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  1. Book: Myelodysplastische Syndrome von A bis Z

    Gattermann, Norbert / Giagounidis, Aristoteles / Haferlach, Torsten

    2021  

    Author's details herausgegeben von Torsten Haferlach ; unter Mitarbeit von Norbert Gattermann, Aristoteles Giagounidis
    Keywords Myelodysplastisches Syndrom
    Subject MDS ; Präleukämie ; Präleukose ; Präleukämisches Syndrom ; Hämatopoetische Dysplasie
    Language German
    Size IX, 130 Seiten, 41 Illustrationen
    Edition 4. Auflage
    Publisher Georg Thieme Verlag
    Publishing place Stuttgart ; New York
    Publishing country Germany
    Document type Book
    Old title Vorangegangen ist
    HBZ-ID HT020702834
    ISBN 978-3-13-243228-4 ; 3-13-243228-8
    Database Catalogue ZB MED Medicine, Health

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  2. Article ; Online: Lenalidomide for del(5q) and non-del(5q) myelodysplastic syndromes.

    Giagounidis, Aristoteles A N

    Seminars in hematology

    2012  Volume 49, Issue 4, Page(s) 312–322

    Abstract: Lenalidomide leads to high rates of erythroid transfusion independence in low and intermediate-1 risk International Prognostic Scoring System (IPSS) del(5q) myelodysplastic syndromes (MDS), with a considerable number of patients achieving complete and ... ...

    Abstract Lenalidomide leads to high rates of erythroid transfusion independence in low and intermediate-1 risk International Prognostic Scoring System (IPSS) del(5q) myelodysplastic syndromes (MDS), with a considerable number of patients achieving complete and partial cytogenetic remissions. The median duration of transfusion independence is 2 years, mainly at the expense of neutropenia and thrombocytopenia in the first courses of therapy. At present, the optimal initial treatment dose has been determined to be 10 mg administered orally daily for 21 out of 28 days. In general, the effects in non-del(5q) disease can be divided by 50%: non-del(5q) patients show 50% of erythroid response, 50% of duration of response, and 50% incidence of grade 3 and 4 neutropenia and thrombocytopenia compared to del(5q) patients. Recent data suggest that the risk of acute myeloid leukemia (AML) progression of del(5q) patients is dependent on their individual risk factors before treatment initiation, including World Health Organization (WHO) prognostic scoring system parameters and TP53 mutations. These data also indicate that lenalidomide per se is not leukemogenic. Length of treatment can be tailored according to response, and patients who relapse during treatment might restart after a period of drug holiday. This article will also discuss combination strategies with lenalidomide in higher risk disease.
    MeSH term(s) Chromosome Deletion ; Chromosomes, Human, Pair 5 ; Humans ; Leukemia, Myeloid, Acute/drug therapy ; Leukemia, Myeloid, Acute/genetics ; Myelodysplastic Syndromes/drug therapy ; Myelodysplastic Syndromes/genetics ; Thalidomide/analogs & derivatives ; Thalidomide/pharmacology ; Thalidomide/therapeutic use ; Treatment Outcome
    Chemical Substances Thalidomide (4Z8R6ORS6L) ; lenalidomide (F0P408N6V4)
    Language English
    Publishing date 2012-10
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 206923-4
    ISSN 1532-8686 ; 0037-1963
    ISSN (online) 1532-8686
    ISSN 0037-1963
    DOI 10.1053/j.seminhematol.2012.07.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The addition of bortezomib to rituximab, high-dose cytarabine and dexamethasone in relapsed or refractory mantle cell lymphoma-a randomized, open-label phase III trial of the European mantle cell lymphoma network.

    Fischer, Luca / Jiang, Linmiao / Dürig, Jan / Schmidt, Christian / Stilgenbauer, Stephan / Bouabdallah, Krimo / Solal-Celigny, Philippe / Scholz, Christian W / Feugier, Pierre / de Wit, Maike / Trappe, Ralf Ulrich / Hallek, Michael / Graeven, Ullrich / Hänel, Mathias / Hoffmann, Martin / Delwail, Vincent / Macro, Margaret / Greiner, Jochen / Giagounidis, Aristoteles A N /
    Dargel, Beate / Durot, Eric / Foussard, Charles / Silkenstedt, Elisabeth / Weigert, Oliver / Pott, Christiane / Klapper, Wolfram / Hiddemann, Wolfgang / Unterhalt, Michael / Hoster, Eva / Ribrag, Vincent / Dreyling, Martin

    Leukemia

    2024  

    Abstract: ... n = 64) or R-HAD (n = 64). Median TTF was 12 vs. 2.6 months (p = 0.045, MIPI-adjusted HR 0.69; 95%CI ...

    Abstract The therapy of relapsed or refractory (r/r) mantle cell lymphoma (MCL) patients remains a major clinical challenge to date. We conducted a randomized, open-label, parallel-group phase-III trial hypothesizing superior efficacy of rituximab, high-dose cytarabine and dexamethasone with bortezomib (R-HAD + B) versus without (R-HAD) in r/r MCL ineligible for or relapsed after autologous stem cell transplant (ASCT). Primary endpoint was time to treatment failure (TTF), secondary endpoints included response rates, progression free survival, overall survival, and safety. In total, 128 of 175 planned patients were randomized to R-HAD + B (n = 64) or R-HAD (n = 64). Median TTF was 12 vs. 2.6 months (p = 0.045, MIPI-adjusted HR 0.69; 95%CI 0.47-1.02). Overall and complete response rates were 63 vs. 45% (p = 0.049) and 42 vs. 19% (p = 0.0062). A significant treatment effect was seen in the subgroup of patients >65 years (aHR 0.48, 0.29-0.79) and without previous ASCT (aHR 0.52, 0.28-0.96). Toxicity was mostly hematological and attributable to the chemotherapeutic backbone. Grade ≥3 leukocytopenia and lymphocytopenia were more common in R-HAD + B without differences in severe infections between both arms. Bortezomib in combination with chemotherapy can be effective in r/r MCL and should be evaluated further as a therapeutic option, especially if therapy with BTK inhibitors is not an option. Trial registration: NCT01449344.
    Language English
    Publishing date 2024-04-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 807030-1
    ISSN 1476-5551 ; 0887-6924
    ISSN (online) 1476-5551
    ISSN 0887-6924
    DOI 10.1038/s41375-024-02254-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Decitabine dosage in myelodysplastic syndromes.

    Giagounidis, Aristoteles A N

    Blood

    2007  Volume 110, Issue 3, Page(s) 1082–3; author reply 1083

    MeSH term(s) Aged ; Antimetabolites, Antineoplastic/administration & dosage ; Antimetabolites, Antineoplastic/adverse effects ; Azacitidine/administration & dosage ; Azacitidine/adverse effects ; Azacitidine/analogs & derivatives ; Decitabine ; Dose-Response Relationship, Drug ; Drug Administration Schedule ; Female ; Humans ; Infusions, Intravenous ; Injections, Subcutaneous ; Leukemia, Myelomonocytic, Chronic/drug therapy ; Male ; Middle Aged ; Myelodysplastic Syndromes/drug therapy ; Randomized Controlled Trials as Topic ; Remission Induction ; Treatment Outcome
    Chemical Substances Antimetabolites, Antineoplastic ; Decitabine (776B62CQ27) ; Azacitidine (M801H13NRU)
    Language English
    Publishing date 2007-07-20
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80069-7
    ISSN 1528-0020 ; 0006-4971
    ISSN (online) 1528-0020
    ISSN 0006-4971
    DOI 10.1182/blood-2007-03-080903
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Eligibility for clinical trials is unsatisfactory for patients with myelodysplastic syndromes, even at a tertiary referral center.

    Nachtkamp, Kathrin / Stark, Josefine / Kündgen, Andrea / Schroeder, Thomas / Strupp, Corinna / Strapatsas, Judith / Schuler, Esther / Kaivers, Jennifer / Giagounidis, Aristoteles / Rautenberg, Christina / Aul, Carlo / Runde, Volker / Haas, Rainer / Kobbe, Guido / Gattermann, Norbert / Germing, Ulrich

    Leukemia research

    2021  Volume 108, Page(s) 106611

    Abstract: ... participation. The simulation also posited that all MDS trials (n = 47) conducted in our center between 1987 and ...

    Abstract Participation in clinical trials may allow patients with MDS to gain access to therapies not otherwise available. However, access is limited by strict inclusion and exclusion criteria, reflecting academic or regulatory questions addressed by the respective studies. We performed a simulation in order to estimate the average proportion of MDS patients eligible for participation in a clinical trial. The simulation drew upon 1809 patients in the Düsseldorf MDS Registry whose clinical data allowed eligibility screening for a wide range of clinical trials. This cohort was assumed to be alive and available for study participation. The simulation also posited that all MDS trials (n = 47) conducted in our center between 1987 and 2016 were open for recruitment. In addition, study activities in the year 2016 were analyzed to determine the proportion of patients eligible for at least one of the 9 MDS trials open at that time. On average, each clinical trial was suitable for about 18 % of patients in the simulation cohort. Conversely, 34 % of the patients were eligible for at least one of the 9 clinical studies in 2016. Inclusion/exclusion criteria of studies initiated by the pharmaceutical industry excluded more than twice the fraction of patients compared with investigator initiated trials (potential inclusion of 10 % vs. 21 %, respectively). Karyotype (average exclusion rate 58 %), comorbidities (40 %), and prior therapies (55 %) were the main reasons for exclusion. We suggest that in- and exclusion criteria should be less restrictive, in order to meet the needs of the real-life population of elderly MDS patients.
    Language English
    Publishing date 2021-05-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 752396-8
    ISSN 1873-5835 ; 0145-2126
    ISSN (online) 1873-5835
    ISSN 0145-2126
    DOI 10.1016/j.leukres.2021.106611
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Treatment of Combined Autoimmune Neutropenia and Immune Thrombocytopenia with Methotrexate.

    Mitsogianni, Maria / Mitsimponas, Nikolaos / Haase, Sabine / Giagounidis, Aristoteles

    Acta haematologica

    2019  Volume 143, Issue 1, Page(s) 89–90

    MeSH term(s) Adult ; Antimetabolites, Antineoplastic/therapeutic use ; Autoantibodies/blood ; Autoimmune Diseases/complications ; Autoimmune Diseases/diagnosis ; Autoimmune Diseases/drug therapy ; Humans ; Male ; Methotrexate/therapeutic use ; Neutropenia/complications ; Neutropenia/diagnosis ; Neutrophils/cytology ; Platelet Count ; Thrombocytopenia/complications ; Thrombocytopenia/diagnosis ; Thrombocytopenia/immunology
    Chemical Substances Antimetabolites, Antineoplastic ; Autoantibodies ; Methotrexate (YL5FZ2Y5U1)
    Language English
    Publishing date 2019-06-28
    Publishing country Switzerland
    Document type Letter
    ZDB-ID 80008-9
    ISSN 1421-9662 ; 0001-5792
    ISSN (online) 1421-9662
    ISSN 0001-5792
    DOI 10.1159/000500872
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: The 5q- syndrome.

    Giagounidis, Aristoteles A N / Aul, Carlo

    Cancer treatment and research

    2008  Volume 142, Page(s) 133–148

    MeSH term(s) Chromosome Deletion ; Chromosome Disorders ; Chromosomes, Human, Pair 5 ; Clinical Trials as Topic ; Humans ; Myelodysplastic Syndromes/genetics
    Language English
    Publishing date 2008
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ISSN 0927-3042
    ISSN 0927-3042
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Health-Related Quality of Life in Multiple Myeloma Patients Treated with High- or Low-Dose Lenalidomide Maintenance Therapy after Autologous Stem Cell Transplantation-Results from the LenaMain Trial (NCT00891384).

    Boquoi, Amelie / Giagounidis, Aristoteles / Goldschmidt, Hartmut / Heinsch, Michael / Rummel, Mathias J / Kröger, Nicolaus / Mai, Elias K / Strapatsas, Judith / Haas, Rainer / Kobbe, Guido

    Cancers

    2023  Volume 15, Issue 21

    Abstract: Introduction: The LenaMain trial (NCT00891384) reported increased progression-free survival with 25 mg of lenalidomide maintenance compared to 5 mg. Here, we report the patient-reported outcomes.: Materials and methods: Scores obtained from the EORTC ...

    Abstract Introduction: The LenaMain trial (NCT00891384) reported increased progression-free survival with 25 mg of lenalidomide maintenance compared to 5 mg. Here, we report the patient-reported outcomes.
    Materials and methods: Scores obtained from the EORTC Quality of Life Questionnaire C30 were analyzed for longitudinal changes from baseline within the groups as well as cross-sectional scores.
    Results: Compliance rates were high, with 95.7% at baseline and 70% during maintenance. At study entry, scores were high for functioning and low for symptoms. During maintenance, the median global health status/quality of life (GHS/QoL) was constant, without significant differences over time (median GHS/QoL: 68 at baseline and 58 for Len high and 68 for Len low at 2 years) and between treatment arms (mean change < 2). Similarly, most functional scale domains were constant. Notably, diarrhea increased consistently for both treatment arms (baseline: -1.905 (range: -5.78-1.97); end of year 2: 16.071 (range: 5.72-26.42);
    Conclusion: High baseline scores were maintained throughout the trial without significant differences between the Len dosages, which supports continuous treatment with a dose tailored to patients' HR-QoL.
    Language English
    Publishing date 2023-10-26
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15215157
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Decitabine Versus Hydroxyurea for Advanced Proliferative Chronic Myelomonocytic Leukemia: Results of a Randomized Phase III Trial Within the EMSCO Network.

    Itzykson, Raphael / Santini, Valeria / Thepot, Sylvain / Ades, Lionel / Chaffaut, Cendrine / Giagounidis, Aristoteles / Morabito, Margot / Droin, Nathalie / Lübbert, Michael / Sapena, Rosa / Nimubona, Stanislas / Goasguen, Jean / Wattel, Eric / Zini, Gina / Torregrosa Diaz, Jose Miguel / Germing, Ulrich / Pelizzari, Anna Maria / Park, Sophie / Jaekel, Nadja /
    Metzgeroth, Georgia / Onida, Francesco / Navarro, Robert / Patriarca, Andrea / Stamatoullas, Aspasia / Götze, Katharina / Puttrich, Martin / Mossuto, Sandra / Solary, Eric / Gloaguen, Silke / Chevret, Sylvie / Chermat, Fatiha / Platzbecker, Uwe / Fenaux, Pierre

    Journal of clinical oncology : official journal of the American Society of Clinical Oncology

    2022  Volume 41, Issue 10, Page(s) 1888–1897

    Abstract: ... received DAC (n = 84) or HY (n = 86). Median age was 72 and 74 years, and median WBC count 32.5 × 10 ...

    Abstract Purpose: Hydroxyurea (HY) is a reference treatment of advanced myeloproliferative neoplasms. We conducted a randomized phase III trial comparing decitabine (DAC) and HY in advanced myeloproliferative chronic myelomonocytic leukemias (CMML).
    Patients and methods: Newly diagnosed myeloproliferative CMML patients with advanced disease were randomly assigned 1:1 to intravenous DAC (20 mg/m
    Results: One-hundred seventy patients received DAC (n = 84) or HY (n = 86). Median age was 72 and 74 years, and median WBC count 32.5 × 10
    Conclusion: Compared with HY, frontline treatment with DAC did not improve EFS in patients with advanced myeloproliferative CMML (ClinicalTrials.gov identifier: NCT02214407).
    MeSH term(s) Humans ; Aged ; Leukemia, Myelomonocytic, Chronic/drug therapy ; Leukemia, Myelomonocytic, Chronic/diagnosis ; Decitabine ; Hydroxyurea/adverse effects ; Leukemia, Myelomonocytic, Acute/drug therapy ; Proportional Hazards Models
    Chemical Substances Decitabine (776B62CQ27) ; Hydroxyurea (X6Q56QN5QC)
    Language English
    Publishing date 2022-12-01
    Publishing country United States
    Document type Randomized Controlled Trial ; Clinical Trial, Phase III ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 604914-x
    ISSN 1527-7755 ; 0732-183X
    ISSN (online) 1527-7755
    ISSN 0732-183X
    DOI 10.1200/JCO.22.00437
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Genome-wide DNA methylation analysis pre- and post-lenalidomide treatment in patients with myelodysplastic syndrome with isolated deletion (5q).

    Hecht, Anna / Meyer, Julia A / Jann, Johann-Christoph / Sockel, Katja / Giagounidis, Aristoteles / Götze, Katharina S / Letsch, Anne / Haase, Detlef / Schlenk, Richard F / Haferlach, Torsten / Schafhausen, Philippe / Bug, Gesine / Lübbert, Michael / Thol, Felicitas / Büsche, Guntram / Schuler, Esther / Nowak, Verena / Obländer, Julia / Fey, Stephanie /
    Müller, Nadine / Metzgeroth, Georgia / Hofmann, Wolf-Karsten / Germing, Ulrich / Nolte, Florian / Reinwald, Mark / Nowak, Daniel

    Annals of hematology

    2021  Volume 100, Issue 6, Page(s) 1463–1471

    Abstract: ... arrays was performed on n=51 patients with MDS del5q who were uniformly treated with lenalidomide ...

    Abstract Myelodysplastic syndrome (MDS) with isolated deletion of chromosome 5q (MDS del5q) is a distinct subtype of MDS with quite favorable prognosis and excellent response to treatment with lenalidomide. Still, a relevant percentage of patients do not respond to lenalidomide and even experience progression to acute myeloid leukemia (AML). In this study, we aimed to investigate whether global DNA methylation patterns could predict response to lenalidomide. Genome-wide DNA methylation analysis using Illumina 450k methylation arrays was performed on n=51 patients with MDS del5q who were uniformly treated with lenalidomide in a prospective multicenter trial of the German MDS study group. To study potential direct effects of lenalidomide on DNA methylation, 17 paired samples pre- and post-treatment were analyzed. Our results revealed no relevant effect of lenalidomide on methylation status. Furthermore, methylation patterns prior to therapy could not predict lenalidomide response. However, methylation clustering identified a group of patients with a trend towards inferior overall survival. These patients showed hypermethylation of several interesting target genes, including genes of relevant signaling pathways, potentially indicating the evaluation of novel therapeutic targets.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Antineoplastic Agents/pharmacology ; Antineoplastic Agents/therapeutic use ; Chromosome Deletion ; Chromosomes, Human, Pair 5/genetics ; DNA Methylation/drug effects ; Female ; Humans ; Lenalidomide/pharmacology ; Lenalidomide/therapeutic use ; Male ; Middle Aged ; Myelodysplastic Syndromes/drug therapy ; Myelodysplastic Syndromes/genetics ; Treatment Outcome
    Chemical Substances Antineoplastic Agents ; Lenalidomide (F0P408N6V4)
    Language English
    Publishing date 2021-04-27
    Publishing country Germany
    Document type Clinical Trial, Phase II ; Journal Article ; Multicenter Study
    ZDB-ID 1064950-5
    ISSN 1432-0584 ; 0939-5555 ; 0945-8077
    ISSN (online) 1432-0584
    ISSN 0939-5555 ; 0945-8077
    DOI 10.1007/s00277-021-04492-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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