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Blood, 1 January 2007, Vol. 109, No. 1, pp. 61-64.
Prepublished online as a Blood First Edition Paper on September 7, 2006; DOI 10.1182/blood-2006-05-024828.


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Submitted May 22, 2006
Accepted June 11, 2006

Durable responses to Imatinib in patients with PDGFRB fusion gene positive and BCR-ABL negative chronic myeloproliferative disorders

Marianna David, Nicholas CP Cross, Sonja Burgstaller, Andrew Chase, Claire Curtis, Raymond Dang, Martine Gardembas, John M Goldman, Francis Grand, George Hughes, Francoise Huguet, Louise Lavender, Grant A McArthur, Francois X Mahon, Giorgio Massimini, Junia Melo, Philippe Rousselot, Robin J Russell-Jones, John F Seymour, Graeme Smith, Alastair Stark, Katherine Waghorn, Zariana Nikolova, and Jane F. Apperley*

Department of Haematology , University of Pecs, Pecs, Hungary
Wessex Regional Genetics Laboratory, Salisbury District Hospital, Salisbury, UK
Department of Internal Medicine, General Hospital, Wels, Austria
Department of Haematology , Dumfries General Infirmary, Dumfries, Scotland, UK
Department of Haematology, CHU Angers, Angers, France
Department of Haematology, Faculty of Medicine, Imperial College, London, UK
Department of Haematology , West Middlesex Hospital, London, UK
Department of Haematology, Hopital de Purpan, Toulouse, France
Molecular Pathology Unit, Southampton General Hospital, Southampton, UK
Department of Haematology, Peter MacCallum Cancer Centre, Melbourne, Australia
Department of Haematology, CHR Bordeaux, Pessac, France
Novartis Oncology, Basel, Switzerland
Department of Haematology , Hopital St Louis, Paris, France
Skin Tumour Unit, St John's Institute of Dermatology, St Thomas' Hospital, Lambeth Palace Rd, London
Department of Haematology , Leeds General Infirmary, Leeds, UK

* Corresponding author; email: j.apperley{at}imperial.ac.uk.

Fusion genes derived from the platelet-derived growth factor receptor beta (PDGFRB) or alpha (PDGFRA) play an important role in the pathogenesis of BCR-ABL negative chronic myeloproliferative disorders (CMPD). These fusion genes encode constitutively activated receptor tyrosine kinases that can be inhibited by imatinib. Twelve patients with BCR-ABL negative CMPDs and reciprocal translocations involving PDGFRB received imatinib for a median of 47 months (range 0.1-60 months). Eleven had prompt responses with rmalization of peripheral blood cell counts and disappearance of eosinophilia, 10 had complete resolution of cytogenetic abnormalities and decrease or disappearance of fusion transcripts as measured by RT-PCR. Updates were sought from 8 further patients previously described in the literature; prompt responses were described in 7 and persist in 6. Our data show that durable hematological and cytogenetic responses are achieved with imatinib in patients with PDGFRB fusion positive, BCR-ABL negative CMPDs.


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