PMID- 22213863 OWN - NLM STAT- MEDLINE DCOM- 20120517 LR - 20151119 IS - 0253-2727 (Print) IS - 0253-2727 (Linking) VI - 32 IP - 7 DP - 2011 Jul TI - [Monitoring of plasma concentration of imatinib mesylate in patients with chronic myeloid leukemia]. PG - 450-3 AB - OBJECTIVE: To analyze the clinical efficacy of imatinib mesylate (IM) for Ph-positive or BCR-ABL positive chronic myeloid leukemia (CML) to couple the trough plasma concentrations (C mins) of IM with clinical responses and adverse events (AEs). METHODS: One hundred and one CML patients received IM therapy, and Cmins of IM were determined in 30 patients. RESULTS: (1) Cumulative complete hematological response (CHR), major cytogenetic response (MCyR), complete cytogenetic response (CCyR) and negative BCR/ABL fusion gene rates were 96.6%, 86.5%, 77.5% and 47.2%, respectively, in CML-CP patients. In accelerated and blastic phases (AP and BC) patients, CHR, MCyR, CCyR and negative BCR-ABL fusion gene rates were 58.3%, 25.0%, 25.0%, 8.3%, respectively. (2) Mean Cmins of IM was significantly higher in the CCyR at 1 year [(1472 +/- 482) microg/L] group than in the non-CCyR at 1 years group [(1067 +/- 373) microg/L] (P < 0.05), and higher in the MMR at 1 year group than in the non-MMR at 1 years group [(1624 +/- 468) microg/L vs (1137 +/- 404) microg/L, P < 0.05]. CONCLUSION: IM significantly improves cytogenetic and molecular response, event-free survival, and overall survival for patients with Ph-positive CML. The Cmins of IM exerts a significant impact on clinical response (CCyR and MMR at 1 year). FAU - Chen, Chen AU - Chen C AD - Department of Hematology, Qilu Hospital of Shandong University, Jinan 250012, China. FAU - Wang, Wen AU - Wang W FAU - Xu, Cong-Gao AU - Xu CG FAU - Hou, Ming AU - Hou M FAU - Wang, Lu-Qun AU - Wang LQ FAU - Liu, Chuan-Fang AU - Liu CF FAU - Song, Qiang AU - Song Q FAU - Ji, Chun-Yan AU - Ji CY LA - chi PT - Clinical Trial PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhonghua Xue Ye Xue Za Zhi JT - Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi JID - 8212398 RN - 0 (Antineoplastic Agents) RN - 0 (Benzamides) RN - 0 (Piperazines) RN - 0 (Pyrimidines) RN - 8A1O1M485B (Imatinib Mesylate) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antineoplastic Agents/blood/*therapeutic use MH - Benzamides MH - Female MH - Humans MH - Imatinib Mesylate MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/*blood/*drug therapy MH - Male MH - Middle Aged MH - Piperazines/blood/*therapeutic use MH - Pyrimidines/blood/*therapeutic use MH - Treatment Outcome MH - Young Adult EDAT- 2012/01/04 06:00 MHDA- 2012/05/18 06:00 CRDT- 2012/01/04 06:00 PHST- 2012/01/04 06:00 [entrez] PHST- 2012/01/04 06:00 [pubmed] PHST- 2012/05/18 06:00 [medline] PST - ppublish SO - Zhonghua Xue Ye Xue Za Zhi. 2011 Jul;32(7):450-3.