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Prepublished online as a Blood First Edition Paper on February 20, 2003; DOI 10.1182/blood-2003-01-0081.

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Submitted January 10, 2003
Accepted February 8, 2003

Efficacy of imatinib mesylate in the treatment of idiopathic hypereosinophilic syndrome

Jorge Cortes*, Patricia Ault, Charles Koller, Deborah Thomas, Alessandra Ferrajoli, William Wierda, Mary B Rios, Laurie Letvak, Elizabeth S Kaled, and Hagop Kantarjian

Department of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX, USA
Novartis Pharmaceuticals Corp, East Hanover, NJ, USA

* Corresponding author; email: jcortes{at}mdanderson.org.

Idiopathic hypereosinophilic syndrome (HES) is a myeloproliferative disorder characterized by persistent eosinophilia and organ involvement. Different treatments have been investigated in HES with modest success. Imatinib has been suggested to be active in HES. We treated 9 patients with HES with imatinib 100 mg daily. Those without response after 4 weeks had their dose increased to 400 mg daily. Seven had failed prior therapies. Five patients responded: 4 had a sustained complete remission lasting a median of 12+ weeks (range, 9+ to 36+ weeks), and 1 had a transient response. One patient died in complete remission. Responses occurred within 4 weeks of therapy; only one responder required an increase in dose to 400 mg daily. Three of four non-responders failed to respond to an increase in dose. Toxicity was minimal. We conclude that imatinib is effective in HES.


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