Analysis of cardiovascular and arteriothrombotic adverse events in chronic-phase CML patients after frontline TKIs by Preetesh Jain, Hagop Kantarjian,

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Analysis of cardiovascular and arteriothrombotic adverse events in chronic-phase CML patients after frontline TKIs by Preetesh Jain, Hagop Kantarjian, Prajwal C. Boddu, Graciela M. Nogueras-González, Srdan Verstovsek, Guillermo Garcia-Manero, Gautam Borthakur, Koji Sasaki, Tapan M. Kadia, Princy Sam, Hycienth Ahaneku, Susan O’Brien, Zeev Estrov, Farhad Ravandi, Elias Jabbour, and Jorge E. Cortes BloodAdv Volume 3(6):851-861 March 26, 2019 © 2019 by The American Society of Hematology

Preetesh Jain et al. Blood Adv 2019;3:851-861 © 2019 by The American Society of Hematology

Changes in blood pressure readings (in mm Hg) before and after TKI treatment: overall and according to the TKI modality. Changes in blood pressure readings (in mm Hg) before and after TKI treatment: overall and according to the TKI modality. (A) Shows linear prediction plot of the relationship between systolic blood pressure before TKI and systolic blood pressure post-TKI. Systolic blood pressure significantly increased after starting TKIs (P < .001 in all TKIs). (B) Shows linear prediction plot of the relationship between diastolic blood pressure before TKI and diastolic blood pressure post-TKI. Diastolic blood pressure also significantly increased after starting TKIs. There was a significant increase in blood pressure readings after starting TKIs (P < .001), however, there was no significant difference in the magnitude of blood pressure change among different TKIs. Preetesh Jain et al. Blood Adv 2019;3:851-861 © 2019 by The American Society of Hematology

IR of overall and new-onset CV-AEs and AT-AEs per 100 person-years in all patients treated with frontline TKI treatments: trends per year. IR of overall and new-onset CV-AEs and AT-AEs per 100 person-years in all patients treated with frontline TKI treatments: trends per year. (A) The IR of patients with overall AEs per 100 person-years shows that the incidence of vascular AEs was highest in the first year of TKI therapy. (B) The IR of patients with new-onset CV-AEs per 100 person-years shows that the incidence of CV-AEs was highest in the first year of TKI therapy. (C) Similarly, the IR of patients with AT-AEs per 100 person-years shows that the incidence of AT-AEs was highest in the first year after TKI therapy and continued to occur at later years. P < .001 in all panels. Preetesh Jain et al. Blood Adv 2019;3:851-861 © 2019 by The American Society of Hematology

IRs of new-onset CV-AEs, AT-AEs, overall hypertension, new-onset hypertension, and CV-AEs and AT-AEs according to the number of risk factors per 100 person-years by the frontline TKI modality. IRs of new-onset CV-AEs, AT-AEs, overall hypertension, new-onset hypertension, and CV-AEs and AT-AEs according to the number of risk factors per 100 person-years by the frontline TKI modality. (A-B) The IR of patients with new-onset CV-AEs (A) and AT-AEs (B) was significantly higher with ponatinib therapy compared with other TKI modalities; P < .001 in both panels. (C-D) IR of patients with hypertension (overall [C] and new-onset [D]) was highest with ponatinib followed by imatinib 400 mg followed by other TKI modalities; P < .001 in both panels. (E-F) As the number of cardiovascular risk factors increases, the IRs of new-onset CV-AEs (E) and AT-AEs (F) increase within each TKI modality. Patients who received ponatinib had the highest IR (compared with other TKIs) with ≥2 risk factors; P < .001 in both panels. Preetesh Jain et al. Blood Adv 2019;3:851-861 © 2019 by The American Society of Hematology