Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2004-11-19
pubmed:abstractText
The outcome for adult patients with BCR-ABL-positive acute lymphoblastic leukemia (ALL) remains dismal and long-term survival can hardly be achieved except by allogeneic hematopoietic stem cell transplantation (HSCT). The Japan Adult Leukemia Study Group (JALSG) has recently started a phase 2 trial with intensive chemotherapy and imatinib for newly diagnosed BCR-AB-positive ALL patients, and we present here the interim results for the first 24 patients. All patients except one case of early death (96%) attained complete remission (CR) after a single course of remission induction therapy. Polymerase chain reaction (PCR) negativity was achieved in 28% of the patients on day 28, in 50% on day 63, and in up to 78% during the follow-up period. The toxicity profile was almost similar to that with chemotherapy alone. As a result, 15 patients (63%) could receive an allogeneic HSC transplant during their first CR. Although the number of patients is small and the observation period is too short, the combination therapy is very promising and produces high-quality CR for most newly diagnosed patients with BCR-ABL-positive ALL. This is especially useful because it provides the patients with a better chance to receive an allogeneic HSC transplant.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0006-4971
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
104
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
3507-12
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:15315963-Adolescent, pubmed-meshheading:15315963-Adult, pubmed-meshheading:15315963-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:15315963-Female, pubmed-meshheading:15315963-Fusion Proteins, bcr-abl, pubmed-meshheading:15315963-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:15315963-Humans, pubmed-meshheading:15315963-Male, pubmed-meshheading:15315963-Middle Aged, pubmed-meshheading:15315963-Neoplasm, Residual, pubmed-meshheading:15315963-Piperazines, pubmed-meshheading:15315963-Precursor Cell Lymphoblastic Leukemia-Lymphoma, pubmed-meshheading:15315963-Pyrimidines, pubmed-meshheading:15315963-Remission Induction, pubmed-meshheading:15315963-Survival Analysis, pubmed-meshheading:15315963-Time Factors, pubmed-meshheading:15315963-Transplantation, Homologous, pubmed-meshheading:15315963-Treatment Outcome
pubmed:year
2004
pubmed:articleTitle
Combination of intensive chemotherapy and imatinib can rapidly induce high-quality complete remission for a majority of patients with newly diagnosed BCR-ABL-positive acute lymphoblastic leukemia.
pubmed:affiliation
Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi 466-8550, Japan.
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, Non-U.S. Gov't, Clinical Trial, Phase II