Publications by authors named "Jianda Hu"

The COMMODORE study demonstrated the efficacy and safety of gilteritinib versus salvage chemotherapy (SC) treatment in a predominantly Asian population with relapsed/refractory (R/R) FMS-like tyrosine kinase 3 (FLT3)-mutated() acute myeloid leukemia (AML); here we present an exploratory analysis of the study stratified by region (China, South-East Asia and Russia). COMMODORE was a Phase 3, open-label, randomized (1:1), multicenter trial. There were 151, 50, and 33 patients in the China, South-East Asia, and Russia cohorts, respectively.

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  • In 2018, the Chinese Society of Haematology established guidelines for monitoring and treating leukaemia relapse after stem cell transplantation, enhancing China's clinical practices and global integration.
  • Recently, experts updated the consensus to include a strategy focused on measurable residual disease (MRD) and improved therapies, emphasizing haploidentical HSCT for high-risk patients.
  • The updated guidelines promote advancements in MRD detection methods and explore new targeted treatment options, underscoring a significant progression in managing post-transplant leukaemia relapses.
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  • The COMMODORE trial tested a new drug called gilteritinib against a treatment called salvage chemotherapy for patients with a type of blood cancer (AML) that has a specific gene mutation (FLT3).
  • Results showed that patients taking gilteritinib lived longer (9.6 months) than those on chemotherapy (5.0 months) and also stayed healthier for longer without problems (2.8 months vs. 0.6 months).
  • Gilteritinib led to fewer severe side effects, with common issues being low red blood cells and low platelet levels, making it a safer option for these patients.
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Although tyrosine kinase inhibitor (TKI) therapy has markedly improved the survival of people with chronic-phase chronic myeloid leukemia (CML), 20% to 30% of people still experienced therapy failure. Data from 1955 consecutive patients with chronic-phase CML diagnosed by the European LeukemiaNet recommendations from 1 center receiving initial imatinib or a second-generation (2G) TKI therapy were interrogated to develop a clinical prediction model for TKI-therapy failure. This model was subsequently validated in 3454 patients from 76 other centers.

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Fms-like tyrosine kinase 3 (FLT3) mutations, present in over 30% of acute myeloid leukemia (AML) cases and dominated by FLT3-internal tandem duplication (FLT3-ITD), are associated with poor outcomes in patients with AML. While tyrosine kinase inhibitors (TKIs; e.g.

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  • Invasive fungal disease (IFD) poses a significant health threat globally, including high rates of misdiagnosis, poor antifungal quality, and adverse treatment effects leading to increased hospital stays and healthcare burdens.
  • Antifungal stewardship (AFS) is crucial for improving diagnosis rates, reducing inappropriate drug use, enhancing patient outcomes, and lowering healthcare costs, prompting the need for metrics tailored to China's healthcare context.
  • A consensus was achieved among 46 experts on 24 AFS metrics, categorized into patient, timing, and usage metrics, marking a significant step towards improving IFD management in China.
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  • Cytomegalovirus reactivation (CMVr) and bloodstream infections (BSI) are significant complications for patients after allogeneic hematopoietic stem cell transplantation (allo-HSCT), leading to high morbidity and mortality rates.
  • A study involving 500 CMV DNA-negative and IgG-positive allo-HSCT recipients found that 400 had CMVr and 75 experienced BSI within the first 100 days post-transplant, showcasing graft failure and acute graft-versus-host disease as key risk factors affecting prognosis.
  • The research highlights that while BSI increases short-term mortality risk, surviving BSI can lower long-term risk; however, the combination of CMVr and BSI severely impacts survival outcomes in patients.
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  • The study assessed flumatinib for treating Chinese patients with Philadelphia chromosome-positive chronic-phase chronic myeloid leukemia (CP-CML) who previously failed tyrosine kinase inhibitors (TKIs).
  • Among 336 patients, flumatinib showed high response rates, with 86.4% achieving complete hematologic response and significant cytogenetic and molecular responses, particularly in those without prior TKI resistance.
  • Adverse events were manageable and similar to first-line therapies, suggesting flumatinib is a promising option for TKI-resistant or intolerant CP-CML patients, especially those without prior resistance to second-generation TKIs.
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Chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) has different epidemiology in Chinese vs. Western patients, but there are few studies of CLL/SLL in large populations of Chinese patients. ALPINE is a global phase 3 trial investigating Bruton tyrosine kinase inhibitors zanubrutinib vs.

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While studies have explored the feasibility of switching between various thrombopoietin receptor agonists in treating immune thrombocytopenia (ITP), data on the switching from eltrombopag to hetrombopag remains scarce. This post-hoc analysis of a phase III hetrombopag trial aimed to assess the outcomes of ITP patients who switched from eltrombopag to hetrombopag. In the original phase III trial, patients initially randomized to the placebo group were switched to eltrombopag.

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The present study aimed to investigate the real-world results of childhood acute lymphoblastic leukemia (cALL) cases in Fujian, China. The clinical data of 1414 patients with newly diagnosed cALL in Fujian were retrospectively analyzed. Patients were treated according to the Chinese Children Leukemia Group 2008 protocol (CCLG-ALL 2008 group) or Chinese Children's Cancer Group 2015 protocol (CCCG-ALL 2015 group).

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  • - Adult T-cell leukemia/lymphoma (ATLL) is a serious cancer with a grim outlook, and limited data exists on its effects specifically in the Chinese population; this study looked at 115 patients treated in China over more than a decade.
  • - Key genetic mutations related to T-cell receptor signaling were found in patients, with most of them receiving chemotherapy; the study showed that EPOCH/CHOEP chemotherapy resulted in an 80.6% response rate, while the overall survival rates varied significantly based on treatment type.
  • - Factors like lymphadenopathy, the use of EPOCH/CHOEP chemotherapy, and hematopoietic stem cell transplantation were identified as important in improving patient outcomes, signaling that these treatments
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  • The study aimed to explore how knocking out a specific gene in an acute myeloid leukemia (AML) cell line (MV411) affects the cells' response to anti-leukemia drugs.
  • The researchers used CRISPR/Cas9 to create gene knockouts, validated them, and assessed changes in drug sensitivity and molecular signaling pathways through various techniques like RT-qPCR and Western blot.
  • Results showed that knocking out the gene increased sensitivity to drugs like doxorubicin and quizartinib, while also inhibiting key signaling pathways (mTOR and Wnt) associated with cancer progression.
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  • - The study investigates the causal relationship between serum bilirubin levels (total and direct) and hematological malignancies like leukemia, lymphoma, and myeloma, as previous cohort studies showed a correlation but no definitive causality.
  • - Using data from genome-wide association studies and employing Mendelian randomization methods, researchers focused on TBIL and DBIL's impact on acute myeloid leukemia (AML), demonstrating significant odds ratios indicating increased risk associated with higher bilirubin levels.
  • - The results suggest that higher total bilirubin may be involved in processes like xenobiotic metabolism that contribute to cancer development, specifically highlighting a causal link between bilirubin and AML.
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Solute carrier family 27 member 2 (SLC27A2) is involved in fatty acid metabolism in tumors and represents a prospective target for cancer therapy. However, the role and mechanism of action of SLC27A2 in acute lymphoblastic leukemia (ALL) remain unclear. In this study, we aimed to explore the intrinsic associations between SLC27A2 and ALL and evaluate the prognostic significance, biological functions, and correlation with immune infiltration.

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Bortezomib (BTZ), a proteasome inhibitor, is a promising therapeutic option for multiple myeloma (MM) patients. However, drug resistance often occurs, leading to disease relapse and poor prognosis. In this study, we aimed to identify novel genes associated with drug resistance and investigate their roles in BTZ resistance.

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This study aimed to analyse the characteristics and treatment outcomes of adult patients with acute lymphoblastic leukaemia (ALL) and construct nomogram predictive models for prognosis prediction. Between January 2017 and June 2022, 462 adult patients with ALL were included in this retrospective analysis. Patients' ages ranged from 14 to 84 years.

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  • A study was conducted to compare therapy responses and outcomes among four medications (nilotinib, dasatinib, flumatinib, and imatinib) for newly diagnosed chronic myeloid leukemia (CML) in a practical setting.
  • Data from 2,496 patients across 77 centers in China were analyzed, and results showed that the newer treatments had similar effectiveness in terms of overall survival and progression-free survival, but better initial responses and failure-free survival compared to imatinib.
  • The findings suggest that while nilotinib, dasatinib, and flumatinib are more effective in achieving early treatment responses, all four medications ultimately offer comparable long-term survival outcomes, which can help
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This study aimed to examine the characteristics and treatment outcomes of patients with TP53-mutant acute myeloid leukaemia (AML) and to explore potential prognostic factors. This retrospective analysis included 130 patients diagnosed with TP53-mutant AML at the Fujian Medical University Union Hospital between January 2016 and June 2023. Patients' ages ranged from 17 to 80 years, with a median age of 59 years.

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Jaktinib, a novel JAK and ACVR1 inhibitor, has exhibited promising results in treating patients with myelofibrosis (MF). ZGJAK002 is a Phase 2 trial aimed to assess the efficacy and safety of jaktinib 100 mg BID (N = 66) and 200 mg QD (N = 52) in JAK inhibitor-naive patients with intermediate- or high-risk MF. We herein present the long-term data with a median follow-up of 30.

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HLX01 (HanliKang) is a rituximab biosimilar that showed bioequivalence to reference rituximab in untreated CD20-positive diffuse large B-cell lymphoma (DLBCL) in the phase 3 HLX01-NHL03 study. Here, we report the 5-year follow-up results from the open-label extension part. Patients were randomised to either rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) or HLX01 plus CHOP (H-CHOP) every 21 days for up to six cycles.

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  • - Sovleplenib (HMPL-523) is an experimental drug designed to target and inhibit spleen tyrosine kinase (Syk), showing potential effectiveness against B-cell cancers in early research.
  • - A Phase I clinical trial was conducted with 134 patients suffering from relapsed or refractory B-cell tumors, exploring different dosages of the drug (200-800 mg daily); the recommended phase II dose was established at 600 mg for heavier patients and 400 mg for lighter ones.
  • - The study found a 50.8% objective response rate in a subset of patients with indolent B-cell lymphoma, while some patients reported severe side effects, but overall, sovleplenib demonstrated promising anti-t
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Objective: Ruxolitinib was recently approved to treat corticosteroid-resistant acute graft-versus-host disease (GvHD). However, it is unknown as to whether starting ruxolitinib at a lower versus higher acute GvHD grade or earlier versus later affected outcomes. This study identified the impact of starting acute GvHD grade and start time after declaring corticosteroid resistance and the effect on complete and overall response rates to ruxolitinib therapy.

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Background: Aponermin, a circularly permuted tumor necrosis factor-related apoptosis-inducing ligand, is a potential death receptor 4/5-targeted antitumour candidate. Previous phase 1/2 studies have demonstrated the efficacy of aponermin in patients with relapsed or refractory multiple myeloma (RRMM). To confirm the superiority of aponermin plus thalidomide and dexamethasone (aponermin group) over placebo plus thalidomide and dexamethasone (placebo group) in RRMM, a randomized, double-blinded, placebo controlled phase 3 trial was performed.

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