PMID- 35678158 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2287-979X (Print) IS - 2288-0011 (Electronic) IS - 2287-979X (Linking) VI - 57 IP - 2 DP - 2022 Jun 30 TI - Safety and efficacy of nilotinib in adult patients with chronic myeloid leukemia: a post-marketing surveillance study in Korea. PG - 144-151 LID - 10.5045/br.2022.2021137 [doi] AB - BACKGROUND: Nilotinib is a tyrosine kinase inhibitor approved by the Ministry of Food and Drug Safety for frontline and 2nd line treatment of Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML). This study aimed to confirm the safety and efficacy of nilotinib in routine clinical practice within South Korea. METHODS: An open-label, multicenter, single-arm, 12-week observational post-marketing surveillance (PMS) study was conducted on 669 Korean adult patients with Ph+ CML from December 24, 2010, to December 23, 2016. The patients received nilotinib treatment in routine clinical practice settings. Safety was evaluated by all types of adverse events (AEs) during the study period, and efficacy was evaluated by the complete hematological response (CHR) and cytogenetic response. RESULTS: During the study period, AEs occurred in 61.3% (410 patients, 973 events), adverse drug reactions (ADRs) in 40.5% (271/669 patients, 559 events), serious AEs in 4.5% (30 patients, 37 events), and serious ADRs in 0.7% (5 patients, 8 events). Furthermore, unexpected AEs occurred at a rate of 6.9% (46 patients, 55 events) and unexpected ADRs at 1.2% (8 patients, 8 events). As for the efficacy results, CHR was achieved in 89.5% (442/494 patients), and minor cytogenetic response or major cytogenetic response was achieved in 85.8% (139/162 patients). CONCLUSION: This PMS study shows consistent results in terms of safety and efficacy compared with previous studies. Nilotinib was well tolerated and efficacious in adult Korean patients with Ph+ CML in routine clinical practice settings. FAU - Ahn, Seo-Yeon AU - Ahn SY AD - Department of Hematology-Oncology, Chonnam National University Hwasun Hospital, Hwasun, Korea. FAU - Son, Sang Kyun AU - Son SK AD - Department of Hematology-Oncology, School of Medicine, Kyungpook National University, Daegu, Department of Internal Medicine, Seoul, Korea. FAU - Lee, Gyu Hyung AU - Lee GH AD - Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. FAU - Kim, Inho AU - Kim I AD - Department of Internal Medicine, Seoul National University Hospital, Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea. FAU - Cheong, June-Won AU - Cheong JW AD - Division of Hematology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. FAU - Lee, Won Sik AU - Lee WS AD - Department of Internal Medicine, Inje University Busan Paik Hospital, Busan, Korea. FAU - Kim, Byung Soo AU - Kim BS AD - Division of Hematology, Department of Internal Medicine, Korea University Anam Hospital, Seoul, Korea. FAU - Jo, Deog-Yeon AU - Jo DY AD - Department of Internal Medicine, College of Medicine, Chungnam National Univeristy, Daejeon, Korea. FAU - Jung, Chul Won AU - Jung CW AD - Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Seong, Chu Myoung AU - Seong CM AD - Department of Hematology and Oncology, Ewha Womans University College of Medicine, Seoul, Korea. FAU - Lee, Jae Hoon AU - Lee JH AD - Division of Hematology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea. FAU - Yuh, Young Jin AU - Yuh YJ AD - Department of Internal Medicine, Inje University, Sanggye-Paik Hospital, Seoul, Korea. FAU - Kim, Min Kyoung AU - Kim MK AD - Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea. FAU - Ryoo, Hun-Mo AU - Ryoo HM AD - Division of Hematology-Oncology, Department of Internal Medicine, Daegu Catholic University Medical Center, Daegu, Korea. FAU - Park, Moo-Rim AU - Park MR AD - Department of Hematology-Oncology, Wonkwang University School of Medicine, Iksan, Korea. FAU - Cho, Su-Hee AU - Cho SH AD - Division of Hematology-Oncology, Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea. FAU - Kim, Hoon-Gu AU - Kim HG AD - Department of Internal Medicine, Gyeongsang Institute of Health Sciences, Gyeongsang National University College of Medicine and Gyeongsang National University Changwon Hospital, Changwon, Korea. FAU - Zang, Dae Young AU - Zang DY AD - Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea. FAU - Park, Jinny AU - Park J AD - Division of Hematology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea. FAU - Kim, Hawk AU - Kim H AD - Division of Hematology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea. FAU - Lee, Seryeon AU - Lee S AD - Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea. FAU - Kim, Sung-Hyun AU - Kim SH AD - Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea. FAU - Chang, Myung Hee AU - Chang MH AD - Division of Oncology-Hematology, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Korea. FAU - Lee, Ho Sup AU - Lee HS AD - Division of Oncology-Hematology, Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea. FAU - Choi, Chul Won AU - Choi CW AD - Department of Internal Medicine, Korea University Guro Hospital, Seoul, Korea. FAU - Kwon, Jihyun AU - Kwon J AD - Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea. FAU - Lim, Sung-Nam AU - Lim SN AD - Department of Internal Medicine, Inje University College of Medicine, Haeundae Paik Hospital, Busan, Korea. FAU - Oh, Suk-Joong AU - Oh SJ AD - Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Joo, Inkyung AU - Joo I AD - Novartis Korea Ltd., Seoul, Korea. FAU - Kim, Dong-Wook AU - Kim DW AD - Department of Hematology, Uijeongbu Eulji Medical Center, Leukemia Omics Research Institute, Eulji University Uijeongbu Campus, Uijeongbu, Korea. LA - eng PT - Journal Article DEP - 20220610 PL - Switzerland TA - Blood Res JT - Blood research JID - 101605247 PMC - PMC9242833 OTO - NOTNLM OT - Chronic myeloid leukemia OT - Nilotinib OT - Philadelphia chromosome positive OT - Post-marketing surveillance OT - Tyrosine kinase inhibitor COIS- Authors' Disclosures of Potential Conflicts of Interest No potential conflicts of interest relevant to this article were reported. EDAT- 2022/06/10 06:00 MHDA- 2022/06/10 06:01 PMCR- 2022/06/30 CRDT- 2022/06/09 04:52 PHST- 2021/07/30 00:00 [received] PHST- 2021/11/09 00:00 [revised] PHST- 2022/05/04 00:00 [accepted] PHST- 2022/06/10 06:00 [pubmed] PHST- 2022/06/10 06:01 [medline] PHST- 2022/06/09 04:52 [entrez] PHST- 2022/06/30 00:00 [pmc-release] AID - br.2022.2021137 [pii] AID - br-57-2-144 [pii] AID - 10.5045/br.2022.2021137 [doi] PST - ppublish SO - Blood Res. 2022 Jun 30;57(2):144-151. doi: 10.5045/br.2022.2021137. Epub 2022 Jun 10.