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Durable Molecular Complete Remission Induced by Low-dose Imatinib plus Low-dose Interferon Alpha in a Patient with Chronic Myelogenous Leukaemia
Oleh:
Takeuchi, J.
;
Miura, K.
;
Hatta, Y.
;
Sawada, U.
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
The Journal of International Medical Research vol. 34 no. 01 (Jan. 2006)
,
page 103-108.
Topik:
Imatinib
;
Interferon Alpha
;
Chronic Myelogenous Leukaemia
Ketersediaan
Perpustakaan FK
Nomor Panggil:
J11.K.05-06.01
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
A 50-year-old male was diagnosed with chronic myelogenous leukaemia (CML) in chronic phase in March 2000. He was treated initially with hydroxyurea, administered orally. This was changed to interferon alpha (IFN) 5 million units (5 MIU) subcutaneously daily in May 2000; complete cytogenetic response was achieved 11 months later. IFN dosage was reduced to 5 MIU, alternate days, in June 2001 and a cytogenetic relapse occurred 3 months later. Since April 2002, he has received IFN 5 MIU three times weekly in combination with imatinib 200 mg/day. The Philadelphia chromosome disappeared from his peripheral blood cells in July 2002 and a complete molecular response was achieved in January 2003. Serial molecular studies between January 2004 and January 2005 showed no detectable major BCR/ABL chimeric transcript. Grade 2 neutropenia and grade 1 non-haematological adverse effects have been observed. This case report suggests the combination of low-dose imatinib and IFN would be tolerable and effective for CML patients in chronic phase.
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