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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
2010-8-6
pubmed:abstractText
The introduction of BCR-ABL tyrosine kinase inhibitors such as imatinib has changed the treatment of chronic myelogenous leukemia (CML). More than 75% of patients achieve complete cytogenetic remission (CCR) after treatment with imatinib, which provides an opportunity to collect minimally involved hematopoietic progenitor stem cell (HPC) products. In order to assess the feasibility of HPC collection in patients with CML, we prospectively enrolled 24 patients who achieved CCR on therapy with imatinib. Two patients could not undergo HPC collection because of coagulopathy. A CD34+ cell yield of > or =2.0 x 10(6)/kg body weight was obtained in 16/22 (73%) patients. Patients who stopped imatinib for at least 3 weeks prior to HPC collection had significantly higher CD34+ cell yields (median: 6.52 x 10(6)/kg body weight) when compared with patients who continued imatinib through the collection (median: 3.74 x 10(6)/kg body weight). Mobilization with granulocyte colony-stimulating factor (G-CSF) did not increase the levels of BCR-ABL transcript. With a mean follow-up of 46 months, all patients but one were in CCR. In conclusion, a significant number of CD34+ cells can be safely collected in patients with CML who are on imatinib therapy, but CD34+ cell yields improve when imatinib is temporarily withheld.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
1029-2403
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
51
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1478-84
pubmed:meshHeading
pubmed-meshheading:20658954-Adult, pubmed-meshheading:20658954-Antigens, CD34, pubmed-meshheading:20658954-Antineoplastic Agents, pubmed-meshheading:20658954-Feasibility Studies, pubmed-meshheading:20658954-Female, pubmed-meshheading:20658954-Fusion Proteins, bcr-abl, pubmed-meshheading:20658954-Hematopoietic Stem Cell Mobilization, pubmed-meshheading:20658954-Hematopoietic Stem Cells, pubmed-meshheading:20658954-Humans, pubmed-meshheading:20658954-Leukapheresis, pubmed-meshheading:20658954-Leukemia, Myelogenous, Chronic, BCR-ABL Positive, pubmed-meshheading:20658954-Male, pubmed-meshheading:20658954-Middle Aged, pubmed-meshheading:20658954-Piperazines, pubmed-meshheading:20658954-Prospective Studies, pubmed-meshheading:20658954-Protein-Tyrosine Kinases, pubmed-meshheading:20658954-Pyrimidines, pubmed-meshheading:20658954-RNA, Messenger, pubmed-meshheading:20658954-Remission Induction, pubmed-meshheading:20658954-Reverse Transcriptase Polymerase Chain Reaction, pubmed-meshheading:20658954-Survival Rate, pubmed-meshheading:20658954-Treatment Outcome
pubmed:year
2010
pubmed:articleTitle
Hematopoietic progenitor cell collection in patients with chronic myelogenous leukemia in complete cytogenetic remission after imatinib mesylate therapy.
pubmed:affiliation
Department of Stem Cell Transplantation and Cellular Therapy, University of Texas M. D. Anderson Cancer Center, Houston, TX 77030, USA.
pubmed:publicationType
Journal Article