伊沃西地尼与其他治疗方法对新诊断急性髓系白血病的间接治疗比较。

IF 3 4区 医学 Q2 ONCOLOGY
Manuel David Gil-Sierra, Theo Mantopoulos, Ifigeneia Barouma, Ole Hauch, Zhaoyang Teng, Cedric Fernandez, Sean Corbet, Max Schlueter
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引用次数: 0

摘要

目的:评价ivosidenib +阿扎胞苷与其他治疗(venetoclax、glasdegib、阿扎胞苷、地西他滨和低剂量阿糖胞苷[LDAC])治疗新诊断的idh1突变(mIDH1)急性髓系白血病(AML)患者不适合强化诱导化疗的相对疗效。方法:进行系统的文献回顾(SLR),从评估治疗在感兴趣人群中的临床疗效的研究中确定证据。使用网络荟萃分析(NMA)对总生存期(OS)和无事件生存期(EFS)估计ivosidenib +阿扎胞苷的相对疗效。此外,对OS与venetoclax + azacitidine进行锚定匹配调整间接比较(MAIC),以解释种群失衡。结果:经过SLR和可行性评估,6项研究被认为符合纳入NMA的条件。NMA纳入了相关研究中确定的所有人群类型(包括携带和不携带mIDH1的患者),并确定ivosidenib +阿扎胞苷为效果最好的治疗方案。MAIC显示,与venetoclax +阿扎胞苷相比,ivosidenib +阿扎胞苷具有数值上有利的OS。结论:NMA和MAIC方法均产生一致的结果,表明ivosidenib +阿扎胞苷治疗新诊断的IDH1m AML优于其他治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Indirect treatment comparison of ivosidenib and other therapies in patients with newly diagnosed acute myeloid leukemia.

Aim: To assess the relative efficacy of ivosidenib + azacitidine versus other therapies (venetoclax, glasdegib, azacitidine, decitabine and low-dose cytarabine [LDAC]) for the treatment of patients with newly diagnosed IDH1-mutated (mIDH1) acute myeloid leukemia (AML) ineligible for intensive induction chemotherapy.

Methods: A systematic literature review (SLR) was conducted to identify evidence from studies assessing the clinical efficacy of therapies in the population of interest. The relative efficacy of ivosidenib + azacitidine was estimated using a network meta-analysis (NMA) for overall survival (OS) and event-free survival (EFS). In addition, an anchored matching-adjusted indirect comparison (MAIC) of OS was conducted against venetoclax + azacitidine to account for population imbalances.

Results: Following the SLR and feasibility assessment, six studies were considered eligible for inclusion in the NMA. The NMA included all population types identified in the relevant studies (including patients with and without mIDH1) and determined ivosidenib + azacitidine as the treatment with the greatest effect. The MAIC showed that ivosidenib + azacitidine was associated with numerically favorable OS compared to venetoclax + azacitidine.

Conclusion: Both NMA and MAIC methods generated consistent results, demonstrating a benefit of ivosidenib + azacitidine versus other therapies for the treatment of newly diagnosed IDH1m AML.

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来源期刊
Future oncology
Future oncology ONCOLOGY-
CiteScore
5.40
自引率
3.00%
发文量
335
审稿时长
4-8 weeks
期刊介绍: Future Oncology (ISSN 1479-6694) provides a forum for a new era of cancer care. The journal focuses on the most important advances and highlights their relevance in the clinical setting. Furthermore, Future Oncology delivers essential information in concise, at-a-glance article formats - vital in delivering information to an increasingly time-constrained community. The journal takes a forward-looking stance toward the scientific and clinical issues, together with the economic and policy issues that confront us in this new era of cancer care. The journal includes literature awareness such as the latest developments in radiotherapy and immunotherapy, concise commentary and analysis, and full review articles all of which provide key findings, translational to the clinical setting.
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