Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2008-11-25
pubmed:abstractText
The majority of patients with chronic myeloid leukemia in chronic phase gain substantial benefit from imatinib but some fail to respond or lose their initial response. In 2006, the European LeukemiaNet published recommendations designed to help identify patients responding poorly to imatinib. Patients were evaluated at 3, 6, 12, and 18 months and some were classified as "failure" or "suboptimal responders." We analyzed outcomes for 224 patients with chronic myeloid leukemia in chronic phase treated in a single institution to validate these recommendations. Patients were followed for a median of 46.1 months. At each time point, patients classified as "failure" showed significantly worse survival, progression-free survival, and cytogenetic response than other patients; for example, based on the assessment at 12 months, the 5-year survival was 87.1% versus 95.1% (P = .02), progression-free survival 76.% versus 90% (P = .002), and complete cytogenetic response rate 26.7% versus 94.1% (P < .001). Similarly, the criteria for "suboptimal response" at 6 and 12 months identified patients destined to fare badly, although criteria at 18 months were less useful. The predictive value of some other individual criteria varied. In general, the LeukemiaNet criteria have useful predictive value, but a case could now be made for combining the categories "failure" and "suboptimal response."
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1528-0020
pubmed:author
pubmed:issnType
Electronic
pubmed:day
1
pubmed:volume
112
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
4437-44
pubmed:meshHeading
pubmed-meshheading:18716134-Adolescent, pubmed-meshheading:18716134-Adult, pubmed-meshheading:18716134-Aged, pubmed-meshheading:18716134-Algorithms, pubmed-meshheading:18716134-Antineoplastic Agents, pubmed-meshheading:18716134-Databases, Factual, pubmed-meshheading:18716134-Drug Resistance, Neoplasm, pubmed-meshheading:18716134-Europe, pubmed-meshheading:18716134-Female, pubmed-meshheading:18716134-Health Planning Guidelines, pubmed-meshheading:18716134-Humans, pubmed-meshheading:18716134-Leukemia, Myelogenous, Chronic, BCR-ABL Positive, pubmed-meshheading:18716134-Male, pubmed-meshheading:18716134-Middle Aged, pubmed-meshheading:18716134-Piperazines, pubmed-meshheading:18716134-Prognosis, pubmed-meshheading:18716134-Pyrimidines, pubmed-meshheading:18716134-Survival Analysis, pubmed-meshheading:18716134-Treatment Failure, pubmed-meshheading:18716134-Treatment Outcome, pubmed-meshheading:18716134-Young Adult
pubmed:year
2008
pubmed:articleTitle
European LeukemiaNet criteria for failure or suboptimal response reliably identify patients with CML in early chronic phase treated with imatinib whose eventual outcome is poor.
pubmed:affiliation
Department of Haematology, Hammersmith Hospitals Trust, Imperial College London, London, United Kingdom. d.marin@imperial.ac.uk
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't, Evaluation Studies