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  1. Article ; Online: Venetoclax plus hypomethylating agents or low-dose cytarabine in acute myeloid leukemia: all that glitters is gold?

    Ferrara, Felicetto

    Blood cancer journal

    2020  Volume 10, Issue 1, Page(s) 10

    MeSH term(s) Antineoplastic Agents/pharmacology ; Antineoplastic Agents/therapeutic use ; Antineoplastic Combined Chemotherapy Protocols/pharmacology ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Bridged Bicyclo Compounds, Heterocyclic/pharmacology ; Bridged Bicyclo Compounds, Heterocyclic/therapeutic use ; Cytarabine/pharmacology ; Cytarabine/therapeutic use ; Humans ; Leukemia, Myeloid, Acute/drug therapy ; Sulfonamides/pharmacology ; Sulfonamides/therapeutic use
    Chemical Substances Antineoplastic Agents ; Bridged Bicyclo Compounds, Heterocyclic ; Sulfonamides ; Cytarabine (04079A1RDZ) ; venetoclax (N54AIC43PW)
    Language English
    Publishing date 2020-01-28
    Publishing country United States
    Document type Letter
    ZDB-ID 2600560-8
    ISSN 2044-5385 ; 2044-5385
    ISSN (online) 2044-5385
    ISSN 2044-5385
    DOI 10.1038/s41408-020-0281-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Guadecitabine: a new therapeutic option for acute myeloid leukaemia?

    Ferrara, Felicetto

    The Lancet. Oncology

    2017  Volume 18, Issue 10, Page(s) 1287–1288

    MeSH term(s) Azacitidine/analogs & derivatives ; Humans ; Leukemia, Myeloid, Acute
    Chemical Substances guadecitabine (2KT4YN1DP7) ; Azacitidine (M801H13NRU)
    Language English
    Publishing date 2017-08-24
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 2049730-1
    ISSN 1474-5488 ; 1470-2045
    ISSN (online) 1474-5488
    ISSN 1470-2045
    DOI 10.1016/S1470-2045(17)30614-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: 2021 BSH guidelines for the management of adult myelodysplastic syndromes: a practical approach to a challenging disease.

    Ferrara, Felicetto / Bernardi, Massimo

    British journal of haematology

    2021  Volume 194, Issue 2, Page(s) 235–237

    MeSH term(s) Adult ; Humans ; Myelodysplastic Syndromes/diagnosis ; Myelodysplastic Syndromes/therapy
    Language English
    Publishing date 2021-06-28
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 80077-6
    ISSN 1365-2141 ; 0007-1048
    ISSN (online) 1365-2141
    ISSN 0007-1048
    DOI 10.1111/bjh.17640
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Fms -like tyrosine kinase 3 positive acute myeloid leukemia.

    Isidori, Alessandro / Visani, Giuseppe / Ferrara, Felicetto

    Current opinion in oncology

    2023  Volume 35, Issue 6, Page(s) 589–593

    Abstract: Purpose of review: Fms -like tyrosine kinase 3 (FLT3) mutations are common in newly diagnosed patients with acute myeloid leukemia (AML). They are associated with a high risk of relapse. The identification of FLT3 mutations has important implications ... ...

    Abstract Purpose of review: Fms -like tyrosine kinase 3 (FLT3) mutations are common in newly diagnosed patients with acute myeloid leukemia (AML). They are associated with a high risk of relapse. The identification of FLT3 mutations has important implications for the management of AML. FLT3 inhibitors have shown improved outcomes in FLT3-positive AML when used as a single agent in the salvage setting. However, the combination of inhibitors and chemotherapy in the first-line setting is the real game changer in FLT3mutant AML. The introduction of these drugs has improved the prognosis of FLT3-mutant AML, but the development of resistance is common. There are still many unanswered questions about FLT3-mutant AML.
    Recent findings: This article will analyze recent advances for FLT3-mutant AML, focusing on front-line therapy and post-transplant maintenance.
    Summary: Novel drug combinations and strategies against FLT3 mutated AML are currently under investigation and will be the focus of future studies. The development of more selective and potent FLT3 inhibitors may further improve outcomes for patients with FLT3-positive AML. Monitoring minimal residual disease and overcoming resistance are key issues for the future.
    MeSH term(s) Humans ; Antineoplastic Agents/therapeutic use ; Protein Kinase Inhibitors/pharmacology ; fms-Like Tyrosine Kinase 3/genetics ; Leukemia, Myeloid, Acute/drug therapy ; Leukemia, Myeloid, Acute/genetics ; Prognosis ; Mutation
    Chemical Substances Antineoplastic Agents ; Protein Kinase Inhibitors ; fms-Like Tyrosine Kinase 3 (EC 2.7.10.1)
    Language English
    Publishing date 2023-09-05
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 1049384-0
    ISSN 1531-703X ; 1040-8746
    ISSN (online) 1531-703X
    ISSN 1040-8746
    DOI 10.1097/CCO.0000000000000993
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Is complete remission key in elderly patients with AML?

    Ferrara, Felicetto

    The Lancet. Haematology

    2016  Volume 3, Issue 5, Page(s) e212–3

    Language English
    Publishing date 2016-05
    Publishing country England
    Document type Journal Article
    ISSN 2352-3026
    ISSN (online) 2352-3026
    DOI 10.1016/S2352-3026(15)00285-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The changing landscape for patients with relapsed/refractory acute myeloid leukaemia.

    Isidori, Alessandro / Ferrara, Felicetto

    Current opinion in oncology

    2021  Volume 33, Issue 6, Page(s) 635–641

    Abstract: Purpose of review: The treatment of patients with relapsed or refractory (R/R) acute myeloid leukaemia (AML) has been an unequal challenge for many decades. Although significant progress has been made in the discovery of the mechanisms underlying the ... ...

    Abstract Purpose of review: The treatment of patients with relapsed or refractory (R/R) acute myeloid leukaemia (AML) has been an unequal challenge for many decades. Although significant progress has been made in the discovery of the mechanisms underlying the molecular pathogenesis of the disease, more than 50% of AML patients still die, mostly from relapsed disease. Currently, the only potential curative option for patients with R/R AML remains allogeneic bone marrow transplantation in second complete remission, which is far being easy to achieve, mainly for patients with primary induction failure or older than 65 years. The purpose of this review is to discuss recent advances in the management of patients with R/R AML, with particular emphasis to new therapeutic options that are replacing conventional salvage chemotherapy.
    Recent findings: The development of new agents selectively targeting molecular abnormalities offer more effective and less toxic alternative to chemotherapy, potentially useful as a bridge to allogeneic stem cell transplantation in second complete remission.
    Summary: The recent approval of new drugs for R/R is transforming the paradigm of care we have relied on for the past 50 years. Ongoing clinical trials will tell us how bright is the future for R/R AML patients.
    MeSH term(s) Antineoplastic Agents/pharmacology ; Antineoplastic Agents/therapeutic use ; Bone Marrow Transplantation ; Bridged Bicyclo Compounds, Heterocyclic ; Clinical Trials as Topic ; Enzyme Inhibitors/pharmacology ; Enzyme Inhibitors/therapeutic use ; Humans ; Isocitrate Dehydrogenase/antagonists & inhibitors ; Leukemia, Myeloid, Acute/drug therapy ; Leukemia, Myeloid, Acute/pathology ; Leukemia, Myeloid, Acute/therapy ; Randomized Controlled Trials as Topic ; Salvage Therapy ; Sulfonamides ; fms-Like Tyrosine Kinase 3/antagonists & inhibitors
    Chemical Substances Antineoplastic Agents ; Bridged Bicyclo Compounds, Heterocyclic ; Enzyme Inhibitors ; Sulfonamides ; IDH2 protein, human (EC 1.1.1.41) ; Isocitrate Dehydrogenase (EC 1.1.1.41) ; IDH1 protein, human (EC 1.1.1.42.) ; FLT3 protein, human (EC 2.7.10.1) ; fms-Like Tyrosine Kinase 3 (EC 2.7.10.1) ; venetoclax (N54AIC43PW)
    Language English
    Publishing date 2021-05-10
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1049384-0
    ISSN 1531-703X ; 1040-8746
    ISSN (online) 1531-703X
    ISSN 1040-8746
    DOI 10.1097/CCO.0000000000000780
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Is outcome of older people with acute myeloid leukemia improving with new therapeutic approaches and stem cell transplantation?

    Ferrara, Felicetto / Picardi, Alessandra

    Expert review of hematology

    2020  Volume 13, Issue 2, Page(s) 99–108

    Abstract: ... ...

    Abstract Introduction
    MeSH term(s) Aged ; Aged, 80 and over ; Allografts ; Female ; Hematopoietic Stem Cell Transplantation ; Humans ; Leukemia, Myeloid, Acute/therapy ; Male
    Language English
    Publishing date 2020-01-22
    Publishing country England
    Document type Journal Article ; Review ; Video-Audio Media
    ZDB-ID 2516804-6
    ISSN 1747-4094 ; 1747-4086
    ISSN (online) 1747-4094
    ISSN 1747-4086
    DOI 10.1080/17474086.2020.1715207
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Literature review and expert opinion on the treatment of high-risk acute myeloid leukemia in patients who are eligible for intensive chemotherapy.

    Palmieri, Raffaele / Billio, Atto / Ferrara, Felicetto / Galimberti, Sara / Lemoli, Roberto M / Todisco, Elisabetta / Moretti, Federico / Venditti, Adriano

    Frontiers in oncology

    2024  Volume 14, Page(s) 1367393

    Abstract: In patients with Acute Myeloid Leukemia (AML), the assessment of disease risk plays a central role in the era of personalized medicine. Indeed, integrating baseline clinical and biological features on a case-by-case basis is not only essential to select ... ...

    Abstract In patients with Acute Myeloid Leukemia (AML), the assessment of disease risk plays a central role in the era of personalized medicine. Indeed, integrating baseline clinical and biological features on a case-by-case basis is not only essential to select which treatment would likely result in a higher probability of achieving complete remission, but also to dynamically customize any subsequent therapeutic intervention. For young high-risk patients with low comorbidities burden and in good general conditions (also called "fit" patients), intensive chemotherapy followed by allogeneic stem cell transplantation still represents the backbone of any therapeutic program. However, with the approval of novel promising agents in both the induction/consolidation and the maintenance setting, the algorithms for the management of AML patients considered eligible for intensive chemotherapy are in constant evolution. In this view, we selected burning issues regarding the identification and management of high-risk AML, aiming to provide practical advice to facilitate their daily clinical management in patients considered eligible for intensive chemotherapy.
    Language English
    Publishing date 2024-02-20
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2649216-7
    ISSN 2234-943X
    ISSN 2234-943X
    DOI 10.3389/fonc.2024.1367393
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Conventional chemotherapy or hypomethylating agents for older patients with acute myeloid leukaemia?

    Ferrara, Felicetto

    Hematological oncology

    2014  Volume 32, Issue 1, Page(s) 1–9

    Abstract: Acute myeloid leukaemia (AML) is the second more frequent hematologic malignancy in developed countries and primarily affects older adults with a median age at diagnosis of 69 years. Given the progressive ageing of the general population, the incidence ... ...

    Abstract Acute myeloid leukaemia (AML) is the second more frequent hematologic malignancy in developed countries and primarily affects older adults with a median age at diagnosis of 69 years. Given the progressive ageing of the general population, the incidence of the disease in elderly people is expected to further increase in the years to come. Along with cytogenetics at diagnosis, age represents the most relevant prognostic factor in AML, in that the outcome steadily declines with increasing age. Reasons for poor prognosis include more frequent unfavourable karyotype and other adverse biologic characteristics, such as high rates of expression of genes drug resistance related and high prevalence of secondary AML. Noticeably, as compared with young adults, poorer results in elderly patients have been reported within any cytogenetic and molecular prognostic subgroup, because of frequent comorbid diseases, which render many patients ineligible to intensive chemotherapy. Therefore, predictive models have been developed with the aim of achieving best therapeutic results avoiding unnecessary toxicity. Following conventional induction therapy, older AML patients have complete remission rates in the range of 45-65%, and fewer than 10% of them survive for a minimum of 5 years. On the other hand, hypomethylating agents, such as azacytidine and decitabine offer the possibility of long-term disease control without necessarily achieving complete remission and can represent a reasonable alternative to intensive chemotherapy. Either intensive chemotherapy or hypomethylating agents have lights and shadows, and the therapeutic selection is often influenced by physician's and patient's attitude rather than definite criteria. Research is progress in order to assess predictive biologic factors, which would help clinicians in the selection of patients who can take actual benefit from different therapeutic options.
    MeSH term(s) Age Factors ; Aged ; Antimetabolites, Antineoplastic/administration & dosage ; Antimetabolites, Antineoplastic/pharmacology ; Antimetabolites, Antineoplastic/therapeutic use ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Azacitidine/administration & dosage ; Azacitidine/analogs & derivatives ; Azacitidine/pharmacology ; Combined Modality Therapy ; Comorbidity ; Consolidation Chemotherapy ; DNA Methylation/drug effects ; DNA, Neoplasm/metabolism ; DNA-Cytosine Methylases/antagonists & inhibitors ; Enzyme Inhibitors/administration & dosage ; Enzyme Inhibitors/pharmacology ; Enzyme Inhibitors/therapeutic use ; Hematopoietic Stem Cell Transplantation ; Humans ; Leukemia, Myeloid, Acute/drug therapy ; Leukemia, Myeloid, Acute/genetics ; Leukemia, Myeloid, Acute/surgery ; Middle Aged ; Molecular Targeted Therapy ; Multicenter Studies as Topic ; Neoplasm Proteins/antagonists & inhibitors ; Prognosis ; Randomized Controlled Trials as Topic ; Remission Induction ; Survival Rate ; Treatment Outcome
    Chemical Substances Antimetabolites, Antineoplastic ; DNA, Neoplasm ; Enzyme Inhibitors ; Neoplasm Proteins ; decitabine (776B62CQ27) ; DNA-Cytosine Methylases (EC 2.1.1.-) ; Azacitidine (M801H13NRU)
    Language English
    Publishing date 2014-03
    Publishing country England
    Document type Comparative Study ; Journal Article ; Review
    ZDB-ID 604884-5
    ISSN 1099-1069 ; 0278-0232
    ISSN (online) 1099-1069
    ISSN 0278-0232
    DOI 10.1002/hon.2046
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Is There Still a Role for Autologous Stem Cell Transplantation for the Treatment of Acute Myeloid Leukemia?

    Ferrara, Felicetto / Picardi, Alessandra

    Cancers

    2019  Volume 12, Issue 1

    Abstract: After intensive induction chemotherapy and complete remission achievement, patients with acute myeloid leukemia (AML) are candidates to receive either high-dose cytarabine-based regimens, or autologous (ASCT) or allogeneic (allo-SCT) hematopoietic stem ... ...

    Abstract After intensive induction chemotherapy and complete remission achievement, patients with acute myeloid leukemia (AML) are candidates to receive either high-dose cytarabine-based regimens, or autologous (ASCT) or allogeneic (allo-SCT) hematopoietic stem cell transplantations as consolidation treatment. Pretreatment risk classification represents a determinant key of type and intensity of post-remission therapy. Current evidence indicates that allo-SCT represents the treatment of choice for high and intermediate risk patients if clinically eligible, and its use is favored by increasing availability of unrelated or haploidentical donors. On the contrary, the adoption of ASCT is progressively declining, although numerous studies indicate that in favorable risk AML the relapse rate is lower after ASCT than chemotherapy. In addition, the burden of supportive therapy and hospitalization favors ASCT. In this review, we summarize current indications (if any) to ASCT on the basis of molecular genetics at diagnosis and minimal residual disease evaluation after induction/consolidation phase. Finally, we critically discuss the role of ASCT in older patients with AML and acute promyelocytic leukemia.
    Language English
    Publishing date 2019-12-24
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers12010059
    Database MEDical Literature Analysis and Retrieval System OnLINE

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