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  1. Article ; Online: Is the overall survival for older adults with AML finally improving?

    Lancet, Jeffrey E

    Best practice & research. Clinical haematology

    2018  Volume 31, Issue 4, Page(s) 387–390

    Abstract: Older adults with acute myeloid leukemia (AML) traditionally have very poor survival outcomes. Those who receive only supportive care have worse overall survival than those who undergo treatment, regardless of treatment type, and improvements in overall ... ...

    Abstract Older adults with acute myeloid leukemia (AML) traditionally have very poor survival outcomes. Those who receive only supportive care have worse overall survival than those who undergo treatment, regardless of treatment type, and improvements in overall survival in the last several decades are largely attributable to the increasing decision to treat rather than offer only supportive care. However, there are a few newer agents that appear promising; these include CPX-351 (a liposomal product with cytarabine and daunorubicin), glasdegib (a selective Hedgehog signaling pathway inhibitor), and venetoclax (potent small molecule inhibitor of BCL2). A systematic review and meta-analysis is being completed to help clinicians optimize standard therapies for older AML patients.
    MeSH term(s) Adult ; Aged ; Antineoplastic Combined Chemotherapy Protocols/adverse effects ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Bridged Bicyclo Compounds, Heterocyclic/adverse effects ; Bridged Bicyclo Compounds, Heterocyclic/therapeutic use ; Cytarabine/adverse effects ; Cytarabine/therapeutic use ; Daunorubicin/adverse effects ; Daunorubicin/therapeutic use ; Disease-Free Survival ; Humans ; Leukemia, Myeloid, Acute/drug therapy ; Leukemia, Myeloid, Acute/mortality ; Sulfonamides/adverse effects ; Sulfonamides/therapeutic use ; Survival Rate
    Chemical Substances Bridged Bicyclo Compounds, Heterocyclic ; CPX-351 ; Sulfonamides ; Cytarabine (04079A1RDZ) ; venetoclax (N54AIC43PW) ; Daunorubicin (ZS7284E0ZP)
    Language English
    Publishing date 2018-09-20
    Publishing country Netherlands
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2048027-1
    ISSN 1532-1924 ; 1521-6926
    ISSN (online) 1532-1924
    ISSN 1521-6926
    DOI 10.1016/j.beha.2018.09.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Integrative molecular subtypes of acute myeloid leukemia.

    Mo, Qianxing / Yun, Seongseok / Sallman, David A / Vincelette, Nicole D / Peng, Guang / Zhang, Ling / Lancet, Jeffrey E / Padron, Eric

    Blood cancer journal

    2023  Volume 13, Issue 1, Page(s) 71

    MeSH term(s) Humans ; Leukemia, Myeloid, Acute/genetics ; Nucleophosmin
    Chemical Substances Nucleophosmin (117896-08-9)
    Language English
    Publishing date 2023-05-08
    Publishing country United States
    Document type Letter ; Research Support, N.I.H., Extramural ; 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/s41408-023-00836-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: FLT3 inhibitors for acute myeloid leukemia.

    Lancet, Jeffrey E

    Clinical advances in hematology & oncology : H&O

    2015  Volume 13, Issue 9, Page(s) 573–575

    MeSH term(s) Antineoplastic Agents/pharmacology ; Antineoplastic Agents/therapeutic use ; Clinical Trials as Topic ; Drug Discovery ; Humans ; Leukemia, Myeloid, Acute/drug therapy ; Leukemia, Myeloid, Acute/genetics ; Leukemia, Myeloid, Acute/metabolism ; Mutation ; Protein Kinase Inhibitors/pharmacology ; Protein Kinase Inhibitors/therapeutic use ; Treatment Outcome ; fms-Like Tyrosine Kinase 3/antagonists & inhibitors ; fms-Like Tyrosine Kinase 3/genetics ; fms-Like Tyrosine Kinase 3/metabolism
    Chemical Substances Antineoplastic Agents ; Protein Kinase Inhibitors ; fms-Like Tyrosine Kinase 3 (EC 2.7.10.1)
    Language English
    Publishing date 2015-09
    Publishing country United States
    Document type Interview
    ZDB-ID 2271951-9
    ISSN 1543-0790
    ISSN 1543-0790
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Efficacy and safety of CPX-351 versus 7 + 3 chemotherapy by European LeukemiaNet 2017 risk subgroups in older adults with newly diagnosed, high-risk/secondary AML: post hoc analysis of a randomized, phase 3 trial.

    Cortes, Jorge E / Lin, Tara L / Asubonteng, Kobby / Faderl, Stefan / Lancet, Jeffrey E / Prebet, Thomas

    Journal of hematology & oncology

    2022  Volume 15, Issue 1, Page(s) 155

    Abstract: CPX-351 (Europe: ... ...

    Abstract CPX-351 (Europe: Vyxeos
    MeSH term(s) Aged ; Humans ; Antineoplastic Combined Chemotherapy Protocols/adverse effects ; Cytarabine/adverse effects ; Daunorubicin/adverse effects ; Leukemia, Myeloid, Acute ; Neoplasms, Second Primary/drug therapy
    Chemical Substances CPX-351 ; Cytarabine (04079A1RDZ) ; Daunorubicin (ZS7284E0ZP)
    Language English
    Publishing date 2022-10-26
    Publishing country England
    Document type Clinical Trial, Phase III ; Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 2429631-4
    ISSN 1756-8722 ; 1756-8722
    ISSN (online) 1756-8722
    ISSN 1756-8722
    DOI 10.1186/s13045-022-01361-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Triple-Negative Myelofibrosis: Disease Features, Response to Treatment and Outcomes.

    Aguirre, Luis E / Jain, Akriti / Ball, Somedeb / Ali, Najla Al / Volpe, Virginia O / Tinsley-Vance, Sara / Sallman, David / Sweet, Kendra / Lancet, Jeffrey / Padron, Eric / Yun, Seongseok / Kuykendall, Andrew / Komrokji, Rami

    Clinical lymphoma, myeloma & leukemia

    2024  

    Abstract: Background: Myelofibrosis is the most aggressive subtype among classical BCR::ABL1 negative myeloproliferative neoplasms. About 90% of cases are driven by constitutive activation of 1 of 3 genes impacting the JAK/STAT pathway: JAK2, CALR, and MPL. ... ...

    Abstract Background: Myelofibrosis is the most aggressive subtype among classical BCR::ABL1 negative myeloproliferative neoplasms. About 90% of cases are driven by constitutive activation of 1 of 3 genes impacting the JAK/STAT pathway: JAK2, CALR, and MPL. Triple-negative myelofibrosis (TN-MF) accounts for only 5%-10% of cases and carries the worst outcomes. Little has been described about this subset of disease. Given the marked heterogeneity surrounding disease biology, clonal architecture, clinical presentation, and poor outcomes in TN-MF, identification of features of interest and assessment of treatment response are areas in need of further investigation.
    Patients and methods: We collected and evaluated baseline clinical and molecular parameters from 626 patients with a diagnosis of myelofibrosis who presented to the H. Lee Moffitt Cancer Center in Tampa (Florida, US) between 2003 and 2021 and compared them based on presence or absence of the three classical phenotypic driver mutations.
    Results: A small proportion of patients (6%) harbored TN-MF which correlated with inferior outcomes, marked by a 4-year reduction in overall survival time compared to the non-TN cohort (mOS 37.4 months vs. 85.7 months; P = .009) and higher rates of leukemic transformation. More pronounced thrombocytopenia and anemia, lower LDH, EPO levels, as well as lower percentage of marrow blasts at baseline were more commonly seen in TN-MF (P < .05). Similarly, patients with TN-MF had higher risk disease per DIPSS+ and GIPSS. Mutations impacting RNA splicing, epigenetic modification and signaling, specifically SRSF2, SETBP1, IDH2, CBL, and GNAS, were more commonly seen among those lacking a classical phenotypic driver. The prevalence of co-mutant ASXL1/SRSF2 clones was significantly higher in TN-MF as was trisomy 8. TN patients had fewer responses (46.2% vs. 63.4%) and shorter duration of response to ruxolitinib.
    Conclusion: TN-MF is invariably associated with significantly decreased survival and more aggressive clinical behavior with higher rates of leukemic transformation and shorter duration of response to ruxolitinib. Mutations impacting RNA splicing, epigenetic modification and signaling (SRSF2, SETBP1, IDH2, CBL, and GNAS) are more common in TN-MF, which likely drive its aggressive course and may account for suboptimal responses to JAK inhibition.
    Language English
    Publishing date 2024-03-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2540992-X
    ISSN 2152-2669 ; 2152-2650
    ISSN (online) 2152-2669
    ISSN 2152-2650
    DOI 10.1016/j.clml.2024.03.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Postremission therapy in acute promyelocytic leukemia: room for improvement?

    Lancet, Jeffrey E

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

    2014  Volume 32, Issue 33, Page(s) 3692–3696

    Abstract: A 29-year-old white man presented to the hospital with a 3-week history of fatigue, generalized weakness, gingival swelling and bleeding, and headaches. Laboratory work revealed WBC 30.4 k/μL, hemoglobin 7.9 g/dL, and platelets 16 k/μL. The WBC ... ...

    Abstract A 29-year-old white man presented to the hospital with a 3-week history of fatigue, generalized weakness, gingival swelling and bleeding, and headaches. Laboratory work revealed WBC 30.4 k/μL, hemoglobin 7.9 g/dL, and platelets 16 k/μL. The WBC differential showed 64% blasts and 24% promyelocytes. Coagulation studies revealed prothrombin time (PT) 13.5 seconds, internationalized normalized ratio (INR) 1.3, fibrinogen 199 mg/dL, D-dimer greater than 1.0 μg/mL, and fibrin split products greater than 40 μg/mL. A bone-marrow aspirate with biopsy was performed, yielding the diagnosis of acute promyelocytic leukemia (APL), with t(15;17)(q23;q21.1) in all metaphases. Induction therapy commenced with daunorubicin, cytarabine (Ara-C), and all-trans retinoic acid (ATRA), and complete remission was documented 5 weeks later. PML-RARA fusion transcripts were still detected by reverse transcription polymerase chain reaction. He is now referred to you for consideration of postremission therapy in the setting of high-risk acute promyelocytic leukemia in first remission.
    MeSH term(s) Antineoplastic Agents/adverse effects ; Arsenicals/adverse effects ; Electrocardiography/drug effects ; Female ; Humans ; Male ; Oxides/adverse effects
    Chemical Substances Antineoplastic Agents ; Arsenicals ; Oxides ; arsenic trioxide (S7V92P67HO)
    Language English
    Publishing date 2014-11-20
    Publishing country United States
    Document type Comment ; Journal Article
    ZDB-ID 604914-x
    ISSN 1527-7755 ; 0732-183X
    ISSN (online) 1527-7755
    ISSN 0732-183X
    DOI 10.1200/JCO.2014.56.5549
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: CPX-351: changing the landscape of treatment for patients with secondary acute myeloid leukemia.

    Talati, Chetasi / Lancet, Jeffrey E

    Future oncology (London, England)

    2018  Volume 14, Issue 12, Page(s) 1147–1154

    Abstract: Multiple novel therapeutic agents against acute myeloid leukemia (AML) have been evaluated in the past several decades without meaningful clinical improvement in outcomes, especially for AML patients age ≥60, where the overall incidence of AML is highest. ...

    Abstract Multiple novel therapeutic agents against acute myeloid leukemia (AML) have been evaluated in the past several decades without meaningful clinical improvement in outcomes, especially for AML patients age ≥60, where the overall incidence of AML is highest. Therapeutic options mainly consist of hypomethylating agents, ongoing clinical trials and, less commonly, intensive cytotoxic chemotherapy. CPX-351, a novel liposomal formulation which encapsulates cytarabine and daunorubicin in 5:1 molar ratio, has shown promising efficacy, leading to recent US FDA approval for front-line therapy for patients with therapy-related AML and AML with myelodysplasia-related changes based on a large multicenter Phase III clinical trial. This review summarizes the clinical development of CPX-351 as induction therapy.
    MeSH term(s) Antineoplastic Combined Chemotherapy Protocols/pharmacology ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Clinical Trials as Topic ; Cytarabine/pharmacology ; Cytarabine/therapeutic use ; Daunorubicin/pharmacology ; Daunorubicin/therapeutic use ; Drug Carriers/therapeutic use ; Drug Synergism ; Humans ; Leukemia, Myeloid, Acute/drug therapy ; Leukemia, Myeloid, Acute/etiology ; Leukemia, Myeloid, Acute/mortality ; Liposomes ; Prognosis ; Survival Rate ; Treatment Outcome
    Chemical Substances Drug Carriers ; Liposomes ; Cytarabine (04079A1RDZ) ; Daunorubicin (ZS7284E0ZP)
    Language English
    Publishing date 2018-01-30
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2184533-5
    ISSN 1744-8301 ; 1479-6694
    ISSN (online) 1744-8301
    ISSN 1479-6694
    DOI 10.2217/fon-2017-0603
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Patterns of lower risk myelodysplastic syndrome progression: factors predicting progression to high-risk myelodysplastic syndrome and acute myeloid leukemia.

    Jain, Akriti G / Ball, Somedeb / Aguirre, Luis / Al Ali, Najla / Kaldas, David / Tinsley-Vance, Sara / Kuykendall, Andrew / Chan, Onyee / Sweet, Kendra / Lancet, Jeffrey E / Padron, Eric / Sallman, David A / Komrokji, Rami

    Haematologica

    2024  

    Abstract: The patterns of low risk myelodysplastic syndrome (MDS) progression, and the clinical and molecular features of those patterns are not well described. We divided our low risk (LR) MDS patients (n=1914) into 4 cohorts: 1) Patients who remained LR-MDS (LR- ... ...

    Abstract The patterns of low risk myelodysplastic syndrome (MDS) progression, and the clinical and molecular features of those patterns are not well described. We divided our low risk (LR) MDS patients (n=1914) into 4 cohorts: 1) Patients who remained LR-MDS (LR-LR; n=1300; 68%), 2) Patients who progressed from LR to HR MDS (LR-HR) without AML transformation (n=317; 16.5%), 3) Patients who progressed from LR to HR MDS and then AML (LR-HR-AML; n=124; 6.5%), 4) Patients who progressed from LR MDS to AML directly (LR-AML; n=173; 9%). Risk factors for progression included male gender, low absolute neutrophil count (ANC), low platelet count, high bone marrow (BM) blasts, ferritin >1000 mcg/L, albumin.
    Language English
    Publishing date 2024-02-01
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2333-4
    ISSN 1592-8721 ; 0017-6567 ; 0390-6078
    ISSN (online) 1592-8721
    ISSN 0017-6567 ; 0390-6078
    DOI 10.3324/haematol.2023.283661
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Incidence of pleural effusion with dasatinib and the effect of switching therapy to a different TKI in patients with chronic phase CML.

    Jain, Akriti G / Gesiotto, Quinto / Ball, Somedeb / Nodzon, Lisa / Rodriguez, Amanda / Chan, Onyee / Padron, Eric / Kuykendall, Andrew / Komrokji, Rami / Sallman, David A / Lancet, Jeffrey E / Pinilla-Ibarz, Javier / Sweet, Kendra

    Annals of hematology

    2024  

    Abstract: Dasatinib is one of the second generation tyrosine kinase inhibitors (TKI) which is approved for the treatment of patients with chronic phase CML (CP-CML) both in the front line and in the second line setting. Pleural effusion (PE) is a unique toxicity ... ...

    Abstract Dasatinib is one of the second generation tyrosine kinase inhibitors (TKI) which is approved for the treatment of patients with chronic phase CML (CP-CML) both in the front line and in the second line setting. Pleural effusion (PE) is a unique toxicity associated with dasatinib use. Our aim was to study the incidence of pleural effusion in our cohort of patients who were treated with dasatinib for CP-CML and the safety upon TKI switch. A total of 390 patients were treated with dasatinib during their course of treatment for CP-CML. A total of 69 patients (17.6%) developed any grade of PE. About 33 (48%) patients developed CTCAE grade 2 PE, 34 (49%) grade 3 and only 1 patient developed grade 4 PE. Recurrence of PE was observed in 34 (49%) patients. While only 12 patients (17.3%) continued using dasatinib after development of PE, dasatinib was discontinued in the other 57 patients. Therapy was switched to bosutinib in 13 patients out of which 6 (46%) patients re-developed PE. While only 12.5% patients developed re-accumulation of pleural fluid in patients switched to imatinib, none of the patients switched to nilotinib re-developed PE. A change in TKI to bosutinib was associated with a 46% risk of recurrence of PE in patients who develop PE on dasatinib for the treatment of CP-CML. The incidence of recurrent PE was markedly lower in patient switched to imatinib or nilotinib.
    Language English
    Publishing date 2024-04-18
    Publishing country Germany
    Document type 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/s00277-024-05760-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: New agents: great expectations not realized.

    Lancet, Jeffrey E

    Best practice & research. Clinical haematology

    2013  Volume 26, Issue 3, Page(s) 269–274

    Abstract: A number of new agents in acute myeloid leukemia (AML) have held much promise in recent years, but most have failed to change the therapeutic landscape. Indeed, with the exception of gemtuzumab ozogamicin (which was subsequently voluntarily withdrawn ... ...

    Abstract A number of new agents in acute myeloid leukemia (AML) have held much promise in recent years, but most have failed to change the therapeutic landscape. Indeed, with the exception of gemtuzumab ozogamicin (which was subsequently voluntarily withdrawn from the commercial market), no new agent has been approved for acute myeloid leukemia (AML) beyond the 7 + 3 regimen, which was has been in use for over 40 years. This review touches upon the potential reasons for these failures and explores the newer therapeutic approaches being pursued in AML.
    MeSH term(s) Aminoglycosides/therapeutic use ; Antibodies, Monoclonal, Humanized/therapeutic use ; Antineoplastic Agents/therapeutic use ; Arabinonucleosides/therapeutic use ; Benzothiazoles/therapeutic use ; Cytosine/analogs & derivatives ; Cytosine/therapeutic use ; Humans ; Hydroxamic Acids/therapeutic use ; Leukemia, Myeloid, Acute/diagnosis ; Leukemia, Myeloid, Acute/drug therapy ; Leukemia, Myeloid, Acute/immunology ; Leukemia, Myeloid, Acute/mortality ; Naphthyridines/therapeutic use ; Phenylurea Compounds/therapeutic use ; Prognosis ; Randomized Controlled Trials as Topic ; Recurrence ; Remission Induction ; Staurosporine/analogs & derivatives ; Staurosporine/therapeutic use ; Survival Analysis ; Thiazoles/therapeutic use ; Treatment Failure
    Chemical Substances Aminoglycosides ; Antibodies, Monoclonal, Humanized ; Antineoplastic Agents ; Arabinonucleosides ; Benzothiazoles ; Hydroxamic Acids ; Naphthyridines ; Phenylurea Compounds ; Thiazoles ; vorinostat (58IFB293JI) ; quizartinib (7LA4O6Q0D3) ; Cytosine (8J337D1HZY) ; gemtuzumab (93NS566KF7) ; Staurosporine (H88EPA0A3N) ; midostaurin (ID912S5VON) ; vosaroxin (K6A90IIZ19) ; sapacitabine (W335P73C3L)
    Language English
    Publishing date 2013-09
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 2048027-1
    ISSN 1532-1924 ; 1521-6926
    ISSN (online) 1532-1924
    ISSN 1521-6926
    DOI 10.1016/j.beha.2013.10.007
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