|
|
Prepublished online as a Blood First Edition Paper on July 3, 2003; DOI 10.1182/blood-2003-04-1180.

Submitted April 16, 2003
Accepted June 12, 2003
Minimal residual disease-based role of imatinib mesylate as a first-line interim therapy prior to allogeneic stem cell transplantation in Philadelphia chromosome-positive acute lymphoblastic leukemia
Seok Lee*, Dong-Wook Kim, Yoo-Jin Kim, Nak-Gyun Chung, Yoo-Li Kim, Ji-Yeon Hwang, and Chun-Choo Kim
Catholic HSCT Center, The Catholic University of Korea, Seoul, Korea
* Corresponding author; email: leeseok{at}catholic.ac.kr.
Fourteen adults with Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph+ ALL) were analyzed to evaluate the role of imatinib prior to allogeneic stem cell transplantation (SCT). Of these, 12 patients were in complete hematological response (CHR), and 2 were refractory. Imatinib was administered as an interim schedule after each chemotherapy course. After the 1st imatinib cycle, 11 patients remained in sustained CHR with a decrease in the BCR-ABL/ABL ratios (0.89 logs), and 1 refractory patient achieved CHR. Meanwhile, 2 patients were resistant to imatinib. Ten patients receiving a 2nd imatinib cycle following consolidation showed sustained CHR, including 2 molecular CR, with a further decrease in the BCR-ABL/ABL ratios (0.19 logs). Twelve patients underwent SCT in a favorable status, and of these, 11 are still alive in a leukemia-free status (9-28+ months post-SCT). First-line imatinib interim therapy appears to be a useful strategy to bridge the time to SCT for Ph+ ALL.

CiteULike Connotea Del.icio.us Digg Reddit Technorati What's this?
This article has been cited by other articles:

|
 |

|
 |
 
T. Raff, N. Gokbuget, S. Luschen, R. Reutzel, M. Ritgen, S. Irmer, S. Bottcher, H.-A. Horst, M. Kneba, D. Hoelzer, et al.
Molecular relapse in adult standard-risk ALL patients detected by prospective MRD monitoring during and after maintenance treatment: data from the GMALL 06/99 and 07/03 trials
Blood,
February 1, 2007;
109(3):
910 - 915.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Lee, Y.-J. Kim, C.-K. Min, H.-J. Kim, K.-S. Eom, D.-W. Kim, J.-W. Lee, W.-S. Min, and C.-C. Kim
The effect of first-line imatinib interim therapy on the outcome of allogeneic stem cell transplantation in adults with newly diagnosed Philadelphia chromosome-positive acute lymphoblastic leukemia
Blood,
May 1, 2005;
105(9):
3449 - 3457.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. Seok, Y.-J. Kim, C.-K. Min, H.-J. Kim, K.-S. Eom, D.-W. Kim, J.-W. Lee, W.-S. Min, and C.-C. Kim
Imatinib Interim Therapy Has Favorable Impact on the Outcome of Patients with Ph+ ALL Treated with Allogeneic SCT.
Blood (ASH Annual Meeting Abstracts),
November 16, 2004;
104(11):
2740 - 2740.
[Abstract]
|
 |
|
|
|