Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2003-9-12
pubmed:abstractText
We studied 128 patients with chronic myeloid leukemia (CML) relapsing after allogeneic stem cell transplantation (SCT). Disease at the time of treatment with Imatinib was in chronic phase (CP) in 51 patients, accelerated phase (AP) in 31 and blastic crisis (BC) in 46. Of the 51 patients in CP, 14 were in cytogenetic and two in molecular relapses. The median interval between relapse and Imatinib therapy was 5 months (0-65). A total of 50 patients had failed treatment with donor lymphocyte infusions prior to Imatinib. The overall hemato-logical response rate was 84% (98% for patients relapsing in CP). The complete cytogenetic response (CCR) was 58% for patients in CP, 48% for AP and 22% for patients in BC. Complete molecular responses were obtained in 25 patients (26%), of whom 21 were in CP or AP. With a median follow-up of 9 months, the estimated 2-year survival for CP, AP and BC patients was 100, 86 and 12%, respectively. Out of 79 evaluable patients, 45 (57%) achieved full donor and 11 (14%) mixed chimerism after Imatinib. We conclude that Imatinib has significant activity against CML in relapse after allogeneic SCT. Durable cytogenetic and molecular remissions are obtainable in patients in CP.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0887-6924
pubmed:author
pubmed:issnType
Print
pubmed:volume
17
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1707-12
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:12970768-Adult, pubmed-meshheading:12970768-Aged, pubmed-meshheading:12970768-Antineoplastic Agents, pubmed-meshheading:12970768-Female, pubmed-meshheading:12970768-Graft vs Leukemia Effect, pubmed-meshheading:12970768-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:12970768-Humans, pubmed-meshheading:12970768-Leukemia, Myelogenous, Chronic, BCR-ABL Positive, pubmed-meshheading:12970768-Male, pubmed-meshheading:12970768-Middle Aged, pubmed-meshheading:12970768-Neoplasm Recurrence, Local, pubmed-meshheading:12970768-Piperazines, pubmed-meshheading:12970768-Pyrimidines, pubmed-meshheading:12970768-Retrospective Studies, pubmed-meshheading:12970768-Salvage Therapy, pubmed-meshheading:12970768-Survival Rate, pubmed-meshheading:12970768-Transplantation, Homologous, pubmed-meshheading:12970768-Treatment Outcome
pubmed:year
2003
pubmed:articleTitle
Response to imatinib in patients who relapse after allogeneic stem cell transplantation for chronic myeloid leukemia.
pubmed:affiliation
Hammersmith Hospital, London, UK.
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Multicenter Study, Clinical Trial, Phase II