Imatinib mesylate discontinuation in patients with chronic myeloid leukemia who have received front-line imatinib mesylate therapy and achieved complete molecular response

被引:56
作者
Yhim, Ho-Young
Lee, Na-Ri
Song, Eun-Kee
Yim, Chang-Yeol
Jeon, So Yeon
Shin, Seunghwan [2 ]
Kim, Jeong-A [2 ]
Kim, Hee Sun [3 ]
Cho, Eun Hae [4 ]
Kwak, Jae-Yong [1 ]
机构
[1] Chonbuk Natl Univ, Sch Med, Dept Internal Med, Adv Res Canc Ctr, Jeonju 561712, South Korea
[2] Catholic Univ Korea, Coll Med, Div Hematol, Dept Internal Med, Seoul, South Korea
[3] Woosuk Univ, Dept Nursing, Wonju, South Korea
[4] Green Cross Reference Lab, Yongin, South Korea
关键词
Chronic myeloid leukemia; Complete molecular response; Imatinib mesylate; Real-time quantitative polymerase chain reaction; CHRONIC MYELOGENOUS LEUKEMIA; REMISSION; RISK; HALF; CML;
D O I
10.1016/j.leukres.2012.02.011
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The aims were to investigate the feasibility of imatinib mesylate (IM) discontinuation in chronic myeloid leukemia patients who were initially treated with IM and achieved complete molecular response (CMR). Fourteen patients were included. Ten were relapsed within 9.5 months after discontinuation of IM. All 7 patients with high Sokal risk were relapsed. The probability of CMR persistence at 1-year was 28.6%. All relapsed patients were still responsive to IM. A high Sokal risk and delayed acquisition of CMR were associated with relapse. IM discontinuation in patients achieved CMR after treatment with front-line IM might be feasible. Further studies are warranted. (C) 2012 Elsevier Ltd. All rights reserved.
引用
收藏
页码:689 / 693
页数:5
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