Perspectives on the treatment of chronic phase and advanced phase CML and Philadelphia chromosome positive ALL

Chronic myeloid leukaemia (CML) is a malignant disease of the bone marrow characterised by the presence of the Philadelphia (Ph) chromosome. About 20% of acute lymphoblastic leukaemia (ALL) patients also show this genetic abnormality. A new drug, imatinib (Glivec®, Novartis Pharma AG, Basel, Switzer...

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Hauptverfasser: Schiffer, Charles A. (VerfasserIn) , Hehlmann, Rüdiger (VerfasserIn) , Larson, Richard A. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 08 April 2003
In: Leukemia
Year: 2003, Jahrgang: 17, Heft: 4, Pages: 691-699
ISSN:1476-5551
DOI:10.1038/sj.leu.2402879
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1038/sj.leu.2402879
Verlag, lizenzpflichtig, Volltext: https://www.nature.com/articles/2402879
Volltext
Verfasserangaben:C.A. Schiffer, R. Hehlmann and R. Larson
Beschreibung
Zusammenfassung:Chronic myeloid leukaemia (CML) is a malignant disease of the bone marrow characterised by the presence of the Philadelphia (Ph) chromosome. About 20% of acute lymphoblastic leukaemia (ALL) patients also show this genetic abnormality. A new drug, imatinib (Glivec®, Novartis Pharma AG, Basel, Switzerland, and formerly STI571) is having a profound effect on the treatment and management of all stages of CML and Philadelphia chromosome positive (Ph+) ALL. New treatment algorithms are being developed. Should imatinib replace or be combined with existing therapies? To address this question, we review the pros and cons of therapy with interferon-α (IFN-α), allogeneic transplantation, autologous transplantation, imatinib, and in the case of Ph+ ALL, chemotherapy and experimental approaches. Conservative and aggressive treatments will be discussed and new molecular methods of monitoring cytogenetic response and their significance will also be reviewed.
Beschreibung:Gesehen am 12.05.2022
Beschreibung:Online Resource
ISSN:1476-5551
DOI:10.1038/sj.leu.2402879