[HTML][HTML] COVID-19 in persons with chronic myeloid leukaemia

W Li, D Wang, J Guo, G Yuan, Z Yang, RP Gale, Y You… - Leukemia, 2020 - nature.com
W Li, D Wang, J Guo, G Yuan, Z Yang, RP Gale, Y You, Z Chen, S Chen, C Wan, X Zhu…
Leukemia, 2020nature.com
We studied by questionnaire 530 subjects with chronic myeloid leukaemia (CML) in Hubei
Province during the recent SARS-CoV-2 epidemic. Five developed confirmed (N= 4) or
probable COVID-19 (N= 1). Prevalence of COVID-19 in our subjects, 0.9%(95% Confidence
Interval, 0.1, 1.8%) was ninefold higher than 0.1%(0, 0.12%) reported in normals but lower
than 10%(6, 17%) reported in hospitalised persons with other haematological cancers or
normal health-care providers, 7%(4, 12%). Co-variates associated with an increased risk of …
Abstract
We studied by questionnaire 530 subjects with chronic myeloid leukaemia (CML) in Hubei Province during the recent SARS-CoV-2 epidemic. Five developed confirmed (N = 4) or probable COVID-19 (N = 1). Prevalence of COVID-19 in our subjects, 0.9% (95% Confidence Interval, 0.1, 1.8%) was ninefold higher than 0.1% (0, 0.12%) reported in normals but lower than 10% (6, 17%) reported in hospitalised persons with other haematological cancers or normal health-care providers, 7% (4, 12%). Co-variates associated with an increased risk of developing COVID-19 amongst persons with CML were exposure to someone infected with SARS-CoV-2 (P = 0.037), no complete haematologic response (P = 0.003) and co-morbidity(ies) (P = 0.024). There was also an increased risk of developing COVID-19 in subjects in advanced phase CML (P = 0.004) even when they achieved a complete cytogenetic response or major molecular response at the time of exposure to SARS-CoV-2. 1 of 21 subjects receiving 3rd generation tyrosine kinase-inhibitor (TKI) developed COVID-19 versus 3 of 346 subjects receiving imatinib versus 0 of 162 subjects receiving 2nd generation TKIs (P = 0.096). Other co-variates such as age and TKI-therapy duration were not significantly associated with an increased risk of developing COVID-19. Persons with these risk factors may benefit from increased surveillance of SARS-CoV-2 infection and possible protective isolation.
nature.com