Publications by authors named "Simone Celant"

Article Synopsis
  • The article with DOI: 10.1016/j.lanepe.2024.100973 is officially retracted.
  • The retraction indicates that the content is no longer valid or reliable.
  • For readers, this means they should disregard any information or conclusions presented in that article.
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  • - The study analyzed 3306 patients in Italy with relapsed/refractory chronic lymphocytic leukemia (CLL) treated with ibrutinib, showing a median follow-up of 42.2 months and a median age of 72.1 years, with 42.6% having undergone at least two prior treatments.
  • - 24-month survival probabilities indicated that 57.9% of patients remained on treatment and alive, while the median time to treatment discontinuation was 31.3 months; factors like age, performance status, and genetic mutations impacted treatment outcomes.
  • - The findings suggest that ibrutinib is generally effective for R/R CLL, but certain patient characteristics, particularly genetic factors, correspond
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  • * A study of 3,494 Italian patients showed that a significant portion (66.9%) started treatment at a reduced dose, often due to older age and more severe disease symptoms.
  • * Patients starting on a full dose had a better overall survival rate (78.2 months) compared to those on a reduced dose (52.6 months), highlighting the impact of initial dosing on treatment outcomes.
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Background: Generalizability of registrative clinical trials to real-world clinical practice is influenced by comparability of patients in the two settings. We compared characteristics of cancer patients in registrative trials with real-world clinical practice in Italy.

Methods: Data on age, sex and performance status (PS) were derived from web-based monitoring registries developed by Italian Medicines Agency (AIFA) and corresponding registrative trials reported in the European Public Assessment Reports (EPAR) of European Medicines Agency (EMA).

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Background Information on the real-world use of proprotein convertase subtilisin kexin 9 inhibitors (PCKS9is) in familial hypercholesterolemia are limited. We evaluated the pattern of prescription and the long-term efficacy of alirocumab and evolocumab in Italian patients with familial hypercholesterolemia in clinical practice. Methods and Results The data set for analysis was extracted from the PCKS9i Italian Medicines Agency (AIFA) registry and included 2484 patients with heterozygous familial hypercholesterolemia (HeFH) and 62 patients with homozygous familial hypercholesterolemia (HoFH) who were prescribed PCKS9is from February 2017 to December 2021.

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Background: Comparative data on mortality in COVID-19 patients treated with molnupiravir or with nirmatrelvir plus ritonavir are inconclusive. We therefore compared all-cause mortality in community-dwelling COVID-19 patients treated with these drugs during the Omicron era.

Methods: Data collected in the nationwide, population-based, cohort of patients registered in the database of the Italian Medicines Agency (AIFA) were used.

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  • The study analyzed the effectiveness of ibrutinib in 747 patients with chronic lymphocytic leukemia (CLL) and TP53 abnormalities, revealing a 24-month treatment persistence rate of 63.4% and survival rate of 82.6%.
  • Factors increasing the risk of treatment discontinuation included older age, poor ECOG performance status, and pre-existing heart conditions, while older age, poorer performance status, and being male correlated with a higher risk of death.
  • The research concluded that ibrutinib is an effective first-line treatment for this high-risk population, but baseline clinical characteristics may influence treatment outcomes.
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Trabectedin is a marine-derived anticancer drug approved for the treatment of patients with advanced soft-tissue sarcomas (STS). Here, we aimed to analyze its use in a large cohort of STS patients treated in Italy in a real-world setting. Data on STS patients treated with trabectedin in Italy were prospectively collected from January 2013 to December 2019 by the national drug regulator, the Italian Medicines Agency (AIFA).

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Real-world data on daily practice management, treatment modifications and outcome of a large cohort of chronic myeloid leukaemia (CML) patients treated with ponatinib was performed through monitoring Registries of the Italian Medicines Agency (AIFA). Overall, 666 CML subjects were included in the ponatinib registry from February 2015 to December 2020 and were eligible for analysis: 515 in chronic phase (CP), 50 in accelerated phase (AP) and 101 in blast crisis (BC). Median age at baseline was 58.

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Remdesivir is the first drug approved for treatment of COVID-19 but current evidence for recommending its use for the treatment of moderate-to-severe disease is still controversial among clinical guidelines. We performed a nationwide, registry-based study including all Italian hospitalized patients with COVID-19 treated with remdesivir to assess the impact of major confounders on crude 15-day and 29-day mortality. Mortality was calculated using the Kaplan-Meier estimator and the Cox proportional-hazards model was applied to analyze the risks by patient's baseline features.

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Aims: The present study sought to examine the effect of the COVID-19 pandemic and lockdown measures on the prescription of sacubitril/valsartan in patients with heart failure (HF) in Italy.

Methods And Results: Data from Italian Medicines Agency (AIFA) monitoring registries were analysed. The sacubitril/valsartan monitoring registry is based on 6-month prescriptions.

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Until recently, no drug was labeled for AL amyloidosis. In 2011, the Italian Medicines Agency started a program to grant access to upfront bortezomib to patients with AL amyloidosis. All subjects were enrolled in a prospective online registry.

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The introduction of tyrosine kinase inhibitors (TKIs) has improved the overall survival of chronic myeloid leukemia patients in chronic phase (CP-CML) and reduced the rate of disease-related mortality. Conflicting results have been however reported between data emerged from sponsored clinical trials and from population-based registries. Moreover, no data are so far available for patients treated with frontline second-generation TKIs, excluding those from sponsored studies.

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