Philadelphia chromosome-positive acute lymphoblastic leukemia: Impact of imatinib treatment on remission induciton and allogeneic stem cell tranplantation

被引:3
作者
Kovacsovics T. [1 ]
Maziarz R.T. [1 ]
机构
[1] Center for Hematologic Malignancies, Oregon Health Science University, Portland, OR 97239-3098
关键词
Imatinib; Chronic Myeloid Leukemia; Dasatinib; Imatinib Mesylate; Allogeneic Stem Cell Transplantation;
D O I
10.1007/s11912-006-0056-y
中图分类号
学科分类号
摘要
Philadelphia chromosome-positive (Ph+) acute lymphoblastic leukemia (ALL) has been associated with the worst patient survival rates of the various acute leukemias. Imatinib mesylate is a novel therapeutic agent that targets the BCR-ABL tyrosine kinase, the molecular abnormality associated with Ph+ ALL. The combination of imatinib with chemotherapy has led to improved and durable treatment responses in adult patients with Ph+ ALL, including the elderly population. Hematopoietic stem cell transplantation has also integrated imatinib into its transplant strategies, with early data suggesting improved progression-free survival without clearly identifiable augmented toxicity. Second-generation tyrosine kinase inhibitors offer potentially even greater improvements on these excellent imatinib-associated outcomes. This review addresses the evolution of the management of Ph+ ALL and is intended to assist in the description of its new natural history. Copyright © 2006 by Current Science Inc.
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页码:343 / 351
页数:8
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