Arbore Dana Raluca, Galdean Simona Maria, Dima Delia, Rus Ioana, Kegyes David, Ababei Raluca Geanina, Dragancea Daniela, Tomai Radu Andrei, Trifa Adrian Pavel, Tomuleasa Ciprian
Department of Hematology, Iuliu Hațieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
Department of Hematology, Ion Chiricuta Clinical Cancer Center, 400012 Cluj-Napoca, Romania.
J Pers Med. 2022 Nov 10;12(11):1886. doi: 10.3390/jpm12111886.
(1) Background: Chronic myeloid leukemia (CML) is a blood dyscrasia that accounts for about 20% of all leukemia cases. Tyrosine kinase inhibitors (TKIs) are used as first line treatment of CML. The 2019 SARS-CoV-2 outbreak raised new concerns for CML patients, such as whether CML increases the risk of contracting COVID-19, whether TKIs increase that risk, whether these drugs are safe to use during the infection, and whether any other hematologic parameters influence infection outcomes. (2) Methods: In our study we addressed these intriguing questions by using a retrospective analysis of 51 CML patients treated at the Ion Chiricuta Cancer Center, Cluj-Napoca, Romania. Furthermore, we investigated the effects of currently approved COVID-19 vaccines in our CML patients treated with tyrosine kinase inhibitors. (3) Results: Our results have shown that hemoglobin level upon diagnosis of CML has been the only hematologic parameter correlated to the risk of contracting COVID-19 in our CML patients. (4) Conclusions: TKI treatment did not negatively influence COVID-19 risk or the response to the vaccine in our patients. The safety profile of the currently approved COVID-19 vaccines was similar to that of the general population.
(1)背景:慢性粒细胞白血病(CML)是一种血液系统疾病,约占所有白血病病例的20%。酪氨酸激酶抑制剂(TKIs)被用作CML的一线治疗药物。2019年严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的爆发引发了对CML患者的新担忧,例如CML是否会增加感染COVID-19的风险、TKIs是否会增加该风险、这些药物在感染期间使用是否安全,以及其他血液学参数是否会影响感染结果。(2)方法:在我们的研究中,我们通过对罗马尼亚克卢日-纳波卡市Ion Chiricuta癌症中心治疗的51例CML患者进行回顾性分析,解决了这些有趣的问题。此外,我们还研究了目前批准的COVID-19疫苗对我们接受酪氨酸激酶抑制剂治疗的CML患者的影响。(3)结果:我们的结果表明,CML诊断时的血红蛋白水平是与我们CML患者感染COVID-19风险相关的唯一血液学参数。(4)结论:TKI治疗对我们患者的COVID-19风险或对疫苗的反应没有负面影响。目前批准的COVID-19疫苗的安全性与普通人群相似。