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Adverse reactions, regardless of relationship to study drug, that were reported in at least 5% of the patients treated with Gleevec are shown in Table 14 (Study 1) and Table 15 (Study 2).
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The original sample size was based on a proof-of-concept approach, according to which we required at least 3 patients with a response among 18 treated patients in each group in order to continue enrolling patients in the study.
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Sunitinib treatment trended towards a slightly longer overall survival, although this was not statistically significant.
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Patients were eligible for the study if they were between 18 and 70 years of age and had received a diagnosis of chronic-phase, Ph-positive CML within six months before study entry.
The TKI resistance observed was secondary to a germline deletion polymorphism of the BH3 domain of BIM (BCL2L11) that is needed for TKIs to induce apoptosis in malignancies driven by kinases.
Kazuha Sakamoto, Shinji Sakurai, Tatsuo Kanda, Yuji Sakuma, Tsunekazu Hishima, Mitsugu Hironaka, Takeo Bamba, Yoshiko Keira, Yasuo Takano, Toshiro Niki, Tadashi Hasegawa, Seiichi Hirota.
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His work was instrumental in the development of Gleevec (imatinib), a drug that targets the molecular defect in chronic myeloid leukemia (CML).
The American College of Surgeons Oncology Group trial Z9001 randomized 708 patients to receive either placebo or treatment with imatinib for 1 year.
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This drug can also affect the rhythm of the heart, causing a condition called prolonged QT syndrome.
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Alternatively, in the management of imatinib resistance, the patient may be switched directly to sunitinib from low-dose imatinib.
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An ultrasound-guided biopsy of the ill-defined hypoechoic area demonstrated an infiltrating ductal carcinoma.
However, when the overall death rate from GIST was shown to be low because of the efficacy of imatinib for advanced or recurrent disease, the investigators changed the endpoint to RFS.
These are not all of the possible side effects of BOSULIF.
Imatinib was invented in the late 1990s by scientists at Ciba-Geigy (which merged with Sandoz in 1996 to become ), in a team led by biochemist and that included Elisabeth Buchdunger and Jürg Zimmermann and its use to treat CML was driven by oncologist of (OHSU).
Cardioprotection and Safety of Dexrazoxane in Patients Treated for Newly Diagnosed T-Cell Acute Lymphoblastic Leukemia or Advanced-Stage Lymphoblastic Non-Hodgkin Lymphoma: A Report of the Children's Oncology Group Randomized Trial Pediatric Oncology Group 9404.
Gastrointestinal tumor sites may have been the source of GI hemorrhages.
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Clinical trials will explore combining imatinib mesylate with other drugs to improve the prognosis of patients with blastic-phase CML.
It is important to remember that the procedure is not without risk, and that proper care should be taken by physicians, nursing, and patients to avoid excessive pressure on the external bolster of the PEG against the skin wall to decrease the risk of developing a buried bumper.
The usual laboratory findings are elevated AST and ALT levels.
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Another common side effect is fluid buildup around the eyes, feet, or abdomen.
For nilotinib, antileukemic activity and a relatively favorable safety profile have been demonstrated in patients with imatinib-resistant CML in an international phase I trial ().
Hopefully additional data analyses of other trials will be forthcoming to confirm these findings.
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Unlike two previous studies in gastrointestinal stromal tumours (GIST) patients (; ), a recent clinical pharmacokinetic (PK) substudy carried out on the basis of the B2222 trial, evaluating imatinib in patients with unresectable or metastatic CD117-positive GIST, found a correlation between imatinib total exposure and clinical response.
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By 12 months, the cumulative MR4 for the subgroup treated with imatinib at a dose of 400 mg and the PegIFN90 vs imatinib of 400-mg and PegIFN45 were 25% and 28% respectively.
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This result highlighted the intrinsic heterogeneity in resistant tumors, which could be due to the patient's genetic makeup.
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In this paper, we report the synergistic cooperation between bosutinib and imatinib in several Bcr-Abl-positive cell lines as well as in samples derived from patients with CML.
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If you miss a dose of BOSULIF, take it as soon as you remember.
The most frequently reported drug-related adverse reactions were edema, nausea and vomiting, muscle cramps, musculoskeletal pain, diarrhea and rash (Table 2 and Table 3 for newly diagnosed CML, Table 4 for other CML patients).
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After SOT opportunistic infection remains a risk throughout a patient's life, particularly if graft-versus-host disease develops, requiring increased dosage of immunosuppressant drugs, so life-long attention to safe food handling is recommended (Chen et al.
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Immunotherapy, also called biologic therapy, is designed to boost the body's natural defenses to fight the cancer.
Imatinib mesylate tablets are film-coated and contain imatinib mesylate equivalent to 100 mg or 400 mg of imatinib free base.
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Exposure of these cells to imatinib blocked the kinase activity of KIT, arrested proliferation, and caused apoptotic cell death.
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