Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
25
pubmed:dateCreated
2011-6-24
pubmed:databankReference
pubmed:abstractText
Variant Philadelphia (Ph) chromosome translocations have been reported in 5%-10% of patients with newly diagnosed chronic myeloid leukemia (CML). Variant translocations may involve one or more chromosomes in addition to 9 and 22, and can be generated by 2 different mechanisms, 1-step and 2-step rearrangements, as revealed by fluorescence in situ hybridization. The prognostic significance of the occurrence of variant translocations has been discussed in previous studies. The European LeukemiaNet recommendations do not provide a "warning" for patients with variant translocations, but there is limited information about their outcome after therapy with tyrosine kinase inhibitors. To identify the role of variant translocations in early chronic phase (CP) CML patients treated with imatinib mesylate, we performed an analysis in a large series of 559 patients enrolled in 3 prospective imatinib trials of the Gruppo Italiano Malattie EMatologiche dell'Adulto (GIMEMA) Working Party on CML. Variant translocations occurred in 30 patients (5%). Our data show that the presence of variant translocations has no impact on the cytogenetic and molecular response or on outcome, regardless of the involvement of different mechanisms, the number of involved chromosomes, or the presence of deletions. Therefore, we suggest that patients with variant translocations do not constitute a "warning" category in the imatinib era. This study is registered at www.clinicaltrials.gov as NCT00514488 and NCT00510926.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1528-0020
pubmed:author
pubmed-author:AmabileMarilinaM, pubmed-author:BaccaraniMicheleM, pubmed-author:BaldazziCarmenC, pubmed-author:BonaldiLauraL, pubmed-author:CastagnettiFaustoF, pubmed-author:CianciulliAnna MariaAM, pubmed-author:DiscepoliGiancarloG, pubmed-author:GiacobbiFrancescaF, pubmed-author:GiudiciGiovanniG, pubmed-author:GiussaniUrsulaU, pubmed-author:Gruppo Italiano Malattie EMatologiche dell'Adulto (GIMEMA) Working..., pubmed-author:GugliottaGabrieleG, pubmed-author:LuattiSimonaS, pubmed-author:MartinelliGiovanniG, pubmed-author:MarzocchiGiuliaG, pubmed-author:MontaldiAnnaA, pubmed-author:PalandriFrancescaF, pubmed-author:PaneFabrizioF, pubmed-author:RostiGianantonioG, pubmed-author:SaglioGiuseppeG, pubmed-author:SantoroAlessandraA, pubmed-author:SessaregoMarioM, pubmed-author:SpecchiaGiorginaG, pubmed-author:StacchiniMonicaM, pubmed-author:TestoniNicolettaN, pubmed-author:ValoriLauraL
pubmed:issnType
Electronic
pubmed:day
23
pubmed:volume
117
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
6793-800
pubmed:meshHeading
pubmed:year
2011
pubmed:articleTitle
Variant Philadelphia translocations: molecular-cytogenetic characterization and prognostic influence on frontline imatinib therapy, a GIMEMA Working Party on CML analysis.
pubmed:affiliation
Department of Hematology and Oncology L. e A. Seràgnoli, University of Bologna, Bologna, Italy.
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, Non-U.S. Gov't