PMID- 14625174 OWN - NLM STAT- MEDLINE DCOM- 20040331 LR - 20151119 IS - 1000-2588 (Print) IS - 1000-2588 (Linking) VI - 23 IP - 11 DP - 2003 Nov TI - [STI 571 for treating 19 patients with chronic-phase chronic myeloid leukemia]. PG - 1149-50 AB - OBJECTIVE: To compare the therapeutic effects of STI 571 in treating Philadelphia chromosome (Ph)-positive patients with chronic-phase and acceleration phase chronic myeloid leukemia (CML-CP and CML-AP, respectively). METHODS: A total of 19 CML patients with Ph chromosome and/or fluorescence in situ hybridization (FISH)-bcr/abl fusion gene positivity rates over 90% and a median age of 38 years were recruited in this study, 12 of whom had previously failed to respond to interferon-alpha. Five of the 19 patients were in accelerated phase and 14 in chronic phase, 9 of the latter patient group in early stage of CML-CP (within 1 year since diagnosis) and 5 in advanced stage (3-6 years since diagnosis). All the patients were given oral STI 571 at the dose of 300-500 mg/d for a median treatment course of 5 months, and the 5 patients with CML-AP also received homoharringtonine at dose of 1-2 mg/d for an average of 1.5 treatment cycles (7-14 d for a complete treatment cycle). The Ph chromosome and the FISH-bcr/abl were analysed again 3 months after the treatment. RESULTS: STI 571 induced 100% complete hematological remission (CHR) and 79% major cytogenetic responses (MCR) in these patients. The complete cytogenetic remission (CCR) rates of CML-AP patients and CML-CP patients in advanced stage were lower than that of CML- CP patients in early stage (0% and 40% vs 88.9%). CONCLUSION: STI 571 can achieve high rate of CHR and MCR in CML-CP patients, especially in those in early stage of the disease. FAU - Meng, Fan-yi AU - Meng FY AD - Department of Hematology, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China. mengfu@medmail.com.cn FAU - Zheng, Wei-yang AU - Zheng WY FAU - Liu, Xiao-li AU - Liu XL FAU - Xu, Bing AU - Xu B FAU - Song, Lan-lin AU - Song LL FAU - Zhang, Yu AU - Zhang Y FAU - Huang, Fen AU - Huang F LA - chi PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Di Yi Jun Yi Da Xue Xue Bao JT - Di 1 jun yi da xue xue bao = Academic journal of the first medical college of PLA JID - 9426110 RN - 0 (Antineoplastic Agents) RN - 0 (Benzamides) RN - 0 (Piperazines) RN - 0 (Pyrimidines) RN - 8A1O1M485B (Imatinib Mesylate) SB - IM MH - Adolescent MH - Adult MH - Antineoplastic Agents/*therapeutic use MH - Benzamides MH - Female MH - Follow-Up Studies MH - Humans MH - Imatinib Mesylate MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/blood/*drug therapy/genetics MH - Leukemia, Myeloid, Chronic-Phase/blood/*drug therapy/genetics MH - Male MH - Middle Aged MH - Piperazines/adverse effects/*therapeutic use MH - Pyrimidines/adverse effects/*therapeutic use EDAT- 2003/11/20 05:00 MHDA- 2004/04/01 05:00 CRDT- 2003/11/20 05:00 PHST- 2003/11/20 05:00 [pubmed] PHST- 2004/04/01 05:00 [medline] PHST- 2003/11/20 05:00 [entrez] PST - ppublish SO - Di Yi Jun Yi Da Xue Xue Bao. 2003 Nov;23(11):1149-50.