A retrospective evaluation of chronic myeloid leukemia patients treated with imatinib

Ümit Çavdar; Fatma Keklik Karadağ; Fahri Şahin; Güray Saydam

doi:10.19161/etd.1636000

TR EN

İmatinib ile tedavi edilen kronik myeloid lösemi hastalarının retrospektif değerlendirilmesi

Öz

Amaç: Ege Üniversitesi Hematoloji kliniğinde imatinib ile tedavi edilen kronik miyeloid lösemi hastalarının 8 yıllık klinik sonuçlarını değerlendirmektir. Gereç ve Yöntemler: Bu gözlemsel retrospektif çalışmaya, imatinib ile tedavi edilen 18 yaş üstü 72 kronik faz KML hastası dahil edildi. Blastik veya akselere fazdaki hastalar dışlandı. Klinik, sosyo-demografik ve laboratuvar verileri hasta dosyalarından elde edildi. Tanıdan itibaren 6 ay içinde imatinib ile tedavi edilenler ‘erken kronik faz’ ve en az 6 ay ve sonrasında imatinib tedavisine başlananlar ‘geç kronik faz’ olarak tanımlandı. İmatinib tedavisinin 3., 6., 12. ve 18. aylarındaki hematolojik, moleküler ve sitogenetik yanıtlar kaydedildi. Veri analizi SPSS sürüm 16.0 kullanılarak yapıldı. Bulgular: İmatinib ile 3. ayda hematolojik yanıt %80,5 iken, sonraki aylarda %94,7'ye yükseldi. Hastaların %80'inde 12 ay içinde tam sitogenetik remisyon (CCyR) sağlandı. Genel yanıt oranı %83,3'tü ve medyan takip süresi 10 yıldı. Olumsuz olayların görülme sıklığı %30,5'ti ve çoğunlukla ödem ve cilt değişiklikleri gibi hematolojik olmayan toksisiteleri içeriyordu. Olumsuz olaylara rağmen imatinib, ikinci nesil tirozin kinaz inhibitörlerine kıyasla önemli klinik faydalar gösterdi. Sonuç: Çalışmamızın tasarlanmasının üzerinden on yıldan fazla zaman geçmesine rağmen imatinib kronik miyeloid lösemi (KML) tedavisinde temel bir rol oynamaya devam etmektedir. İmatinib, yüksek yanıt oranları, maliyet etkinliği ve yönetilebilir toksisiteleri ile KML için hala etkili bir birinci basamak tedavidir.

Anahtar Kelimeler

A retrospective evaluation of chronic myeloid leukemia patients treated with imatinib

Abstract

Aim: The study aimed to evaluate the clinical outcomes of chronic myeloid leukemia (CML) patients treated with imatinib at Ege University Department of Hematology over an eight-year period. Material and Methods: This observational retrospective study included 72 chronic phase CML patients aged over 18 years, treated with imatinib. Patients in the blastic or accelerated phases were excluded. Clinical, socio-demographic, and laboratory data were collected from the patient files. Patients were divided as early chronic phase (treated with imatinib within 6 months of diagnosis) and late chronic phase (started imatinib therapy at least 6 months after diagnosis). Hematologic, molecular, and cytogenetic responses at 3, 6, 12, and 18 months of imatinib therapy were recorded. Data analysis was performed using SPSS version 16.0. Results: Hematologic response at 3 months with imatinib was 80.5%, increasing to 94.7% at following months. Complete cytogenetic remission (CCyR) was achieved in 80% of patients within the 12 months. Overall response rate was 83.3% with a median follow-up of 10 years. The incidence of adverse events was 30.5%, compromising mostly non-hematologic toxicities such as edema and skin changes. Despite the adverse events, imatinib demonstrated significant clinical benefits comparable to second-generation tyrosine kinase inhibitors (TKIs). Conclusion: Over a decade has passed since our study was designed, yet imatinib continues to be a cornerstone in the treatment of chronic myeloid leukemia (CML). Imatinib is still an effective frontline therapy for CML, with high response rates, cost-effectivity and manageable toxicities.

Keywords

Kaynakça

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Ayrıntılar

Birincil Dil

İngilizce

Konular

Hematolojik Tümörler

Bölüm

Araştırma Makalesi

Yazarlar

Ümit Çavdar ^*
0000-0001-5631-3805
Türkiye

Fatma Keklik Karadağ
0000-0001-6078-5944
Türkiye

Fahri Şahin
0000-0001-9315-8891
Türkiye

Güray Saydam
0000-0001-8646-1673
Türkiye

Yayımlanma Tarihi

8 Eylül 2025

Gönderilme Tarihi

12 Şubat 2025

Kabul Tarihi

25 Nisan 2025

Yayımlandığı Sayı

Yıl 2025 Cilt: 64 Sayı: 3

DOI

https://doi.org/10.19161/etd.1636000

IZ

https://izlik.org/JA74HA88HY

Kaynak Göster

RIS / Bibtex

Vancouver

1.Ümit Çavdar, Fatma Keklik Karadağ, Fahri Şahin, Güray Saydam. A retrospective evaluation of chronic myeloid leukemia patients treated with imatinib. ETD. 01 Eylül 2025;64(3):438-43. doi:10.19161/etd.1636000