Imatinib Testmiljö
Imatinib
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Glivec, Imatinib Accord, Imatinib Actavis Group, Imatinib Cipla, Imati......
Glivec, Imatinib Accord, Imatinib Actavis Group, Imatinib Cipla, Imatinib Fresenius Kabi, Imatinib Grindeks, Imatinib Krka d.d., Imatinib STADA, Imatinib Sandoz, Imatinib Teva, Imatinib Viatris, Imatinib ZentivaATC-koder
L01EA01
L01EA01Substanser
imatinib, imatinibmesilat
imatinib, imatinibmesilatSammanfattning
Kvinnligt kön är korrelerat med bättre utfall av cancersjukdomar som behandlas med imatinib. Biverkningar är vanligare bland kvinnor, men en studie rapporterade högre risk för nedsatt njurfunktion hos män. Imatinib ska undvikas till flickor och kvinnor som kan tänkas bli gravida om inte en effektiv preventivmetod används. Användning av imatinib under graviditet kan orsaka fosterskador.
Kvinnligt kön är korrelerat med bättre utfall av cancersjukdomar som behandlas med imatinib. Biverkningar är vanligare bland kvinnor, men en studie rapporterade högre risk för nedsatt njurfunktion hos män. Imatinib ska undvikas till flickor och kvinnor som kan tänkas bli gravida om inte en effektiv preventivmetod används. Användning av imatinib under graviditet kan orsaka fosterskador.Background
Differences in sex-specific incidence (higher in men) and prognosis (better in women) have been recognized for both chronic myeloid leukemia (CML) [1, 2] and gastrointestinal stromal tumor (GIST) [3, 4]. Visa hela bakgrundstexten
Pharmacokinetics and dosing
No sex differences on imatinib pharmacokinetics have been observed [5]. Imatinib pharmacokinetics in men (n=83) and women (n=64) with GIST were comparable [5].
Effects
Chronic myeloid leukemia (CML)
A retrospective cohort study on 90 men and 76 women who had been treated with imatinib for CML revealed that the patient’s sex was associated with molecular response in favor of women. Men had a lower major molecular response (MMR) rate than women (63% vs. 82%) and a shorter time to relapse (median 354 days vs. 675 days) [6]. The relationship between factors including the patient’s sex on molecular response to imatinib in CML patients (142 men, 93 women) indicated a better response in women. MMR was achieved in 77% of the women, and 55 % of men [7].
De novo imatinib-treated CML patients (240 men, 183 women) were examined after 8 years treatment. Higher......
Försäljning på recept
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Fler män än kvinnor hämtade ut läkemedel innehållande imatinib (ATC-kod L01EA01) på recept år 2021, totalt 807 män och 630 kvinnor [15].
Referenser
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Berger U, Maywald O, Pfirrmann M, Lahaye T, Hochhaus A, Reiter A et al. Gender aspects in chronic myeloid leukemia: long-term results from randomized studies. Leukemia. 2005;19(6):984-9.
Mandal R, Bolt DM, Shah BK. Disparities in chronic myeloid leukemia survival by age, gender, and ethnicity in pre- and post-imatinib eras in the US. Acta Oncol. 2013;52(4):837-41.
Chiang NJ, Chen LT, Tsai CR, Chang JS. The epidemiology of gastrointestinal stromal tumors in Taiwan, 1998-2008: a nation-wide cancer registry-based study. BMC Cancer. 2014;14:102.
van der Graaf WTA, Tielen R, Bonenkamp JJ, Lemmens V, Verhoeven RHA, de Wilt JHW. Nationwide trends in the incidence and outcome of patients with gastrointestinal stromal tumour in the imatinib era. Br J Surg. 2018;105(8):1020-1027.
Dagher R, Cohen M, Williams G, Rothmann M, Gobburu J, Robbie G et al. Approval summary: imatinib mesylate in the treatment of metastatic and/or unresectable malignant gastrointestinal stromal tumors. Clin Cancer Res. 2002;8(10):3034-8.
Lin HX, Sjaarda J, Dyck J, Stringer R, Hillis C, Harvey M et al. Gender and BCR-ABL transcript type are correlated with molecular response to imatinib treatment in patients with chronic myeloid leukemia. Eur J Haematol. 2016;96(4):360-6.
Vasconcelos FC, Bonecker ST, de Souza PS, Scheiner MAM, Amaral N, Zalcberg I et al. Age, gender and efflux transporter activity influence imatinib efficacy in chronic myeloid leukemia patients. Leuk Res. 2019;82:33-35.
Branford S, Yeung DT, Ross DM, Prime JA, Field CR, Altamura HK et al. Early molecular response and female sex strongly predict stable undetectable BCR-ABL1, the criteria for imatinib discontinuation in patients with CML. Blood. 2013;121(19):3818-24.
Breccia M, Colafigli G, Molica M, De Angelis F, Quattrocchi L, Latagliata R et al. Sex correlates with differences in long-term outcome in chronic myeloid leukaemia patients treated with imatinib. Br J Haematol. 2016;173(6):945-6.
Marin D, Ibrahim AR, Lucas C, Gerrard G, Wang L, Szydlo RM et al. Assessment of BCR-ABL1 transcript levels at 3 months is the only requirement for predicting outcome for patients with chronic myeloid leukemia treated with tyrosine kinase inhibitors. J Clin Oncol. 2012;30(3):232-8.
Patrikidou A, Domont J, Chabaud S, Ray-Coquard I, Coindre JM, Bui-Nguyen B et al. Long-term outcome of molecular subgroups of GIST patients treated with standard-dose imatinib in the BFR14 trial of the French Sarcoma Group. Eur J Cancer. 2016;52:173-80.
Gambacorti-Passerini C, Antolini L, Mahon FX, Guilhot F, Deininger M, Fava C et al. Multicenter independent assessment of outcomes in chronic myeloid leukemia patients treated with imatinib. J Natl Cancer Inst. 2011;103(7):553-61.
Ren X, Qin Y, Huang X, Zuo L, Jiang Q. Assessment of chronic renal injury in patients with chronic myeloid leukemia in the chronic phase receiving tyrosine kinase inhibitors. Ann Hematol. 2019;98(7):1627-1640.
Glivec (imatinib). Summary of Product Characteristics. European Medicines Agency (EMA) [updated 2022-03-22, cited 2022-05-18]
Statistikdatabas för läkemedel. Stockholm: Socialstyrelsen. 2021 [cited 2022-03-15.]
- Berger U, Maywald O, Pfirrmann M, Lahaye T, Hochhaus A, Reiter A et al. Gender aspects in chronic myeloid leukemia: long-term results from randomized studies. Leukemia. 2005;19(6):984-9.
- Mandal R, Bolt DM, Shah BK. Disparities in chronic myeloid leukemia survival by age, gender, and ethnicity in pre- and post-imatinib eras in the US. Acta Oncol. 2013;52(4):837-41.
- Chiang NJ, Chen LT, Tsai CR, Chang JS. The epidemiology of gastrointestinal stromal tumors in Taiwan, 1998-2008: a nation-wide cancer registry-based study. BMC Cancer. 2014;14:102.
- van der Graaf WTA, Tielen R, Bonenkamp JJ, Lemmens V, Verhoeven RHA, de Wilt JHW. Nationwide trends in the incidence and outcome of patients with gastrointestinal stromal tumour in the imatinib era. Br J Surg. 2018;105(8):1020-1027.
- Dagher R, Cohen M, Williams G, Rothmann M, Gobburu J, Robbie G et al. Approval summary: imatinib mesylate in the treatment of metastatic and/or unresectable malignant gastrointestinal stromal tumors. Clin Cancer Res. 2002;8(10):3034-8.
- Lin HX, Sjaarda J, Dyck J, Stringer R, Hillis C, Harvey M et al. Gender and BCR-ABL transcript type are correlated with molecular response to imatinib treatment in patients with chronic myeloid leukemia. Eur J Haematol. 2016;96(4):360-6.
- Vasconcelos FC, Bonecker ST, de Souza PS, Scheiner MAM, Amaral N, Zalcberg I et al. Age, gender and efflux transporter activity influence imatinib efficacy in chronic myeloid leukemia patients. Leuk Res. 2019;82:33-35.
- Branford S, Yeung DT, Ross DM, Prime JA, Field CR, Altamura HK et al. Early molecular response and female sex strongly predict stable undetectable BCR-ABL1, the criteria for imatinib discontinuation in patients with CML. Blood. 2013;121(19):3818-24.
- Breccia M, Colafigli G, Molica M, De Angelis F, Quattrocchi L, Latagliata R et al. Sex correlates with differences in long-term outcome in chronic myeloid leukaemia patients treated with imatinib. Br J Haematol. 2016;173(6):945-6.
- Marin D, Ibrahim AR, Lucas C, Gerrard G, Wang L, Szydlo RM et al. Assessment of BCR-ABL1 transcript levels at 3 months is the only requirement for predicting outcome for patients with chronic myeloid leukemia treated with tyrosine kinase inhibitors. J Clin Oncol. 2012;30(3):232-8.
- Patrikidou A, Domont J, Chabaud S, Ray-Coquard I, Coindre JM, Bui-Nguyen B et al. Long-term outcome of molecular subgroups of GIST patients treated with standard-dose imatinib in the BFR14 trial of the French Sarcoma Group. Eur J Cancer. 2016;52:173-80.
- Gambacorti-Passerini C, Antolini L, Mahon FX, Guilhot F, Deininger M, Fava C et al. Multicenter independent assessment of outcomes in chronic myeloid leukemia patients treated with imatinib. J Natl Cancer Inst. 2011;103(7):553-61.
- Ren X, Qin Y, Huang X, Zuo L, Jiang Q. Assessment of chronic renal injury in patients with chronic myeloid leukemia in the chronic phase receiving tyrosine kinase inhibitors. Ann Hematol. 2019;98(7):1627-1640.
- Glivec (imatinib). Summary of Product Characteristics. European Medicines Agency (EMA) [updated 2022-03-22, cited 2022-05-18]
- Statistikdatabas för läkemedel. Stockholm: Socialstyrelsen. 2021 [cited 2022-03-15.]
Uppdaterat
Litteratursökningsdatum: 5/18/2022
Litteratursökningsdatum: 5/18/2022Fasstexter
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