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  1. Book: Chronic myeloid leukemia

    Mauro, Michael J.

    (Best practice & research. Clinical haematology ; volume 29, issue 3 (September 2016))

    2016  

    Author's details Michael J. Mauro, guest editor
    Series title Best practice & research. Clinical haematology ; volume 29, issue 3 (September 2016)
    Best practice & research
    Collection Best practice & research
    Language English
    Size Seite 249-313, Illustrationen
    Publisher Elsevier
    Publishing place Amsterdam
    Publishing country Netherlands
    Document type Book
    HBZ-ID HT019189896
    Database Catalogue ZB MED Medicine, Health

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  2. Article ; Online: Lifelong TKI therapy: how to manage cardiovascular and other risks.

    Mauro, Michael J

    Hematology. American Society of Hematology. Education Program

    2021  Volume 2021, Issue 1, Page(s) 113–121

    Abstract: Beginning with imatinib and now spanning 6 oral, highly active, and mostly safe agents, the development of specific targeted therapy for patients with chronic myeloid leukemia (CML) has created a new world featuring chronic maintenance chemotherapy for ... ...

    Abstract Beginning with imatinib and now spanning 6 oral, highly active, and mostly safe agents, the development of specific targeted therapy for patients with chronic myeloid leukemia (CML) has created a new world featuring chronic maintenance chemotherapy for all treated as such, treatment-free remission, and functional cure after prolonged deep remission in a subset. As a result comes a necessary shift in focus from acute to chronic toxicity, increasing attention to patient comorbidities, and critical thinking around specific adverse events such as metabolic, cardiovascular, and cardiopulmonary effects, which vary from agent to agent. This review aims to pull together the state of the art of managing the "C" in CML-a chronic myeloproliferative neoplasm treated at present over many years with oral BCR-ABL-targeted agents in a population whose overall health can be complex and potentially affected by disease and therapy-and determine how we can better manage a highly treatable and increasingly curable cancer.
    MeSH term(s) Antineoplastic Agents/adverse effects ; Antineoplastic Agents/therapeutic use ; Cardiovascular Diseases/chemically induced ; Female ; Heart Disease Risk Factors ; Humans ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive/drug therapy ; Middle Aged ; Protein Kinase Inhibitors/adverse effects ; Protein Kinase Inhibitors/therapeutic use ; Protein-Tyrosine Kinases/antagonists & inhibitors ; Risk Assessment
    Chemical Substances Antineoplastic Agents ; Protein Kinase Inhibitors ; Protein-Tyrosine Kinases (EC 2.7.10.1)
    Language English
    Publishing date 2021-12-08
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 2084287-9
    ISSN 1520-4383 ; 1520-4391
    ISSN (online) 1520-4383
    ISSN 1520-4391
    DOI 10.1182/hematology.2021000239
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Asciminib in the Treatment of Philadelphia Chromosome-Positive Chronic Myeloid Leukemia: Focus on Patient Selection and Outcomes.

    Hijiya, Nobuko / Mauro, Michael J

    Cancer management and research

    2023  Volume 15, Page(s) 873–891

    Abstract: Tyrosine kinase inhibitors (TKIs) have significantly changed the treatment of chronic myeloid leukemia (CML) and improved outcomes for patients with CML in chronic phase (CML-CP) and accelerated phase (AP). Now armed with numerous effective therapeutic ... ...

    Abstract Tyrosine kinase inhibitors (TKIs) have significantly changed the treatment of chronic myeloid leukemia (CML) and improved outcomes for patients with CML in chronic phase (CML-CP) and accelerated phase (AP). Now armed with numerous effective therapeutic options, clinicians must consider various patient- and disease-specific factors when selecting the most appropriate TKI across lines of therapy. While most patients with CML expected to have a near-normal life expectancy due to the success of TKIs, emphasis has expanded beyond response and survival to include factors like quality of life, tolerability, and long-term toxicity management. Importantly, a subset of patients can achieve sustained deep molecular response and can attain treatment-free remission. Despite these successes, unmet needs remain related to CML treatment, including the persistent challenge of treatment resistance and intolerance, broadening treatment options for patients with resistance mutations or serious comorbidities, and focus on specific populations such as children and young adults. In particular, the only previously available treatments for patients with CML-CP with the T315I mutation were ponatinib, olverembatinib (exclusively approved for use in China at the time of this writing), omacetaxine, and hematopoietic stem cell transplantation. Asciminib has entered the CML treatment landscape as a new option for adult patients with CML-CP who have received ≥2 prior TKIs or those with the T315I mutation. Asciminib's unique mechanism of action, Specifically Targeting the ABL Myristoyl Pocket, sets it apart from traditional adenosine triphosphate-competitive TKIs. While asciminib may overcome unmet needs for patients with CML-CP and continues to be studied in other novel settings, guidance on how to integrate asciminib in treatment algorithms is needed. This review focuses on clinical data and how asciminib can overcome current unmet needs, discusses how to individualize patient selection, and highlights future directions to investigate asciminib in earlier lines of therapy and in children and adolescents.
    Language English
    Publishing date 2023-08-23
    Publishing country New Zealand
    Document type Journal Article ; Review
    ZDB-ID 2508013-1
    ISSN 1179-1322
    ISSN 1179-1322
    DOI 10.2147/CMAR.S353374
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book: Integrating current treatment options for TKI resistant chronic myeloid leukemia

    Radich, Jerald P. / Shah, Neil P. / Mauro, Michael J.

    (Clinical advances in hematology & oncology ; 12,7, Suppl. 13 : Clinical roundtable monograph)

    2014  

    Title variant Integrating current treatment options for TKI-resistant chronic myeloid leukemia
    Author's details discussants Jerald P. Radich ; Neil P. Shah ; Michael J. Mauro
    Series title Clinical advances in hematology & oncology ; 12,7, Suppl. 13 : Clinical roundtable monograph
    Collection
    Language English
    Size 18 S. : Ill., graph. Darst.
    Publisher Millennium Med. Publ
    Publishing place New York, NY
    Publishing country United States
    Document type Book
    HBZ-ID HT018433191
    Database Catalogue ZB MED Medicine, Health

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  5. Book: Drug plasma monitoring in CML and GIST

    Egorin, Merrill J. / Mauro, Michael J. / Trent, Jonathan C.

    a case-based discussion

    (Clinical advances in hematology & oncology ; 7,11, Suppl. 20 : Clinical roundtable monograph)

    2009  

    Author's details faculty Merrill J. Egorin ; Michael J. Mauro ; Jonathan C. Trent
    Series title Clinical advances in hematology & oncology ; 7,11, Suppl. 20 : Clinical roundtable monograph
    Collection
    Language English
    Size 11 S. : Ill., graph. Darst.
    Publisher Millennium Med. Publ
    Publishing place New York, NY
    Publishing country United States
    Document type Book
    HBZ-ID HT016466839
    Database Catalogue ZB MED Medicine, Health

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  6. Book: Sequential therapy in chronic myelogenous leukemia

    Mauro, Michael J. / Talpaz, Moshe / Radich, Jerald P.

    where do emerging therapies fit within current treatment regimens?

    (Clinical advances in hematology & oncology ; 11,11, Suppl. 17 : Clinical roundtable monograph)

    2013  

    Author's details Moderator Michael J. Mauro ; discussants Moshe Talpaz ; Jerald P. Radich
    Series title Clinical advances in hematology & oncology ; 11,11, Suppl. 17 : Clinical roundtable monograph
    Collection
    Language English
    Size 15 S. : graph. Darst.
    Publisher Millennium Med. Publ
    Publishing place New York, NY
    Publishing country United States
    Document type Book
    HBZ-ID HT018176624
    Database Catalogue ZB MED Medicine, Health

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  7. Article ; Online: Novel tyrosine kinase inhibitors for patients with inadequate response in chronic myeloid leukemia.

    Mauro, Michael J

    Current opinion in hematology

    2018  Volume 26, Issue 2, Page(s) 119–123

    Abstract: Purpose of review: The purpose of this review is to summarize treatment expectations and response milestones, to conceptualize the approach to defining inadequate response to therapy and critically appraise current available strategies, as well to ... ...

    Abstract Purpose of review: The purpose of this review is to summarize treatment expectations and response milestones, to conceptualize the approach to defining inadequate response to therapy and critically appraise current available strategies, as well to highlight novel agents under development to address unmet needs in chronic myeloid leukemia (CML) therapy.
    Recent findings: Given excess risk with currently available highly potent ABL1 (Abelson murine leukemia viral oncogene homolog 1) inhibitors, a number of alternate, highly potent compounds have entered the clinic to address select resistance such as the T315I mutation with the promise of greater selectivity and better adverse event profile. In addition, alternate approaches to ABL1 inhibition, targeting the myristoyl pocket of ABL1, are showing promising early results and are moving into later phase trials.
    Summary: CML is a highly treatable form of leukemia with multiple orally available small molecule inhibitors of the activated BCR-ABL1 (breakpoint cluster region-ABL1) kinase. Despite such an array of therapy options, inadequate response to therapy remains a challenge with a substantial minority of patients facing tyrosine kinase inhibitor (TKI) resistance, intolerance, or both. Unmet needs in Ph+ leukemia include highly selective resistant disease, multi-TKI resistant CML, and advanced phase disease.
    MeSH term(s) Fusion Proteins, bcr-abl/antagonists & inhibitors ; Fusion Proteins, bcr-abl/genetics ; Fusion Proteins, bcr-abl/metabolism ; Humans ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive/drug therapy ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive/genetics ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive/metabolism ; Protein Kinase Inhibitors/pharmacology ; Protein Kinase Inhibitors/therapeutic use
    Chemical Substances Protein Kinase Inhibitors ; Fusion Proteins, bcr-abl (EC 2.7.10.2)
    Language English
    Publishing date 2018-09-13
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1153887-9
    ISSN 1531-7048 ; 1065-6251
    ISSN (online) 1531-7048
    ISSN 1065-6251
    DOI 10.1097/MOH.0000000000000489
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Running the marathon of chronic myeloid leukemia with no shoes (or without the right shoes)!

    Mauro, Michael J

    Cancer

    2017  Volume 123, Issue 13, Page(s) 2395–2397

    MeSH term(s) Humans ; Insurance Coverage ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive ; Running ; Shoes
    Language English
    Publishing date 2017-05-02
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1429-1
    ISSN 1097-0142 ; 0008-543X ; 1934-662X
    ISSN (online) 1097-0142
    ISSN 0008-543X ; 1934-662X
    DOI 10.1002/cncr.30638
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Asciminib in Relapsed Chronic Myeloid Leukemia. Reply.

    Mauro, Michael J / Hughes, Timothy P

    The New England journal of medicine

    2020  Volume 382, Issue 14, Page(s) 1379

    MeSH term(s) Humans ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive ; Niacinamide/analogs & derivatives ; Pyrazoles
    Chemical Substances Pyrazoles ; asciminib ; Niacinamide (25X51I8RD4)
    Language English
    Publishing date 2020-04-06
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc2000116
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Can any patients with chronic myeloid leukemia outside of a clinical trial have their tyrosine kinase inhibitor discontinued?

    Mauro, Michael J

    Current opinion in hematology

    2017  Volume 24, Issue 2, Page(s) 125–131

    Abstract: Purpose of review: This article critically appraises the state of treatment-free remission as a strategy for patients with chronic myeloid leukemia (CML) in deep remission after therapy with tyrosine kinase inhibitors (TKIs).: Recent findings: ... ...

    Abstract Purpose of review: This article critically appraises the state of treatment-free remission as a strategy for patients with chronic myeloid leukemia (CML) in deep remission after therapy with tyrosine kinase inhibitors (TKIs).
    Recent findings: Approximately half of patients with CML defined fairly narrowly by trial criteria - TKI sensitive, in deep molecular remission for a defined period - can successfully maintain protective levels of response after TKI cessation. Those who cannot appear at very low risk of disease control loss and can promptly regain remission with TKI resumption. Increasing numbers of patients followed longer term in trials have proven as well as a lack of additional late relapse in either group and that 'functional cure' of CML is feasible. Both the definition of remission sufficient to attempt treatment-free remission and the trigger to resume treatment have been relaxed somewhat while outcomes have remained the same. Based on repeated confirmatory data, economic pressures, and pragmatism, the question of feasibility and safety of TKI cessation outside of clinical trials is at hand.
    Summary: TKI cessation outside of clinical trials, if performed under strict guidelines, utilizing optimal monitoring techniques, with counsel available from experts in the field, and after full disclosure of the risks and benefits with the patient, may be safe (see video, supplemental digital content 1, which summarizes the abstract and offers the author's perspective,http://links.lww.com/COH/A15).
    MeSH term(s) Antineoplastic Agents/therapeutic use ; Antineoplastic Combined Chemotherapy Protocols/adverse effects ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Humans ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive/drug therapy ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive/pathology ; Neoplasm Staging ; Protein Kinase Inhibitors/therapeutic use ; Remission Induction ; Remission, Spontaneous
    Chemical Substances Antineoplastic Agents ; Protein Kinase Inhibitors
    Language English
    Publishing date 2017-02-02
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1153887-9
    ISSN 1531-7048 ; 1065-6251
    ISSN (online) 1531-7048
    ISSN 1065-6251
    DOI 10.1097/MOH.0000000000000321
    Database MEDical Literature Analysis and Retrieval System OnLINE

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