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The achievement of molecular complete remission during treatment with imatinib mesylate correlates with relapse-free survival in bcr/abl-positive acute lymphoid leukemia patients.

Abstract
Using quantitative reverse-transcription polymerase chain reaction we investigated the significance of achieving molecular complete remission (CR) in 12 patients with bcr/abl-positive acute lymphocytic leukemia treated with imatinib. The 6 patients who achieved molecular CR had significantly better relapse-free survival (RFS) than the others (9 vs 4 months) (p=0.000). Moreover, the 6 patients with a bcr-abl/GAPDHx100,000 ratio <2 after 4 weeks of treatment had significantly better RFS (10.5 vs 4 months) (p=0.004).
AuthorsPier Paolo Piccaluga, Michele Malagola, Marilina Amabile, Michela Rondoni, Stefania Paolini, Fabrizio Pane, Domenico Russo, Giuseppe Visani, Michele Baccarani, Giovanni Martinelli
JournalHaematologica (Haematologica) Vol. 89 Issue 10 Pg. 1269-71 (Oct 2004) ISSN: 1592-8721 [Electronic] Italy
PMID15477218 (Publication Type: Letter, Research Support, Non-U.S. Gov't)
Chemical References
  • Antineoplastic Agents
  • Benzamides
  • Biomarkers, Tumor
  • Neoplasm Proteins
  • Piperazines
  • Pyrimidines
  • Imatinib Mesylate
  • Fusion Proteins, bcr-abl
Topics
  • Antineoplastic Agents (therapeutic use)
  • Benzamides
  • Biomarkers, Tumor (blood)
  • Disease-Free Survival
  • Drug Evaluation
  • Fusion Proteins, bcr-abl (blood)
  • Humans
  • Imatinib Mesylate
  • Life Tables
  • Neoplasm Proteins (blood)
  • Piperazines (therapeutic use)
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma (blood, drug therapy, mortality)
  • Pyrimidines (therapeutic use)
  • Remission Induction
  • Survival Analysis

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