Real-World Analysis of the Therapeutic Management and Disease Burden in Chronic Myeloid Leukemia Patients with Later Lines in Italy

• Published in: Journal of clinical medicine Vol. 11; no. 13; p. 3597
• Main Authors: Breccia, Massimo, Chiodi, Francesca, Nardozza, Aurelio Pio, Valsecchi, Diletta, Perrone, Valentina, Sangiorgi, Diego, Giacomini, Elisa, Rendace, Maria Chiara, Coco, Paola, Premoli, Eleonora, Degli Esposti, Luca
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 22-06-2022; MDPI
• Subjects: Age; Binding sites; Chromosomes; Clinical medicine; Diagnosis related groups; Disease; DRGs; Drug dosages; Hospitalization; Hospitals; Laboratories; Leukemia; Patients; Privacy; Italy; tyrosine kinase inhibitors; CML; second line TKI; oncology clinical practice; real-life
• ISSN: 2077-0383; 2077-0383
• DOI: 10.3390/jcm11133597

Real world data are becoming a crucial tool to understand how cancer is treated in routine daily practice. This real-world analysis aims to describe the characteristics of patients with CML in 2nd or ≥3rd tyrosine kinase inhibitors (TKI) lines of therapy, to evaluate their treatment sequence and utilization in settings of Italian clinical practice in Italy. A retrospective analysis was performed using an administrative databases covering around 15.3 million cases. All adult patients prescribed with TKI as 2nd or ≥3rd lines (L) of therapy for CML during January 2015-December 2018 were included. A total of 491 patients in 2nd and 144 in ≥3rd L was included. In both cohorts, hypertension was the most reported comorbidity, followed by metabolic and blood count alterations. In each calendar inclusion year, an increment of 97.6% was observed in the number of patients treated in ≥3rd L. In the 2nd L cohort, 18.7% had a switch to 3rd L, while 26.4% of ≥3rd L patients switched to a subsequent line. Around 40% in both lines discontinued their treatment after a median time of 5.5 (2nd L) and 4.3 (≥3rd L) years. The results provided insights into CML management clinical practice, indicating a heavy disease burden for patients in later lines that showed an increasing complex management, and suggest that a need for novel treatment strategies might exists.