J 2024

Why are not all eligible chronic myeloid leukemia patients willing to attempt tyrosine kinase inhibitor discontinuation? A Czech nationwide analysis related to the TKI stopping trial HALF

ŽÁČKOVÁ, Daniela, Lukáš SEMERÁD, Edgar FABER, Hana KLAMOVÁ, Lukáš STEJSKAL et. al.

Basic information

Original name

Why are not all eligible chronic myeloid leukemia patients willing to attempt tyrosine kinase inhibitor discontinuation? A Czech nationwide analysis related to the TKI stopping trial HALF

Authors

ŽÁČKOVÁ, Daniela, Lukáš SEMERÁD, Edgar FABER, Hana KLAMOVÁ, Lukáš STEJSKAL, Petra BĚLOHLÁVKOVÁ, Michal KARAS, Eduard CMUNT, Olga ČERNÁ, Jiřina PROCHÁZKOVÁ, Petra ČIČÁTKOVÁ, Anežka KVETKOVÁ, Tomáš HORŇÁK, Ivana SKOUMALOVÁ, Dana SRBOVÁ, Cyril ŠÁLEK, David BUFFA, Jaroslava VOGLOVÁ, Tomáš JURČEK, Adam FOLTA, Ivana JEŽÍŠKOVÁ, Hana ŽIŽKOVÁ, Kateřina MACHOVÁ POLÁKOVÁ, Tomáš PAPAJÍK, Pavel ŽÁK, Pavel JINDRA, Adam SVOBODNÍK, Radka ŠTĚPÁNOVÁ and Jiří MAYER

Edition

Leukemia, London, Nature Publishing Group, 2024, 0887-6924

Other information

Language

English

Type of outcome

Article in a journal

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

is not subject to a state or trade secret

References:

URL

Organization

Lékařská fakulta – Repository – Repository

DOI

http://dx.doi.org/10.1038/s41375-024-02215-9

UT WoS

001183688000001

Keywords in English

chronic myeloid leukemia; tyrosine kinase inhibitor

Links

LX22NPO5102, research and development project. NU22-03-00136, research and development project. CZECRIN IV, large research infrastructures.
Changed: 30/1/2025 00:50, RNDr. Daniel Jakubík

Abstract

V originále

Tyrosine kinase inhibitor (TKI) therapy discontinuation with the aim of achieving treatment-free remission (TFR) is becoming more frequent, as an increasing number of chronic myeloid leukemia (CML) patients are achieving stable deep molecular response (DMR; i.e. BCR::ABL1 transcript level ≤0.01% on the International Scale); however, many challenges remain unresolved. Among others, a nonnegligible proportion of patients reported fear, anxiety, or depression both during TFR and when they had to reinitiate TKI therapy. Similar negative feelings are frequently mentioned in the context of the decision to not stop TKI treatment; furthermore, a considerable proportion of patients (17–50%) have been reported to be unwilling to attempt TFR. However, little is known about how many truly eligible patients are unwilling to attempt TFR, the reasons for their decision and what factors are associated with their unwillingness to discontinue long-term therapy since the reports mentioned above have substantial limitations. The surveys were often conducted in a limited number of centres, focused on patients who are able to use internet tools, focused on more educated patients who are connected to patient supportive organisations, and usually not specifically focused on patients who fulfilled the criteria for TKI discontinuation.
Displayed: 14/5/2025 09:21