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  • Seed SRL  (3)
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  • Seed SRL  (3)
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  • 1
    Online Resource
    Online Resource
    Seed SRL ; 2015
    In:  Clinical Management Issues Vol. 4, No. 5S ( 2015-10-13), p. 9-13
    In: Clinical Management Issues, Seed SRL, Vol. 4, No. 5S ( 2015-10-13), p. 9-13
    Abstract: We report a case of patient with chronic myeloid leukemia who started imatinib at standard dose and obtained a sub-optimal response at 6 months. Considering the patient as a possible “late responder”, we decided not to change the imatinib dose, but, at 12 months, we did not achieve a complete cytogenetic response. At that time, we decided to switch to a second-generation tyrosine kinase inhibitor (TKI), nilotinib 800 mg/day, obtaining soon a major molecular response. Recently, the retrospective application of European LeukemiaNet guidelines in large cohorts of patients suggested that patients whose response to imatinib is sub-optimal at 6 months showed significantly worse survival. Therefore we can hypothesise that this kind of patients could be eligible for an early switch to second-generation TKI.
    Type of Medium: Online Resource
    ISSN: 2283-3137 , 1973-4832
    Language: Unknown
    Publisher: Seed SRL
    Publication Date: 2015
    detail.hit.zdb_id: 2744441-7
    Location Call Number Limitation Availability
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  • 2
    Online Resource
    Online Resource
    Seed SRL ; 2015
    In:  Clinical Management Issues Vol. 4, No. 6S ( 2015-10-13), p. 3-5
    In: Clinical Management Issues, Seed SRL, Vol. 4, No. 6S ( 2015-10-13), p. 3-5
    Type of Medium: Online Resource
    ISSN: 2283-3137 , 1973-4832
    Language: Unknown
    Publisher: Seed SRL
    Publication Date: 2015
    detail.hit.zdb_id: 2744441-7
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 3
    Online Resource
    Online Resource
    Seed SRL ; 2015
    In:  Clinical Management Issues Vol. 4, No. 2S ( 2015-10-13), p. 7-11
    In: Clinical Management Issues, Seed SRL, Vol. 4, No. 2S ( 2015-10-13), p. 7-11
    Abstract: We report a case of a young man affected by Wolf-Parkinson White syndrome, who was diagnosed as having chronic myeloid leukemia. He started imatinib at standard dose of 400 mg/day and he reached a partial cytogenetic response at 6 months, a sub-optimal response according to European LeukemiaNet criteria of 2006. For this reason he increased imatinib dose to 600 mg/day, but after 3 months he suddenly lost his hematologic response. Cytogenetic analysis performed at this time showed a cytogenetic relapse and acquisition of an additional cytogenetic abnormality (trisomy 8). Considering the patient as a failure at this time, he switched to second-generation tyrosine kinase inhibitor, nilotinib at the dose of 800 mg/day. He reached complete cytogenetic remission after 3 months and nilotinib was safely administered without further QTc prolongation.
    Type of Medium: Online Resource
    ISSN: 2283-3137 , 1973-4832
    Language: Unknown
    Publisher: Seed SRL
    Publication Date: 2015
    detail.hit.zdb_id: 2744441-7
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
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