 10%) reported non-hematologic Grade ≥ 3 treatment-emergent adverse events were decreased appetite, electrocardiogram QT prolongation, and hypertension in the AML cohort and sepsis, diarrhea, hypotension, pneumonia, and hyperglycemia in the MDS cohort. Overall response rates in the AML and MDS cohorts were 30.0% and 33.3%, respectively; 47.4% and 46.7% of patients who were transfusion dependent at baseline achieved independence. Median overall survival (95% confidence interval) was 9.2 (6.2-14.0) months and 15.8 (9.3-21.9) months, respectively, and response was associated with molecular mutation clearance. Glasdegib + azacitidine in patients with newly diagnosed AML or MDS demonstrated an acceptable safety profile and preliminary evidence of clinical benefits.Trial registration: ClinicalTrials.gov NCT02367456.
    MeSH term(s) Adult ; Azacitidine/adverse effects ; Benzimidazoles/adverse effects ; Drug Therapy, Combination/adverse effects ; Humans ; Leukemia, Myeloid, Acute/drug therapy ; Myelodysplastic Syndromes/drug therapy ; Phenylurea Compounds/adverse effects ; Risk Assessment ; Treatment Outcome
    Chemical Substances Benzimidazoles ; Phenylurea Compounds ; glasdegib (K673DMO5H9) ; Azacitidine (M801H13NRU)
    Language English
    Publishing date 2022-04-30
    Publishing country Germany
    Document type Clinical Trial, Phase I ; Journal Article
    ZDB-ID 1064950-5
    ISSN 1432-0584 ; 0939-5555 ; 0945-8077
    ISSN (online) 1432-0584
    ISSN 0939-5555 ; 0945-8077
    DOI 10.1007/s00277-022-04853-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Prospective validation of the prognostic relevance of CD34+CD38- AML stem cell frequency in the HOVON-SAKK132 trial.

    Ngai, Lok Lam / Hanekamp, Diana / Janssen, Fleur / Carbaat-Ham, Jannemieke / Hofland, Maaike A M A / Fayed, Mona M H E / Kelder, Angèle / Oudshoorn-van Marsbergen, Laura / Scholten, Willemijn J / Snel, Alexander N / Bachas, Costa / Tettero, Jesse M / Breems, Dimitri A / Fischer, Thomas / Gjertsen, Bjørn T / Griškevičius, Laimonas / Juliusson, Gunnar / van de Loosdrecht, Arjan A / Maertens, Johan A /
    Manz, Markus G / Pabst, Thomas / Passweg, Jakob R / Porkka, Kimmo / Valk, Peter J M / Gradowska, Patrycja / Löwenberg, Bob / de Leeuw, David C / Janssen, Jeroen J W M / Ossenkoppele, Gert J / Cloos, Jacqueline

    Blood

    2023  Volume 141, Issue 21, Page(s) 2657–2661

    MeSH term(s) Humans ; Prognosis ; Antigens, CD34 ; ADP-ribosyl Cyclase 1 ; Leukemia, Myeloid, Acute ; Stem Cells ; Neoplastic Stem Cells ; Flow Cytometry
    Chemical Substances Antigens, CD34 ; ADP-ribosyl Cyclase 1 (EC 3.2.2.6)
    Language English
    Publishing date 2023-03-09
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80069-7
    ISSN 1528-0020 ; 0006-4971
    ISSN (online) 1528-0020
    ISSN 0006-4971
    DOI 10.1182/blood.2022019160
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Daratumumab in transfusion-dependent patients with low or intermediate-1 risk myelodysplastic syndromes.

    Garcia-Manero, Guillermo / Diez-Campelo, Maria / Vellenga, Edo / Jacoby, Meagan A / Merchan, Brayan / Breems, Dimitri / Cortelezzi, Agostino / Doronin, Vadim / Gomez, Valle / Beckers, Marielle / Della Porta, Matteo Giovanni / Varsos, Helen / Xiu, Liang / DeAngelis, Nikki / Nnane, Ivo / Rose, Esther / van Eygen, Koen

    American journal of hematology

    2021  Volume 96, Issue 4, Page(s) E111–E114

    MeSH term(s) ADP-ribosyl Cyclase 1/antagonists & inhibitors ; Aged ; Aged, 80 and over ; Antibodies, Monoclonal/adverse effects ; Antibodies, Monoclonal/pharmacokinetics ; Antibodies, Monoclonal/therapeutic use ; Erythrocyte Transfusion ; Female ; Fever/chemically induced ; Follow-Up Studies ; Humans ; Immunologic Factors/adverse effects ; Immunologic Factors/therapeutic use ; Male ; Membrane Glycoproteins/antagonists & inhibitors ; Middle Aged ; Myelodysplastic Syndromes/drug therapy ; Myelodysplastic Syndromes/epidemiology ; Myelodysplastic Syndromes/therapy ; Neutropenia/chemically induced ; Pneumonia/chemically induced ; Proof of Concept Study ; Risk ; Thrombocytopenia/chemically induced
    Chemical Substances Antibodies, Monoclonal ; Immunologic Factors ; Membrane Glycoproteins ; daratumumab (4Z63YK6E0E) ; CD38 protein, human (EC 3.2.2.5) ; ADP-ribosyl Cyclase 1 (EC 3.2.2.6)
    Language English
    Publishing date 2021-01-31
    Publishing country United States
    Document type Clinical Trial, Phase II ; Comparative Study ; Letter ; Multicenter Study ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 196767-8
    ISSN 1096-8652 ; 0361-8609
    ISSN (online) 1096-8652
    ISSN 0361-8609
    DOI 10.1002/ajh.26095
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  7. Article ; Online: The added value of multi-state modelling in a randomized controlled trial: The HOVON 102 study re-analyzed.

    Bakunina, Katerina / Putter, Hein / Versluis, Jurjen / Koster, Eva A S / van der Holt, Bronno / Manz, Markus G / Breems, Dimitri A / Gjertsen, Bjorn T / Cloos, Jacqueline / Valk, Peter J M / Passweg, Jakob / Pabst, Thomas / Ossenkoppele, Gert J / Löwenberg, Bob / Cornelissen, Jan J / de Wreede, Liesbeth C

    Cancer medicine

    2021  Volume 11, Issue 3, Page(s) 630–640

    Abstract: Clofarabine is an active antileukemic drug for subgroups of patients with acute myeloid leukemia (AML). Multi-state models can provide additional insights to supplement the original intention-to-treat analysis of randomized controlled trials (RCT). We re- ...

    Abstract Clofarabine is an active antileukemic drug for subgroups of patients with acute myeloid leukemia (AML). Multi-state models can provide additional insights to supplement the original intention-to-treat analysis of randomized controlled trials (RCT). We re-analyzed the HOVON102/SAKK30/09 phase III RCT for newly diagnosed AML patients, which randomized between standard induction chemotherapy with or without clofarabine. Using multi-state models, we evaluated the effects of induction chemotherapy outcomes (complete remission [CR], measurable residual disease [MRD]), and post-remission therapy with allogeneic stem cell transplantation [alloSCT] on relapse and death. Through the latter a consistent reduction in the hazard of relapse in the clofarabine arm compared to the standard arm was found, which occurred irrespective of MRD status or post-remission treatment with alloSCT, demonstrating a strong and persistent antileukemic effect of clofarabine. During the time period between achieving CR and possible post-remission treatment with alloSCT, non-relapse mortality was higher in patients receiving clofarabine. An overall net benefit of treatment with clofarabine was identified using the composite endpoint current leukemia-free survival (CLFS). In conclusion, these results enforce and extend the earlier reported beneficial effect of clofarabine in AML and show that multi-state models further detail the effect of treatment on competing and series of events.
    MeSH term(s) Clofarabine/therapeutic use ; Hematopoietic Stem Cell Transplantation ; Humans ; Leukemia, Myeloid, Acute/drug therapy ; Recurrence ; Remission Induction ; Treatment Outcome
    Chemical Substances Clofarabine (762RDY0Y2H)
    Language English
    Publishing date 2021-12-24
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 2659751-2
    ISSN 2045-7634 ; 2045-7634
    ISSN (online) 2045-7634
    ISSN 2045-7634
    DOI 10.1002/cam4.4392
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  8. Article ; Online: Molecular characterization of mutant TP53 acute myeloid leukemia and high-risk myelodysplastic syndrome.

    Grob, Tim / Al Hinai, Adil S A / Sanders, Mathijs A / Kavelaars, François G / Rijken, Melissa / Gradowska, Patrycja L / Biemond, Bart J / Breems, Dimitri A / Maertens, Johan / van Marwijk Kooy, Marinus / Pabst, Thomas / de Weerdt, Okke / Ossenkoppele, Gert J / van de Loosdrecht, Arjan A / Huls, Gerwin A / Cornelissen, Jan J / Beverloo, H Berna / Löwenberg, Bob / Jongen-Lavrencic, Mojca /
    Valk, Peter J M

    Blood

    2022  Volume 139, Issue 15, Page(s) 2347–2354

    Abstract: Substantial heterogeneity within mutant TP53 acute myeloid leukemia (AML) and myelodysplastic syndrome with excess of blast (MDS-EB) precludes the exact assessment of prognostic impact for individual patients. We performed in-depth clinical and molecular ...

    Abstract Substantial heterogeneity within mutant TP53 acute myeloid leukemia (AML) and myelodysplastic syndrome with excess of blast (MDS-EB) precludes the exact assessment of prognostic impact for individual patients. We performed in-depth clinical and molecular analysis of mutant TP53 AML and MDS-EB to dissect the molecular characteristics in detail and determine its impact on survival. We performed next-generation sequencing on 2200 AML/MDS-EB specimens and assessed the TP53 mutant allelic status (mono- or bi-allelic), the number of TP53 mutations, mutant TP53 clone size, concurrent mutations, cytogenetics, and mutant TP53 molecular minimal residual disease and studied the associations of these characteristics with overall survival. TP53 mutations were detected in 230 (10.5%) patients with AML/MDS-EB with a median variant allele frequency of 47%. Bi-allelic mutant TP53 status was observed in 174 (76%) patients. Multiple TP53 mutations were found in 49 (21%) patients. Concurrent mutations were detected in 113 (49%) patients. No significant difference in any of the aforementioned molecular characteristics of mutant TP53 was detected between AML and MDS-EB. Patients with mutant TP53 have a poor outcome (2-year overall survival, 12.8%); however, no survival difference between AML and MDS-EB was observed. Importantly, none of the molecular characteristics were significantly associated with survival in mutant TP53 AML/MDS-EB. In most patients, TP53 mutations remained detectable in complete remission by deep sequencing (73%). Detection of residual mutant TP53 was not associated with survival. Mutant TP53 AML and MDS-EB do not differ with respect to molecular characteristics and survival. Therefore, mutant TP53 AML/MDS-EB should be considered a distinct molecular disease entity.
    MeSH term(s) Cytogenetics ; Humans ; Leukemia, Myeloid, Acute/diagnosis ; Mutation ; Myelodysplastic Syndromes/diagnosis ; Tumor Suppressor Protein p53/genetics
    Chemical Substances TP53 protein, human ; Tumor Suppressor Protein p53
    Language English
    Publishing date 2022-02-19
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80069-7
    ISSN 1528-0020 ; 0006-4971
    ISSN (online) 1528-0020
    ISSN 0006-4971
    DOI 10.1182/blood.2021014472
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  9. Article: Concordance in measurable residual disease result after first and second induction cycle in acute myeloid leukemia: An outcome- and cost-analysis.

    Tettero, Jesse M / Al-Badri, Waleed K W / Ngai, Lok Lam / Bachas, Costa / Breems, Dimitri A / van Elssen, Catharina H M J / Fischer, Thomas / Gjertsen, Bjorn T / van Gorkom, Gwendolyn N Y / Gradowska, Patrycja / Greuter, Marjolein J E / Griskevicius, Laimonas / Juliusson, Gunnar / Maertens, Johan / Manz, Markus G / Pabst, Thomas / Passweg, Jakob / Porkka, Kimmo / Löwenberg, Bob /
    Ossenkoppele, Gert J / Janssen, Jeroen J W M / Cloos, Jacqueline

    Frontiers in oncology

    2022  Volume 12, Page(s) 999822

    Abstract: Measurable residual disease (MRD) measured using multiparameter flow-cytometry (MFC) has proven to be an important prognostic biomarker in acute myeloid leukemia (AML). In addition, MRD is increasingly used to guide consolidation treatment towards a non- ... ...

    Abstract Measurable residual disease (MRD) measured using multiparameter flow-cytometry (MFC) has proven to be an important prognostic biomarker in acute myeloid leukemia (AML). In addition, MRD is increasingly used to guide consolidation treatment towards a non-allogenic stem cell transplantation treatment for MRD-negative patients in the ELN-2017 intermediate risk group. Currently, measurement of MFC-MRD in bone marrow is used for clinical decision making after 2 cycles of induction chemotherapy. However, measurement after 1 cycle has also been shown to have prognostic value, so the optimal time point remains a question of debate. We assessed the independent prognostic value of MRD results at either time point and concordance between these for 273 AML patients treated within and according to the HOVON-SAKK 92, 102, 103 and 132 trials. Cumulative incidence of relapse, event free survival and overall survival were significantly better for MRD-negative (<0.1%) patients compared to MRD-positive patients after cycle 1 and cycle 2 (
    Language English
    Publishing date 2022-10-10
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2649216-7
    ISSN 2234-943X
    ISSN 2234-943X
    DOI 10.3389/fonc.2022.999822
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  10. Article ; Online: Age and sex associate with outcome in older AML and high risk MDS patients treated with 10-day decitabine.

    Hilberink, Jacobien R / van Zeventer, Isabelle A / Chitu, Dana A / Pabst, Thomas / Klein, Saskia K / Stussi, Georg / Griskevicius, Laimonas / Valk, Peter J M / Cloos, Jacqueline / van de Loosdrecht, Arjan A / Breems, Dimitri / van Lammeren-Venema, Danielle / Boersma, Rinske / Jongen-Lavrencic, Mojca / Fehr, Martin / Hoogendoorn, Mels / Manz, Markus G / Söhne, Maaike / van Marwijk Kooy, Rien /
    Deeren, Dries / van der Poel, Marjolein W M / Legdeur, Marie Cecile / Tick, Lidwine / Chalandon, Yves / Ammatuna, Emanuele / Blum, Sabine / Löwenberg, Bob / Ossenkoppele, Gert J / Huls, Gerwin

    Blood cancer journal

    2023  Volume 13, Issue 1, Page(s) 93

    Abstract: Treatment choice according to the individual conditions remains challenging, particularly in older patients with acute myeloid leukemia (AML) and high risk myelodysplastic syndrome (MDS). The impact of performance status, comorbidities, and physical ... ...

    Abstract Treatment choice according to the individual conditions remains challenging, particularly in older patients with acute myeloid leukemia (AML) and high risk myelodysplastic syndrome (MDS). The impact of performance status, comorbidities, and physical functioning on survival is not well defined for patients treated with hypomethylating agents. Here we describe the impact of performance status (14% ECOG performance status 2), comorbidity (40% HCT-comorbidity index ≥ 2), and physical functioning (41% short physical performance battery < 9 and 17% ADL index < 6) on overall survival (OS) in 115 older patients (age ≥ 66 years) treated on a clinical trial with a 10-day decitabine schedule. None of the patient-related variables showed a significant association with OS. Multivariable analysis revealed that age > 76 years was significantly associated with reduced OS (HR 1.58; p = 0.043) and female sex was associated with superior OS (HR 0.62; p = 0.06). We further compared the genetic profiles of these subgroups. This revealed comparable mutational profiles in patients younger and older than 76 years, but, interestingly, revealed significantly more prevalent mutated ASXL1, STAG2, and U2AF1 in male compared to female patients. In this cohort of older patients treated with decitabine age and sex, but not comorbidities, physical functioning or cytogenetic risk were associated with overall survival.
    MeSH term(s) Humans ; Male ; Female ; Aged ; Decitabine/therapeutic use ; Myelodysplastic Syndromes/genetics ; Leukemia, Myeloid, Acute/genetics ; Mutation ; Treatment Outcome
    Chemical Substances Decitabine (776B62CQ27)
    Language English
    Publishing date 2023-06-19
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2600560-8
    ISSN 2044-5385 ; 2044-5385
    ISSN (online) 2044-5385
    ISSN 2044-5385
    DOI 10.1038/s41408-023-00850-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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