Publications by authors named "C Rotolo"

Colonization by multidrug-resistant (MDR) bacteria and related bloodstream infections (BSI) are associated with a high rate of mortality in patients with hematological malignancies after intensive chemotherapy and allogeneic stem cell transplantation (allo-SCT). In this retrospective study, we analyzed the outcomes of patients colonized with MDR bacteria (primarily carbapenem-resistant , KPC), before allo-SCT. We also investigated the feasibility and safety of an antimicrobial de-escalating approach in these patients.

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Article Synopsis
  • Acute myeloid leukemia (AML) relapse is a major cause of mortality following allogeneic stem cell transplants, but using Sorafenib for maintenance post-transplant has shown to lower relapse and death rates in FLT3+ AML patients.
  • In a study with 29 adult FLT3m AML patients who received allo-SCT, Sorafenib was administered as maintenance therapy after their initial treatment with midostaurin and chemotherapy.
  • Results indicated that 62% of patients received Sorafenib; those who did had significantly improved 2-year overall survival (94%) and lower relapse rates (11%) compared to the whole population (76% OS, 28% CIR).
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Refractory acute myeloid leukaemia is very difficult to treat and represents an unmet clinical need. In recent years, new drugs and combinations of drugs have been tested in this category, with encouraging results. However, all treated patients relapsed and died from the disease.

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The treatment of chronic lymphocytic leukemia (CLL) currently relies on the use of chemo-immunotherapy, Bruton's tyrosine kinase inhibitors, or BCL2 inhibitors alone or combined with an anti-CD20 monoclonal antibody. However, the availability of multiple choices for the first-line setting and a lack of direct head-to-head comparisons pose a challenge for treatment selection. To overcome these limitations, we performed a systematic review and a network meta-analysis on published randomized clinical trials performed in the first-line treatment setting of CLL.

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