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  1. Article ; Online: What do atomic bomb survivors teach us about therapy-free remission in people with chronic myeloid leukaemia?

    Radivoyevitch, Tomas / Gale, Robert Peter / Kalaycio, Matt E

    Leukemia

    2023  Volume 38, Issue 1, Page(s) 207–209

    MeSH term(s) Humans ; Atomic Bomb Survivors ; Neoplasms, Radiation-Induced ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive/drug therapy ; Leukemia, Myeloid ; Japan
    Language English
    Publishing date 2023-11-10
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 807030-1
    ISSN 1476-5551 ; 0887-6924
    ISSN (online) 1476-5551
    ISSN 0887-6924
    DOI 10.1038/s41375-023-02081-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Your patient has chronic leukemia: Now what?

    Kalaycio, Matt

    Cleveland Clinic journal of medicine

    2016  Volume 83, Issue 8, Page(s) 575–581

    Abstract: Although still in their infancy, biologic therapies for hematologic cancers are making rapid strides, diminishing the role of chemotherapy and offering long-term remission. More patients are surviving cancer and therefore are increasingly being seen by ... ...

    Abstract Although still in their infancy, biologic therapies for hematologic cancers are making rapid strides, diminishing the role of chemotherapy and offering long-term remission. More patients are surviving cancer and therefore are increasingly being seen by primary care physicians, who must be aware of complications of standard and newer treatments and how to manage them.
    Language English
    Publishing date 2016-08
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 639116-3
    ISSN 1939-2869 ; 0891-1150
    ISSN (online) 1939-2869
    ISSN 0891-1150
    DOI 10.3949/ccjm.83gr.16002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A Pilot Trial of Patient-Reported Outcomes for Acute Graft-Versus-Host-Disease.

    Patel, Sagar S / Hong, Sanghee / Rybicki, Lisa / Farlow, Stephanie / Dabney, Jane / Kalaycio, Matt / Sobecks, Ronald / Majhail, Navneet S / Hamilton, Betty K

    Transplantation and cellular therapy

    2023  Volume 29, Issue 7, Page(s) 465.e1–465.e7

    Abstract: Acute graft-versus-host disease (GVHD) is a major cause of morbidity and mortality after allogeneic hematopoietic cell transplantation (HCT). Acute GVHD is associated with severe physical and psychosocial symptoms. We sought to evaluate the feasibility ... ...

    Abstract Acute graft-versus-host disease (GVHD) is a major cause of morbidity and mortality after allogeneic hematopoietic cell transplantation (HCT). Acute GVHD is associated with severe physical and psychosocial symptoms. We sought to evaluate the feasibility of capturing patient-reported outcome (PRO) measures in acute GVHD to better measure symptom burden and quality of life (QOL). We conducted a pilot study of adult patients undergoing first allogeneic HCT. Questions from Functional Assessment of Cancer Therapy-Bone Marrow Transplantation (FACT-BMT), Patient-Reported Outcomes Measurement Information System (PROMIS-10), and Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) were selected, and the survey was administered electronically before HCT, at days 14, 50, and 100 after HCT. In addition, patients who developed grade 2-4 acute GVHD received it weekly for 4 weeks and then monthly up to 3 months. From 2018 to 2020, 73 patients were consented, of which 66 went on to undergo HCT and were included in the analysis. Median age at transplantation was 63 years, and 92% were Caucasian. Only 47% of expected surveys were completed (range 0%-67% for each time point). Descriptive exploratory analysis demonstrate an expected trajectory of QOL using the FACT-BMT and PROMIS-10 scores throughout transplantation. Patients who developed acute GVHD (N = 15) generally had lower QOL scores compared to those with no or mild GVHD post-HCT. The PRO-CTCAE captured several physical and mental/emotional symptoms in all patients and those with GVHD. Fatigue (100%), decreased appetite (92%), problem tasting (85%), loose stools (77%), pain (77%), skin itching (77%), and depression (feeling sad) (69%) were the most prevalent symptoms among patients with grade 2-4 acute GVHD. Patients with acute GVHD generally reported worse symptoms than those with no/mild GVHD in frequency, severity, and interference in normal activities. Several challenges were identified including poor access/literacy of electronic surveys, acute illness, and need for extensive research/resource support. We demonstrate the challenges yet potential of using PRO measures in acute GVHD. We demonstrate that the PROMIS-10 and PRO-CTCAE measures are able to capture several symptoms and QOL domains of acute GVHD. Further investigation into making PROs feasible in acute GVHD are needed.
    MeSH term(s) Adult ; Humans ; Quality of Life ; Pilot Projects ; Graft vs Host Disease ; Bone Marrow Transplantation ; Hematopoietic Stem Cell Transplantation/adverse effects
    Language English
    Publishing date 2023-03-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3062231-1
    ISSN 2666-6367
    ISSN (online) 2666-6367
    DOI 10.1016/j.jtct.2023.03.030
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Advances in Acute Myeloid Leukemia Genomics, Where Do We Stand in 2018?

    Madanat, Yazan F / Kalaycio, Matt E / Nazha, Aziz

    Acta medica academica

    2019  Volume 48, Issue 1, Page(s) 35–44

    Abstract: The aim of this review is to summarize the data on commonly mutated genes and genomic pathways in acute myeloid leukemia (AML) with a focus on recently approved targeted therapies. AML is a heterogeneous disease with recurrent cytogenetic and genomic ... ...

    Abstract The aim of this review is to summarize the data on commonly mutated genes and genomic pathways in acute myeloid leukemia (AML) with a focus on recently approved targeted therapies. AML is a heterogeneous disease with recurrent cytogenetic and genomic abnormalities that define the disease biology and pathogenesis. Classification of the disease categories and their prognostication was updated in the past 2 years to reflect the most recent advances in understanding the complex disease biology of AML. This review highlights major updates in the World Health Organization classification, including cytogenetic re-classifications, provisional entities, and updates to the European Leukemia Net (ELN) AML risk group stratification. An overview of pivotal studies that used novel sequencing techniques to define the mutational landscape of AML is also provided. In these studies, mutations are classified into subgroups based on functional pathways and are used to understand various interactions and mutual exclusivity of some mutations, suggesting important roles in disease evolution and AML pathogenesis. The complex interactions between mutations can dictate outcomes as well as possibly predict disease phenotypes after correcting for clinical variables. CONCLUSION: Genomic testing in AML using next generation sequencing has become widely available and a new standard of care for all patients. Therefore, it is vital to use novel methods to incorporate these data in clinical decision making.
    MeSH term(s) Genes, Neoplasm ; Genetic Testing/methods ; Genomics/methods ; High-Throughput Nucleotide Sequencing ; Humans ; Leukemia, Myeloid, Acute/genetics ; Mutation ; Prognosis
    Language English
    Publishing date 2019-07-01
    Publishing country Bosnia and Herzegovina
    Document type Journal Article ; Review
    ZDB-ID 2558604-X
    ISSN 1840-2879 ; 1840-1848
    ISSN (online) 1840-2879
    ISSN 1840-1848
    DOI 10.5644/ama2006-124.240
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Validation of the role of corrected DLCO in predicting outcomes post autologous hematopoietic cell transplant for multiple myeloma.

    Awada, Hussein / Hajj Ali, Adel / Ali, Muhammad Faizan / Sauter, Craig / Hamilton, Betty / Kalaycio, Matt / Sobecks, Ronald / Jagadeesh, Deepa / Dean, Robert / Winter, Allison / Pohlman, Brad / Williams, Louis / Anwer, Faiz / Khouri, Jack

    European journal of haematology

    2023  Volume 110, Issue 6, Page(s) 780–783

    MeSH term(s) Humans ; Multiple Myeloma/diagnosis ; Multiple Myeloma/therapy ; Hematopoietic Stem Cell Transplantation/adverse effects ; Transplantation, Autologous ; Autografts
    Language English
    Publishing date 2023-03-30
    Publishing country England
    Document type Letter
    ZDB-ID 392482-8
    ISSN 1600-0609 ; 0902-4441
    ISSN (online) 1600-0609
    ISSN 0902-4441
    DOI 10.1111/ejh.13961
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Bendamustine: a new look at an old drug.

    Kalaycio, Matt

    Cancer

    2009  Volume 115, Issue 3, Page(s) 473–479

    Abstract: Alkylating agents form the basis of most combination treatment regimens for low-grade lymphoproliferative disorders. Bendamustine is a unique alkylating agent that has distinctive preclinical activity in cell lines resistant to other alkylators. ... ...

    Abstract Alkylating agents form the basis of most combination treatment regimens for low-grade lymphoproliferative disorders. Bendamustine is a unique alkylating agent that has distinctive preclinical activity in cell lines resistant to other alkylators. Furthermore, clinical activity has been demonstrated in patients with alkylating agent resistant disease. Recently, larger studies have been organized to study the clinical effects of bendamustine further. In indolent B-cell non-Hodgkin lymphoma that is resistant to rituximab, bendamustine induced a remission in 77% of patients. Myelosuppression was identified as the most common toxicity. In 2 studies of similar populations of patients, the combination of bendamustine and rituximab induced remission 90% of patients with a median progression-free survival of 23-24 months. The overall remission rate was 59% in a prospective, randomized study of untreated patients with chronic lymphocytic leukemia, which was significantly greater than the rate of 26% in the chlorambucil control arm (P < 0.001). Combined with rituximab, bendamustine induces a remission in 67% of patients with relapsed or refractory chronic lymphocytic leukemia. Bendamustine is an active agent for the treatment of low-grade lymphoproliferative disorders and more study is needed to determine which dose and schedule is optimal, and which patients will derive the greatest benefit from its use.
    MeSH term(s) Antineoplastic Agents, Alkylating/administration & dosage ; Antineoplastic Agents, Alkylating/therapeutic use ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Bendamustine Hydrochloride ; Drug Resistance, Neoplasm ; Humans ; Leukemia, Lymphocytic, Chronic, B-Cell/drug therapy ; Lymphoma/drug therapy ; Lymphoproliferative Disorders/drug therapy ; Nitrogen Mustard Compounds/administration & dosage ; Nitrogen Mustard Compounds/therapeutic use
    Chemical Substances Antineoplastic Agents, Alkylating ; Nitrogen Mustard Compounds ; Bendamustine Hydrochloride (981Y8SX18M)
    Language English
    Publishing date 2009-02-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1429-1
    ISSN 1097-0142 ; 0008-543X ; 1934-662X
    ISSN (online) 1097-0142
    ISSN 0008-543X ; 1934-662X
    DOI 10.1002/cncr.24057
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Accelerated Phase CML: Outcomes in Newly Diagnosed vs. Progression From Chronic Phase.

    Mukherjee, Sudipto / Kalaycio, Matt

    Current hematologic malignancy reports

    2016  Volume 11, Issue 2, Page(s) 86–93

    Abstract: The introduction of tyrosine kinase inhibitors (TKIs) has fundamentally changed the management of chronic myeloid leukemia (CML). Disease progression to advanced phase (accelerated or blast phase) has been reduced to 1 to 1.5 % per year from more than 20 ...

    Abstract The introduction of tyrosine kinase inhibitors (TKIs) has fundamentally changed the management of chronic myeloid leukemia (CML). Disease progression to advanced phase (accelerated or blast phase) has been reduced to 1 to 1.5 % per year from more than 20 % per year in the pre-TKI era. However, once the disease has progressed to accelerated or blast phase, there is no consensus regarding optimal therapy. The prognosis of these patients is dismal with median survival ranging from 7 to 11 months. TKIs along with allogeneic hematopoietic cell transplantation are conventional strategies in managing these patients but there are very few long-term survivors. Advanced phase CML represents the new frontier for CML treatment where research is critically needed to improve patient outcomes.
    MeSH term(s) Antineoplastic Agents/therapeutic use ; Disease Progression ; Hematopoietic Stem Cell Transplantation ; Humans ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive/diagnosis ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive/therapy ; Prognosis ; Transplantation, Homologous
    Chemical Substances Antineoplastic Agents
    Language English
    Publishing date 2016-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2229765-0
    ISSN 1558-822X ; 1558-8211
    ISSN (online) 1558-822X
    ISSN 1558-8211
    DOI 10.1007/s11899-016-0304-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Initial chemotherapy for chronic lymphocytic leukemia: what's the standard of care?

    Kalaycio, Matt

    Current hematologic malignancy reports

    2006  Volume 1, Issue 1, Page(s) 41–42

    Language English
    Publishing date 2006-03
    Publishing country United States
    Document type Comment ; Journal Article
    ZDB-ID 2229765-0
    ISSN 1558-822X ; 1558-8211
    ISSN (online) 1558-822X
    ISSN 1558-8211
    DOI 10.1007/s11899-006-0016-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Profile of obinutuzumab for the treatment of patients with previously untreated chronic lymphocytic leukemia.

    Hill, Brian T / Kalaycio, Matt

    OncoTargets and therapy

    2015  Volume 8, Page(s) 2391–2397

    Abstract: Chronic lymphocytic leukemia (CLL) is a hematologic malignancy derived from a clonal population of mature B-lymphocytes characterized by relatively low CD20 antigen expression. Although the disease often takes an indolent course, the majority of patients ...

    Abstract Chronic lymphocytic leukemia (CLL) is a hematologic malignancy derived from a clonal population of mature B-lymphocytes characterized by relatively low CD20 antigen expression. Although the disease often takes an indolent course, the majority of patients will eventually require therapy. Standard treatment for medically fit patients includes purine analogs and/or alkylating agents in addition to the type I anti-CD20 monoclonal antibody, rituximab. This therapy is inherently myelosuppressive and can result in significant morbidity and even mortality in patients with impaired performance status due to age and/or medical comorbidities. Historically, treatment options for the elderly or frail patient population were limited to mono-therapy with the oral alkylating agent, chlorambucil, rituximab, or another type I anti-CD20 monoclonal antibody ofatumumab. Recently, a newer-generation anti-CD20 monoclonal antibody, obinutuzumab, was developed for patients with CLL. Obinutuzumab is a humanized type II monoclonal antibody that appears to have more direct antibody-dependent cell-mediated cytotoxicity (ADCC) and possibly more direct cytotoxicity in vitro than previously available type I antibodies. A large Phase III prospective randomized clinical trial for older patients with impaired renal function and/or significant medical comorbidities demonstrated that when compared to conventionally-dosed rituximab and chlorambucil, the combination of chlorambucil and obinutuzumab administered at a dose and schedule involving early loading doses improved response rates and progression-free survival without significantly increasing toxicity. Results of this pivotal trial led to the FDA (US Food and Drug Administration) approval of obinutuzumab in combination with chlorambucil for frontline treatment of CLL. Obinutuzumab expands the armamentarium of active and less-toxic targeted agents in the evolving treatment landscape of CLL, providing physicians and patients with an additional therapeutic option.
    Language English
    Publishing date 2015-08-31
    Publishing country New Zealand
    Document type Journal Article ; Review
    ZDB-ID 2495130-4
    ISSN 1178-6930
    ISSN 1178-6930
    DOI 10.2147/OTT.S68770
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Maximizing the benefits of mycophenolate mofetil as graft-versus-host disease prophylaxis.

    Hamilton, Betty Ky / Kalaycio, Matt

    Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation

    2014  Volume 20, Issue 11, Page(s) 1869–1870

    MeSH term(s) Female ; Graft vs Host Disease/prevention & control ; Hematopoietic Stem Cell Transplantation/adverse effects ; Humans ; Immunosuppressive Agents/therapeutic use ; Male ; Mycophenolic Acid/analogs & derivatives ; Tacrolimus/therapeutic use ; Transplantation Conditioning/adverse effects
    Chemical Substances Immunosuppressive Agents ; Mycophenolic Acid (HU9DX48N0T) ; Tacrolimus (WM0HAQ4WNM)
    Language English
    Publishing date 2014-11
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 1474865-4
    ISSN 1523-6536 ; 1083-8791
    ISSN (online) 1523-6536
    ISSN 1083-8791
    DOI 10.1016/j.bbmt.2014.07.023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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