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10.1182/blood-2013-07-513937

http://scihub22266oqcxt.onion/10.1182/blood-2013-07-513937
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suck abstract from ncbi


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pmid24345751
      Blood 2014 ; 123 (9 ): 1309-18
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  • Bosutinib safety and management of toxicity in leukemia patients with resistance or intolerance to imatinib and other tyrosine kinase inhibitors #MMPMID24345751
  • Kantarjian HM ; Cortes JE ; Kim DW ; Khoury HJ ; Brümmendorf TH ; Porkka K ; Martinelli G ; Durrant S ; Leip E ; Kelly V ; Turnbull K ; Besson N ; Gambacorti-Passerini C
  • Blood 2014[Feb]; 123 (9 ): 1309-18 PMID24345751 show ga
  • Bosutinib is an oral, dual SRC/ABL tyrosine kinase inhibitor (TKI) with clinical activity in Philadelphia chromosome-positive (Ph(+)) leukemia. We assessed the safety and tolerability of bosutinib 500 mg per day in a phase 1/2 study in chronic-phase (CP) chronic myeloid leukemia (CML) or advanced Ph(+) leukemia following resistance/intolerance to imatinib and possibly other TKIs. Patient cohorts included second-line CP CML (n = 286), third-/fourth-line CP CML (n = 118), and advanced leukemia (n = 166). Median bosutinib duration was 11.1 (range, 0.03-83.4) months. Treatment-emergent adverse events (TEAEs) in each cohort were primarily gastrointestinal (diarrhea [86%/83%/74%], nausea [46%/48%/48%], and vomiting [37%/38%/43%]). Diarrhea presented early, with few (8%) patients experiencing grade 3/4 events; dose reduction due to diarrhea occurred in 6% of affected patients. Grade 3/4 myelosuppression TEAEs were reported in 41% of patients; among affected patients, 46% were managed with bosutinib interruption and 32% with dose reduction. Alanine aminotransferase elevation TEAEs occurred in 17% of patients (grade 3/4, 7%); among patients managed with dose interruption, bosutinib rechallenge was successful in 74%. Bosutinib demonstrated acceptable safety with manageable toxicities in Ph(+) leukemia. This trial (NCT00261846) was registered at www.ClinicalTrials.gov (this manuscript is based on a different data snapshot from that in ClinicalTrials.gov).
  • |Adolescent [MESH]
  • |Adult [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Aniline Compounds/*adverse effects/*therapeutic use [MESH]
  • |Benzamides/*therapeutic use [MESH]
  • |Dose-Response Relationship, Drug [MESH]
  • |Drug Resistance, Neoplasm [MESH]
  • |Drug-Related Side Effects and Adverse Reactions/epidemiology/*therapy [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Imatinib Mesylate [MESH]
  • |Leukemia, Myelogenous, Chronic, BCR-ABL Positive/*drug therapy/epidemiology [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Nitriles/*adverse effects/*therapeutic use [MESH]
  • |Piperazines/*therapeutic use [MESH]
  • |Protein Kinase Inhibitors/*therapeutic use [MESH]
  • |Protein-Tyrosine Kinases/antagonists & inhibitors [MESH]
  • |Pyrimidines/*therapeutic use [MESH]
  • |Quinolines/*adverse effects/*therapeutic use [MESH]
  • |Withholding Treatment/statistics & numerical data [MESH]


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