Tumor Lysis, Adverse Events, and Dose Adjustments in 297 Venetoclax-Treated CLL Patients in Routine Clinical Practice.

Author: AllanJohn N, BaileyNeil, BarrPaul M, BranderDanielle M, ChesonBruce D, CoombsCatherine C, DorseyColleen, EyreToby A, FoxChristopher P, GoyAndre, HillBrian T, JacobsRyan, KabelCharlene, KirkwoodAmy A, LamannaNicole, LansiganFrederick, MatoAnthony R, MorseHannah, MuralikrishnanSivraj, NabhanChadi, PagelJohn M, PearsonLaurie, RhodesJoanna, RoekerLindsey E, SchuhAnna, SchusterStephen J, ShadmanMazyar, ShahNirav N, SingaviArun K, SitlingerAndrea, SkarbnikAlan P, TuncerHande H, UjjaniChaitra S, WilliamsAnnalynn M, WinterAllison M, YazdyMaryam

Paper Details 
Original Abstract of the Article :
Clinical trials of venetoclax reported negligible rates of clinical tumor lysis syndrome (TLS) in patients with chronic lymphocytic leukemia (CLL) when using an extended dose escalation schedule. We aimed to understand TLS prophylaxis, rates of select adverse events (AE), and impact of dosing modifi...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/31004001

データ提供:米国国立医学図書館(NLM)

Understanding Tumor Lysis Syndrome in Venetoclax-Treated Patients with Chronic Lymphocytic Leukemia

Venetoclax is a promising new medication for the treatment of chronic lymphocytic leukemia (CLL). While clinical trials have shown that venetoclax is generally well-tolerated, it can cause a serious complication known as tumor lysis syndrome (TLS). TLS occurs when cancer cells are rapidly destroyed, releasing large amounts of waste products into the bloodstream. This can lead to kidney failure and other life-threatening complications.

This study investigated the incidence of TLS and other adverse events (AEs) in a large group of CLL patients treated with venetoclax in routine clinical practice. The study also examined the factors that may influence the development of TLS and the need for dose adjustments.

The study found that the incidence of TLS was lower in routine clinical practice than in clinical trials. However, the study also found that TLS and other AEs were still common. The researchers identified several factors that may increase the risk of TLS, such as high tumor burden and prior chemotherapy. The study also found that dose adjustments were often necessary to manage AEs and reduce the risk of TLS.

The Importance of Managing Tumor Lysis Syndrome

This research highlights the importance of carefully managing TLS in patients treated with venetoclax. Early identification and treatment of TLS can help to prevent serious complications and improve patient outcomes. Clinicians should be aware of the risk factors for TLS and take steps to minimize the risk of this potentially life-threatening complication.

Optimizing Treatment for Chronic Lymphocytic Leukemia

This study provides valuable information about the management of venetoclax therapy for CLL. By understanding the potential risks and benefits of this medication, clinicians can optimize treatment and minimize the risk of complications. This research underscores the need for continued monitoring and close collaboration between patients and their healthcare providers to ensure the best possible outcomes.

Dr.Camel's Conclusion

This research is like a guide through the desert of CLL treatment. By understanding the potential risks and benefits of venetoclax and its potential side effects, we can navigate this challenging landscape and help patients achieve the best possible outcomes. It's a reminder that we must always strive to provide the best possible care for our patients, just as a skilled desert explorer would use all available resources to ensure their survival and success.

Date :
  1. Date Completed 2020-09-22
  2. Date Revised 2021-04-06
Further Info :

Pubmed ID

31004001

DOI: Digital Object Identifier

NIHMS1527577

Related Literature

SNS
PICO Info
in preparation
Languages

English

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