Prognostic significance of early molecular response in chronic myeloid leukemia patients treated with tyrosine kinase inhibitors

被引:3
作者
Yeung, David T. [1 ,2 ]
Mauro, Michael J. [3 ]
机构
[1] SA Pathol, Dept Haematol & Mol Pathol, Adelaide, SA, Australia
[2] Univ Adelaide, Sch Med, Discipline Med, Adelaide, SA, Australia
[3] Mem Sloan Kettering Canc Ctr, Myeloproliferat Neoplasms Program, New York, NY 10065 USA
基金
英国医学研究理事会;
关键词
BCR-ABL1 TRANSCRIPT LEVELS; FOLLOW-UP; IMATINIB; CML; PREDICT; DISCONTINUATION; RECOMMENDATIONS; DASATINIB; NILOTINIB; SURVIVAL;
D O I
10.1182/asheducation-2014.1.240
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
A 55-year-old man presented with splenomegaly (10 cm below left costal margin) and leucocytosis (145 x 10(9)/L). Differential showed neutrophilia with increased basophils (2%), eosinophils (1.5%), and left shift including myeloblasts (3%). A diagnosis of chronic myeloid leukemia in chronic phase was established after marrow cytogenetics demonstrated the Philadelphia chromosome. Molecular studies showed a BCR-ABL1 qPCR result of 65% on the International Scale. Imatinib therapy at 400 mg daily was initiated due to patient preference, with achievement of complete hematological response after 4 weeks of therapy. BCR-ABL1 at 1 and 3 months after starting therapy was 37% and 13%, respectively (all reported on International Scale). Is this considered an adequate molecular response?
引用
收藏
页码:240 / 243
页数:4
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