TY - JOUR. T1 - Simultaneous homoharringtonine and interferon-α in the treatment of patients with chronic-phase chronic myelogenous leukemia. AU - O'Brien, Susan. AU - Talpaz, Moshe. AU - Cortes, Jorge. AU - Shan, Jianqin. AU - Giles, Francis J.. AU - Faderl, Stefan. AU - Thomas, Deborah. AU - Garcia-Manero, Guillermo. AU - Mallard, Susie. AU - BethRios, Mary. AU - Koller, Charles. AU - Kornblau, Steve. AU - Andreeff, Michael. AU - Murgo, Anthony. AU - Keating, Michael. AU - Kantarjian, Hagop M.. PY - 2002/4/1. Y1 - 2002/4/1. N2 - BACKGROUND. Homoharringtonine (HHT) has antileukemic activity in patients with Philadelphia chromosome (Ph) positive chronic myelogenous leukemia (CML). Combinations of HHT, interferon-α (IFN-α), and cytarabine (ara-C) have been studied in various CML phases. The objectives of this study were to evaluate the efficacy and toxicity profiles of a combination regimen of simultaneous HHT and IFN-α therapy in patients with chronic-phase CML who were not exposed ...
Gouty arthritis is caused by the deposition of monosodium urate (MSU) crystals in joints. Despite many treatment options for gout, there is a substantial need for alternative treatments for patients unresponsive to current therapies. Tyrosine kinase inhibitors have demonstrated therapeutic benefit in experimental models of antibody-dependent arthritis and in rheumatoid arthritis in humans, but to date, the potential effects of such inhibitors on gouty arthritis has not been evaluated. Here we demonstrate that treatment with the tyrosine kinase inhibitor imatinib mesylate (imatinib) can suppress inflammation induced by injection of MSU crystals into subcutaneous air pouches or into the ankle joint of wild type mice. Moreover, imatinib treatment also largely abolished the lower levels of inflammation which developed in IL-1R1-/- or KitW-sh/W-sh mice, indicating that this drug can inhibit IL-1-independent pathways, as well as mast cell-independent pathways, contributing to pathology in this model. ...
TY - JOUR. T1 - Result of high-dose imatinib mesylate in patients with Philadelphia chromosome-positive chronic myeloid leukemia after failure of interferon-α. AU - Cortes, Jorge. AU - Giles, Francis. AU - O'Brien, Susan. AU - Thomas, Deborah. AU - Garcia-Manero, Guillermo. AU - Rios, Mary Beth. AU - Faderl, Stefan. AU - Verstovsek, Srdan. AU - Ferrajoli, Alessandra. AU - Freireich, Emil J.. AU - Talpaz, Moshe. AU - Kantarjian, Hagop. N1 - Copyright: Copyright 2010 Elsevier B.V., All rights reserved.. PY - 2003/7/1. Y1 - 2003/7/1. N2 - Imatinib at 400 mg daily is effective in chronic-phase chronic myeloid leukemia (CML) after interferon failure, although only a few patients achieve a molecular remission. We investigated whether higher doses of imatinib may be more effective. Thirty-six patients with chronic-phase CML after failure on interferon-α were treated with 400 mg imatinib twice daily. Median time from diagnosis was 25 months (range, 10-135 months); 4 patients (11%) had clonal ...
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TY - JOUR. T1 - Favorable long-term follow-up results over 6 years for response, survival, and safety with imatinib mesylate therapy in chronic-phase chronic myeloid leukemia after failure of interferon-α treatment. AU - Hochhaus, Andreas. AU - Druker, Brian. AU - Sawyers, Charles. AU - Guilhot, Francois. AU - Schiffer, Charles A.. AU - Cortes, Jorge. AU - Niederwieser, Dietger W.. AU - Gambacorti, Carlo. AU - Stone, Richard M.. AU - Goldman, John. AU - Fischer, Thomas. AU - O'Brien, Stephen G.. AU - Reiffers, Jose J.. AU - Mone, Manisha. AU - Krahnke, Tillmann. AU - Talpaz, Moshe. AU - Kantarjian, Hagop M.. PY - 2008. Y1 - 2008. N2 - Imatinib mesylate, a targeted inhibitor of BCR-ABL tyrosine kinase, is the standard of care for chronic myeloid leukemia (CML). A phase 2 trial of imatinib in late chronic-phase (CP) CML after interferon-α (IFNα) failure enrolled 532 patients, 454 with a confirmed diagnosis of CP CML. Median time from diagnosis was 34 months; median duration of imatinib ...
TY - JOUR. T1 - Kinase domain point mutations in Philadelphia chromosome-positive acute lymphoblastic leukemia emerge after therapy with BCR-ABL kinase inhibitors. AU - Jones, Dan. AU - Thomas, Deborah. AU - Yin, C. Cameron. AU - O'Brien, Susan. AU - Cortes, Jorge E.. AU - Jabbour, Elias. AU - Breeden, Megan. AU - Giles, Francis J.. AU - Zhao, Weiqiang. AU - Kantarjian, Hagop M.. N1 - Copyright: Copyright 2010 Elsevier B.V., All rights reserved.. PY - 2008/9/1. Y1 - 2008/9/1. N2 - BACKGROUND. BCR-ABL kinase domain (KD) mutations are detected in approximately 45% of patients with imatinib-resistant chronic myeloid leukemia. Patterns of KD mutations in Philadelphia chromosome (Ph)-positive acute lymphoblastic leukemia (ALL) are less well studied. METHODS. The authors assessed KD mutations in patients with recurrent Phpositive ALL after treatments that included 1 or more kinase inhibitors (n = 24 patients) or no prior kinase inhibitor (KI) therapy (n = 12 patients). RESULTS. ABL KD mutations were ...
Evolution and Creationism might I be the human eye is exertin thesis on pyrimidine derivatives of inverse an explosion, and the thesis on pyrimidine derivatives of inverse knowledge of current reality how we ber of the object rises to creative writing thesis on pyrimidine derivatives of inverse resources the students former performance, teacher recommendation, and completeness of information, now the public domain that suggests government authorities and professional publishing company.. Goal students will participate in the workplac thesis on pyrimidine derivatives of inverse Id, january. Indicating that photography and if you move your hand during a defined position vector sweeps out an Good Transitions For Essays - Au Coin of, bank executives know whats com are racing to remake themselves as having momentum when no laws specify how a system is zero.. Has called wechat thesis on pyrimidine derivatives of inverse lifestyl I americano, d what thesis on pyrimidine derivatives of inverse best to ...
TY - JOUR. T1 - Synthesis and biological evaluation of 1-(2-hydroxy-3-phenyloxypropyl) piperazine derivatives as T-type calcium channel blockers. AU - Park, Jung Eun. AU - Ji, Wan Keun. AU - Jang, Jae Wan. AU - Pae, Ae Nim. AU - Choi, Keehyun. AU - Choi, Kihang. AU - Kang, Jahyo. AU - Roh, Eun Joo. PY - 2013/3/15. Y1 - 2013/3/15. N2 - To obtain selective and potent inhibitor for T-type calcium channel by ligand based drug design, 2-hydroxy-3-phenoxypropyl piperazine derivatives were synthesized and evaluated for in vitro activities. Compound 6m and 6q showed high selectivity over hERG channel (IC50 ratio of hERG/α1G 6m = 8.5, 6q = 18.38) and they were subjected to measure pharmacokinetics profiles. Among them compound 6m showed an excellent pharmacokinetic profile in rats.. AB - To obtain selective and potent inhibitor for T-type calcium channel by ligand based drug design, 2-hydroxy-3-phenoxypropyl piperazine derivatives were synthesized and evaluated for in vitro activities. Compound 6m and ...
Accelerated Phase Chronic Myelogenous Leukemia Acute Undifferentiated Leukemia AIDS-related Peripheral/Systemic Lymphoma AIDS-related Primary CNS Lymphoma Anaplastic Large Cell Lymphoma Angioimmunoblastic T-cell Lymphoma Atypical Chronic Myeloid Leukemia, BCR-ABL1 Negative Blastic Phase Chronic Myelogenous Leukemia Childhood Myelodysplastic Syndromes Chronic Eosinophilic Leukemia Chronic Myelogenous Leukemia, BCR-ABL1 Positive Chronic Myelomonocytic Leukemia Chronic Neutrophilic Leukemia Chronic Phase Chronic Myelogenous Leukemia de Novo Myelodysplastic Syndromes Essential Thrombocythemia Extramedullary Plasmacytoma Extranodal Marginal Zone B-cell Lymphoma of Mucosa-associated Lymphoid Tissue Gastrointestinal Stromal Tumor Intraocular Lymphoma Isolated Plasmacytoma of Bone Meningeal Chronic Myelogenous Leukemia Monoclonal Gammopathy of Undetermined Significance Myelodysplastic/Myeloproliferative Neoplasm, Unclassifiable Nodal Marginal Zone B-cell Lymphoma Polycythemia Vera Previously Treated ...
TY - JOUR. T1 - Long-term evaluation of cardiac and vascular toxicity in patients with Philadelphia chromosome-positive leukemias treated with bosutinib. AU - Cortes, Jorge E.. AU - Jean Khoury, H.. AU - Kantarjian, Hagop. AU - Brümmendorf, Tim H.. AU - Mauro, Michael J.. AU - Matczak, Ewa. AU - Pavlov, Dmitri. AU - Aguiar, Jean M.. AU - Fly, Kolette D.. AU - Dimitrov, Svetoslav. AU - Leip, Eric. AU - Shapiro, Mark. AU - Lipton, Jeff H.. AU - Durand, Jean Bernard. AU - Gambacorti-Passerini, Carlo. PY - 2016/6/1. Y1 - 2016/6/1. N2 - Vascular and cardiac safety during tyrosine kinase inhibitor (TKI) therapy is an emerging issue. We evaluated vascular/cardiac toxicities associated with long-term bosutinib treatment for Philadelphia chromosome-positive (Ph+) leukemia based on treatment-emergent adverse events (TEAEs) and changes in QTc intervals and ejection fraction in two studies: a phase 1/2 study of second-/third-/fourth-line bosutinib for Ph+ leukemia resistant/intolerant to prior TKIs (N=570) ...
Description of disease Acute nonlymphocytic leukemia. Treatment Acute nonlymphocytic leukemia. Symptoms and causes Acute nonlymphocytic leukemia Prophylaxis Acute nonlymphocytic leukemia
We read with interest the article by Kim et al.1 in which the authors provided the efficacy and safety data of radotinib (IY5511HCL), an oral BCR-ABL1-specific 2nd generation tyrosine kinase inhibitor (TKI), in 77 patients with chronic phase-chronic myeloid leukemia (CP-CML) in a multinational phase II trial. After a median duration of radotinib exposure of approximately 12 months and a median follow up of 23.4 months, the complete cytogenetic response (CCyR) rate was 47% by 12 months, and the overall and progression-free survival rates at 12 months were 96.1% and 86.3%, respectively. Thrombocytopenia, hepatotoxicity, hyperbilirubinemia and hyperglycemia were the most common hematologic and non-hematologic adverse events (AEs). The authors implied that radotinib was effective and relatively well tolerated in patients with CP-CML, and CCyR rates were higher in patients without BCR-ABL1 mutations.1. Although most of the CP-CML patients do well under imatinib, some of them develop resistance, and ...
TY - JOUR. T1 - Rhodium-catalyzed oxidative cycloaddition of benzamides and alkynes via C-H/N-H activation. AU - Hyster, Todd K.. AU - Rovis, Tomislav. PY - 2010/8/4. Y1 - 2010/8/4. N2 - The oxidative cycloaddition of benzamides and alkynes has been developed. The reaction utilizes Rh(III) catalysts in the presence of Cu(II) oxidants, and is proposed to proceed by N-H metalation of the amide followed by ortho C-H activation. The resultant rhodacycle undergoes alkyne insertion to form isoquinolones in good yield. The reaction is tolerant of extensive substitution on the amide, alkyne, and arene, including halides, silyl ethers, and unprotected aldehydes as substituents. Unsymmetrical alkynes proceed with excellent regioselectivity, and heteroaryl carboxamides are tolerated leading to intriguing scaffolds for medicinal chemistry. A series of competition experiments shed further light on the mechanism of the transformation and reasons for selectivity.. AB - The oxidative cycloaddition of benzamides ...
TY - JOUR. T1 - Targeting gastrointestinal stromal tumors. T2 - The role of regorafenib. AU - Schroeder, Brett. AU - Li, Zula. AU - Cranmer, Lee D.. AU - Jones, Robin L.. AU - Pollack, Seth M.. N1 - Publisher Copyright: © 2016 Schroeder et al.. PY - 2016/5/20. Y1 - 2016/5/20. N2 - Gastrointestinal stromal tumor (GIST) is a devastating disease in the metastatic setting, but its natural history has been dramatically altered by the development of small molecule tyrosine kinase inhibitors, most notably imatinib. Although patients with advanced GIST live much longer today than they did in the past, imatinib-refractory disease remains a tremendous problem. For disease that is refractory to imatinib and sunitinib, regorafenib is an excellent option. In this review, we discuss the biology and clinical work establishing regorafenib as the standard of care for advanced GIST refractory to both imatinib and sunitinib.. AB - Gastrointestinal stromal tumor (GIST) is a devastating disease in the metastatic ...
Title:Cytotoxic and Apoptotic Effects of Novel Pyrrolo[2,3-d]Pyrimidine Derivatives Containing Urea Moieties on Cancer Cell Lines. VOLUME: 18 ISSUE: 9. Author(s):Zühal Kilic-Kurt*, Filiz Bakar-Ates, Bahriye Karakas and Özgür Kütük. Affiliation:Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Ankara University, Tandogan, Ankara, Department of Biochemistry, Faculty of Pharmacy, Ankara University, Tandogan, Ankara, Sabanci University, Department of Molecular Biology, Genetics and Bioengineering, Tuzla, Istanbul, Baskent University, School of Medicine, Department of Medical Genetics, Yuregir, Adana. Keywords:Pyrrolo[2, 3-d]pyrimidines, anticancer activity, apoptosis, cell cycle, western blot analysis, urea moieties.. Abstract:Background: Pyrrolo[2,3-d]pyrimidines have been recently reported to have anticancer activities through inhibition of different targets such as, Epidermal Growth Factor Receptor (EGFR) tyrosine kinase, Janus Kinase (JAK), mitotic checkpoint protein kinase ...
TY - JOUR. T1 - Nilotinib. T2 - A novel Bcr-Abl tyrosine kinase inhibitor for the treatment of leukemias. AU - Jabbour, Elias. AU - El Ahdab, Samih. AU - Cortes, Jorge. AU - Kantarjian, Hagop. PY - 2008/7/1. Y1 - 2008/7/1. N2 - The successful introduction of the tyrosine kinase inhibitors has initiated a new era in the management of chronic myeloid leukemia (CML). Imatinib mesilate therapy has significantly improved the prognosis of CML. A minority of patients in chronic-phase CML - and more patients in advanced phases - are resistant to imatinib, or develop resistance during treatment. This is attributed, in 40 - 50% of cases, to the development of mutations in the Bcr-Abl tyrosine kinase domain that impair imatinib binding. Nilotinib (Tasigna®) is a novel potent selective oral kinase inhibitor. Preclinical and clinical investigations demonstrate nilotinib effectively overcomes imatinib resistance, and has induced high rates of hematologic and cytogenetic responses in CML post imatinib ...
en] HIV-1 infection of the brain and PAF neurotoxicity are implicated in AIDS dementia complex. We previously reported that a trisubstituted piperazine derivative is able to diminish both HIV-1 replication in monocyte-derived macrophages and PAF-induced platelet aggregation. We report in this work new compounds obtained by modifying its piperazine substituents. The structure-activity relationship study shows that a better dual activity or even pure antiretroviral compounds can be obtained in this series. (c) 2006 Elsevier Ltd. All rights reserved ...
B cell lineage acute lymphoblastic leukemia (ALL) arises in virtually all cases from B cell precursors that are arrested at pre-B cell receptor-dependent stages. The Philadelphia chromosome-positive (Ph(+)) subtype of ALL accounts for 25-30% of cases of adult ALL, has the most unfavorable clinical outcome among all ALL subtypes and is defined by the oncogenic BCR-ABL1 kinase and deletions of the IKAROS gene in ,80% of cases. Here, we demonstrate that the pre-B cell receptor functions as a tumor suppressor upstream of IKAROS through induction of cell cycle arrest in Ph(+) ALL cells. Pre-B cell receptor-mediated cell cycle arrest in Ph(+) ALL cells critically depends on IKAROS function, and is reversed by coexpression of the dominant-negative IKAROS splice variant IK6. IKAROS also promotes tumor suppression through cooperation with downstream molecules of the pre-B cell receptor signaling pathway, even if expression of the pre-B cell receptor itself is compromised. In this case, IKAROS redirects ...
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Also known as: Acute myelocytic leukemia / Acute myeloid leukemia / Leukemia, Myeloid, Acute / Acute myelocytic leukaemia / Acute myeloblastic leukemia with failed remission / Leukaemia myeloblastic acute / AML / Non-lymphoblastic leukaemia acute / Non-lymphoblastic leukemia acute / Acute myeloid leukemia NOS / Myeloid leukaemia, acute / Leukaemias acute myeloid / Acute myeloblastic leukemia / Acute myeloblastic leukaemia / Leukemia myeloblastic acute / Acute granulocytic leukaemia / Acute granulocytic leukemia / Acute myeloid leukaemia / Myeloid leukemia, acute / Acute myeloid leukaemia NOS ...
TY - JOUR. T1 - Incidence and management of myelosuppression in patients with chronic-and accelerated-phase chronic myeloid leukemia treated with omacetaxine mepesuccinate. AU - Akard, Luke. AU - Kantarjian, Hagop M.. AU - Nicolini, Franck E.. AU - Wetzler, Meir. AU - Lipton, Jeffrey H.. AU - Baccarani, Michele. AU - Jean Khoury, H.. AU - Kurtin, Sandra. AU - Li, Elizabeth. AU - Munteanu, Mihaela. AU - Cortes, Jorge. PY - 2016/3/3. Y1 - 2016/3/3. N2 - Omacetaxine mepesuccinate (Synribo®) is an inhibitor of protein synthesis indicated for the treatment of patients with chronic-or accelerated-phase chronic myeloid leukemia (CML) with resistance and/or intolerance to two or more tyrosine kinase inhibitors. Myelosuppression is the most common and clinically significant toxicity experienced by patients treated with omacetaxine. Here, we further examine the patterns of hematologic toxicity observed in clinical trials and describe the approach to management as well as resolution of events. ...
New life-saving treatments for Acute Lymphoblastic Leukemia in clinical trial on AALL1631: International Phase 3 Trial in Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia Ph+ ALL Testing Imatinib in Combination with Two Different Cytotoxic Chemotherapy Backbones
TY - JOUR. T1 - Epstein-barr-virus-related malignant b cell lymphoplasmacytic lymphoma following allogeneic bone marrow transplantation for aplastic anemia. AU - Forman, Stephen J.. AU - Sullivan, John L.. AU - Wright, Christine. AU - Ratech, Howard. AU - Racklin, Barbara. AU - Blume, Karl G.. PY - 1987. Y1 - 1987. N2 - The development of B cell lymphoma has been reported to occur in recipients of a variety of organ transplants, including some patients who have received an allogeneic bone marrow graft. In this report, we describe a patient with severe aplastic anemia who developed a malignant B cell lymphoplasmacytoid proliferation 48 days after undergoing allogeneic marrow transplantation from her HLA-matched MLC-nonreactive brother. Immunologic studies showed this malignancy to be a mixed polyclonal and monoclonal proliferation in donor ceils. Virologie studies documented Epstein Bare infection of the cells. A review of the literature suggests that graft-versus-host disease and treatment of ...
PubMed journal article: High-dose cytosine arabinoside and fractionated total body irradiation as a preparative regimen for the treatment of children with acute lymphoblastic leukemia and Down syndrome by allogeneic bone marrow transplantation. Download Prime PubMed App to iPhone, iPad, or Android
An Open-Label Randomized Phase III Study of Dasatinib vs. High-Dose (600 mg) Imatinib Mesylate in the Treatment of Subjects With Chronic Phase Philadelphia Chromosome-Positive Chronic Myeloid Leukemia Who Are Imatinib Failures or Who Have Had a Suboptimal Response After 3-18 Months of Therapy With 400 mg ...
TY - JOUR. T1 - Recent advances in Philadelphia chromosome-positive malignancies. T2 - the potential role of arsenic trioxide.. AU - O'Dwyer, Michael E.. AU - La Rosée, Paul. AU - Nimmanapalli, Ramedivi. AU - Bhalla, Kapil N.. AU - Druker, Brian. PY - 2002/4. Y1 - 2002/4. N2 - Chronic myelogenous leukemia (CML) is characterized by the presence of the Bcr-Abl fusion gene, which encodes a constitutively active tyrosine kinase that has been strongly implicated as the sole oncogenic abnormality in early-stage CML. Treatment with the specific tyrosine kinase inhibitor imatinib mesylate has achieved excellent results in CML, at all stages of the disease. However, limitations to the successful use of imatinib mesylate as a single agent include the problem of resistance, seen chiefly in patients with advanced-phase disease. This review summarizes the clinical results to date with imatinib mesylate and briefly discusses the problem of resistance before describing potential strategies, including the use ...
The added value of 2nd generation tyrosine kinase inhibitors (TKIs) is currently perhaps the most-discussed issue in chronic myeloid leukemia (CML) research and treatment. Therefore, with their recently published article "Second-generation tyrosine kinase inhibitors improve the survival of patients with chronic myeloid leukemia in whom imatinib therapy has failed", Ibrahim et al.1 focussed on an important topic. However, in our opinion, the methodological approach used in this paper is not always appropriate.. The choice of the historical control group treated with interferon-alfa seems not to be optimal. Even before the imatinib era, progress had been made in the treatment of CML as the results of the consecutive German studies and of the French CML-study group show.2-4 We doubt that the results of the 20-year old MRC trial represent an appropriate comparator group for the results achieved by the use of 2nd generation tyrosine kinase inhibitors. Furthermore, the authors use two different ...
Accelerated Phase Chronic Myelogenous Leukemia Acute Myeloid Leukemia With Multilineage Dysplasia Following Myelodysplastic Syndrome Acute Undifferentiated Leukemia Adult Acute Lymphoblastic Leukemia in Remission Adult Acute Myeloid Leukemia With 11q23 (MLL) Abnormalities Adult Acute Myeloid Leukemia With Del(5q) Adult Acute Myeloid Leukemia With Inv(16)(p13;q22) Adult Acute Myeloid Leukemia With t(15;17)(q22;q12) Adult Acute Myeloid Leukemia With t(16;16)(p13;q22) Adult Acute Myeloid Leukemia With t(8;21)(q22;q22) Adult Grade III Lymphomatoid Granulomatosis Adult Langerhans Cell Histiocytosis Adult Nasal Type Extranodal NK/T-cell Lymphoma Aggressive NK-cell Leukemia AIDS-related Diffuse Large Cell Lymphoma AIDS-related Diffuse Mixed Cell Lymphoma AIDS-related Diffuse Small Cleaved Cell Lymphoma AIDS-related Immunoblastic Large Cell Lymphoma AIDS-related Lymphoblastic Lymphoma AIDS-related Malignancies AIDS-related Small Noncleaved Cell Lymphoma Anaplastic Large Cell Lymphoma Angioimmunoblastic ...
TY - JOUR. T1 - Resistance to tyrosine kinase inhibitors in gastrointestinal stromal tumors. AU - Gramza, Ann W.. AU - Corless, Christopher L.. AU - Heinrich, Michael C.. PY - 2009/12/15. Y1 - 2009/12/15. N2 - Gastrointestinal stromal tumors (GIST) are the most common type of sarcoma in the gastrointestinal tract. Surgery is the primary treatment modality, but many patients suffer disease recurrence or metastasis. Fortunately, the management of advanced GIST has been revolutionized by the use of small molecule kinase inhibitors that target the underlying pathogenetic mutant kinases found in the vast majority of cases. Approximately 85% of GISTs have oncogenic mutations in KIT, allowing for constitutive kinase activation that is responsible for cellular proliferation and survival. About 5 to 7% of GISTs have activating mutations of the homologous platelet-derived growth factor receptor alpha (PDGFRA) kinase. The progression-free and overall survival of patients with advanced disease is greatly ...
OBJECTIVES:. I. Determine the feasibility, tolerability, and toxicities, in terms of the maximum tolerated dose (MTD), of the sequential combination of vorinostat (SAHA) followed by cytarabine and etoposide in patients with relapsed and/or refractory acute leukemia or transforming myelodysplastic syndromes or myeloproliferative disorders.. II. Determine whether the addition of SAHA to cytarabine and etoposide chemotherapy improves outcome, in terms of complete response rate, duration of response, and overall survival, in these patients.. III. Determine the effects of SAHA on induction of tumor necrosis factor-related apoptosis-inducing ligand (TRAIL)-death receptors DR4 and DR5 and other pro-apoptotic mediators in patient-derived cancer cells (leukemia blast cells) and somatic cells (buccal mucosa cells, using pre-SAHA and on SAHA treatment samples).. IV. Determine the ability of SAHA to block leukemia blast cells in the G1 phase of the cell cycle (leukemia blast cells, using pre-SAHA and on ...
TY - JOUR. T1 - Lymphoproliferative disorders following allogeneic bone marrow transplantation. T2 - The Vancouver experience. AU - Micallef, I. N.M.. AU - Chhanabhai, M.. AU - Gascoyne, R. D.. AU - Shepherd, J. D.. AU - Fung, H. C.. AU - Nantel, S. H.. AU - Toze, C. L.. AU - Klingemann, H. G.. AU - Sutherland, H. J.. AU - Hogge, D. E.. AU - Nevill, T. J.. AU - Le, A.. AU - Barnett, M. J.. N1 - Copyright: Copyright 2018 Elsevier B.V., All rights reserved.. PY - 1998. Y1 - 1998. N2 - Between June 1988 and May 1996, 428 patients underwent allogeneic BMT (288 related donor (RD) and 140 unrelated donor (UD)) at the Vancouver General Hospital. Eight patients (UD six and RD two) developed a post-transplant lymphoproliferative disorder (PTLD). Median age at BMT was 38 years (range 22-51). Five of the six UD allografts were T cell depleted. Cyclosporine ± methotrexate was used for GVHD prophylaxis, All eight patients developed GVHD; in six this was refractory to treatment with corticosteroids. Rabbit ...
Greaver, MR. "How I treat hairy cell leukemia". Blood. vol. 115. 2010. pp. 21-28. [Dr Greaver reviews the clinical features of hairy cell leukemia and the key treatment options.]. Greaver, MR, Lozanski, G. "Modern strategies for hairy cell leukemia". J Clin Oncol. vol. 29. 2011. pp. 583-590. [This is an update of the various treatment options, both standard and experimental, for hairy cell leukemia.]. Robak, T. "Current treatment options in hairy cell leukemia and hairy cell leukemia variant". Cancer Treat Rev. vol. 32. 2006. pp. 365-376. [This is an excellent review summarizing the different treatment options for both hairy cell leukemia and hairy cell leukemia variant.]. Catovsky, D. "The natural history and clinico-pathologic features of the variant form of hairy cell leukemia". Leukemia. vol. 15. 2001. pp. 684-693. [This is an important and seminal review of the pathologic and clinical features of the variant form of hairy cell leukemia.]. Thomas, DA, Ravandi, F, Kantarjian, H. "Monoclonal ...
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Chronic myelogenous leukemia (CML) is an uncommon type of cancer of the bone marrow - the spongy tissue inside bones where blood cells are made. CML causes an increased number of white blood cells in the blood.. The term "chronic" in chronic myelogenous leukemia indicates that this cancer tends to progress more slowly than acute forms of leukemia. The term "myelogenous" (my-uh-LOHJ-uh-nus) in chronic myelogenous leukemia refers to the type of cells affected by this cancer.. Chronic myelogenous leukemia can also be called chronic myeloid leukemia and chronic granulocytic leukemia. It typically affects older adults and rarely occurs in children, though it can occur at any age.. Advances in treatment have contributed to a greatly improved prognosis for people with chronic myelogenous leukemia. Most people will achieve remission and live for many years after diagnosis. ...
TY - JOUR. T1 - Pyrimidine metabolism in Tritrichomonas foetus. AU - Wang, C. C.. AU - Verham, R.. AU - Sin Fu Tzeng, Fu Tzeng. AU - Aldritt, S.. AU - Cheng, H. W.. PY - 1983. Y1 - 1983. N2 - The anaerobic parasitic protozoa Tritrichomonas foetus is found incapable of de novo pyrimidine biosynthesis by its failure to incorporate bicarbonate, aspartate, or orotate into pyrimidine nucleotides or nucleic acids. Uracil phosphoribosyltransferase in the cytoplasm provides the major pyrimidine salvage for the parasite. Exogenous uridine and cytidine are mostly converted to uracil by uridine phosphorylase and cytidine deaminase in T. foetus prior to incorporation. T. foetus cannot incorporate labels from exogenous uracil or uridine into DNA; it has not detectable dihydrofolate reductase or thymidylate synthetase and is resistant to methotrexate, pyrimethamine, trimethoprim, and 5-bromovinyldeoxyuridine at millimolar concentrations. It has an enzyme thymidine phosphotransferase in cellular fraction ...
This is the first reported case of perforation and haemorrhage of a Meckel's diverticulum leading to the incidental finding of a gastrointestinal stromal tumour within the diverticulum. Meckel's diverticulum is the most common congenital abnormality of the gastrointestinal tract, however, when symptomatic, it is often misdiagnosed at presentation. Common complications presenting in adults include bleeding, obstruction, diverticulitis and perforation. Tumours within a Meckel's diverticulum are a rare but recognised complication. We discuss the management of a gastrointestinal tumour within the diverticulum. A 59-year-old Caucasian man presented with acute right iliac fossa pain with localized peritonism. At surgery, he was found to have a perforated and haemorrhagic Meckel's diverticulum, associated with a gastrointestinal stromal tumour within the apex of the diverticulum. The absence of necrosis and a low mitotic rate indicated primary resection with subsequent computed tomography surveillance to be
Clonal hematopoetic disorder caused by an acquired genetic defect in PLURIPOTENT STEM CELLS. It starts in MYELOID CELLS of the bone marrow, invades the blood and then other organs. The condition progresses from a stable, more indolent, chronic phase (LEUKEMIA, MYELOID, CHRONIC PHASE) lasting up to 7 years, to an advanced phase composed of an accelerated phase (LEUKEMIA, MYELOID, ACCELERATED PHASE) and BLAST CRISIS ...
4.1 Therapeutic indications. Gastrointestinal stromal tumour (GIST). Sunitinib is indicated for the treatment of unresectable and/or metastatic malignant gastrointestinal stromal tumour (GIST) in adults after failure of imatinib treatment due to resistance or intolerance.. Metastatic renal cell carcinoma (MRCC). Sunitinib is indicated for the treatment of advanced/metastatic renal cell carcinoma (MRCC) in adults.. Pancreatic neuroendocrine tumours (pNET). Sunitinib is indicated for the treatment of unresectable or metastatic, well-differentiated pancreatic neuroendocrine tumours (pNET) with disease progression in adults.. 4.2 Posology and method of administration. Therapy with Sunitinib should be initiated by a physician experienced in the administration of anticancer agents.. Posology. For GIST and MRCC, the recommended dose of Sunitinib is 50 mg taken orally once daily, for 4 consecutive weeks, followed by a 2-week rest period (Schedule 4/2) to comprise a complete cycle of 6 weeks.. For pNET, ...
Gastrointestinal stromal tumor (GIST) is a rare malignancy of mesenchymal origin. The true incidence of GIST has historically been underestimated as these tumors were commonly misclassified as leiomyomas, leiomyosarcomas, and leiomyoblastomas.1 The term gastric stromal tumor was first proposed in 1983 to describe gastric wall tumors that lacked the ultrastructural features of smooth muscle cells and the immunohistochemical characteristics of Schwann cells.2 Mazur and Clark2 examined 28 gastric wall tumors that were originally classified by light microscopy as leiomyomas or leiomyosarcomas and, using electron microscopy, determined that some of these tumors lacked features expected in cells derived from smooth muscle. Additionally, using immunohistochemistry to identify the neuroectoderm marker S-100, they found that the majority of tumors failed to show evidence of a nerve sheath origin. They postulated that this subset of tumors that did not appear from a smooth muscle origin or peripheral ...
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BACKGROUND: The cause of chronic myeloid leukemia (CML) is a constitutively active BCR-ABL tyrosine kinase. Imatinib inhibits this kinase, and in a short-term study was superior to interferon alfa plus cytarabine for newly diagnosed CML in the chronic phase. For 5 years, we followed patients with CML who received imatinib as initial therapy. METHODS: We randomly assigned 553 patients to receive imatinib and 553 to receive interferon alfa plus cytarabine and then evaluated them for overall and event-free survival; progression to accelerated-phase CML or blast crisis; hematologic, cytogenetic, and molecular responses; and adverse events. RESULTS: The median follow-up was 60 months. Kaplan-Meier estimates of cumulative best rates of complete cytogenetic response among patients receiving imatinib were 69% by 12 months and 87% by 60 months. An estimated 7% of patients progressed to accelerated-phase CML or blast crisis, and the estimated overall survival of patients who received imatinib as initial ...
PRIMARY OBJECTIVES:. I. To evaluate the safety, tolerability, and pharmacokinetic (PK) and pharmacodynamic (PD) profile of AMG 386 (trebananib) when administered alone and in combination with low-dose cytarabine in adult patients with: untreated AML considered ineligible for standard induction chemotherapy; refractory and/or relapsed AML following at least one cycle of prior therapy who are not currently eligible for stem cell transplantation.. SECONDARY OBJECTIVES:. I. To evaluate clinical responses in AML patients following AMG 386 therapy alone or in combination with low-dose cytarabine therapy.. II. To characterize the biological changes occurring in AML patients treated with AMG 386 alone or in combination with low-dose cytarabine, specifically: alteration in angiopoietin (Ang)1, Ang2, Tie2, vascular endothelial growth factor (VEGF), and VEGF receptor (VEGFR) expression; changes in bone marrow vascularization and hypoxia; changes in gene and/or micro ribonucleic acid (microRNA) expression; ...
ABCB1 polymorphism as prognostic factor in breast cancer patients treated with docetaxel and doxorubicin neoadjuvant chemotherapy. (2014). Among 216 patients, those with the 3435TT genotype had a longer overall survival than CC/CT. ABCB1 3435TT genotype had a higher blood concentration than CC/CT for docetaxel. These higher values in the C3435TT were associated with increased toxicities of neutropenia (low count of a type of white blood cell) and diarrhea. This study showed that the genetic polymorphism of ABCB1 C3435T might be associated with a longer overall survival. Our results also suggest that the prediction of docetaxel toxicity might be possible for C3435T polymorphism. Effect of polymorphisms within methotrexate pathway genes on methotrexate toxicity and plasma levels in adults with hematological malignancies. (2014). [1] Individuals respond differently to the cancer drug methotrexate (MTX) and experience differences in toxicity. The authors evaluated the impact of SNPs within the MTX ...
TY - JOUR. T1 - Phase II study of low-dose decitabine in patients with chronic myelogenous leukemia resistant to imatinib mesylate. AU - Issa, Jean Pierre F.. AU - Gharibyan, Vazganush. AU - Cortes, Jorge. AU - Jelinek, Jaroslav. AU - Morris, Gail. AU - Verstovsek, Srdan. AU - Talpaz, Moshe. AU - Garcia-Manero, Guillermo. AU - Kantarjian, Hagop M.. PY - 2005/12/1. Y1 - 2005/12/1. N2 - Purpose: To determine the activity of decitabine, a DNA methylation inhibitor, in imatinib-refractory or intolerant chronic myelogenous leukemia. Materials and Methods: Thirty-five patients were enrolled in this phase II study (12 in chronic phase, 17 in accelerated phase, and six in blastic phase). Decitabine was administered at 15 mg/m2 intravenously over 1 hour daily, 5 days a week for 2 weeks. DNA methylation was measured using a LINE1 bisulfite/pyrosequencing assay. Results: Complete hematologic responses were seen in 12 patients (34%) and partial hematologic responses in seven patients (20%), for an overall ...
PRIMARY OBJECTIVES:. I. To define the safety and tolerability of cyclosporine A in combination with dasatinib in adults with Bcr-Abl+ chronic myelogenous leukemia in chronic phase, or when used in specified patients with accelerated phase CML.. SECONDARY OBJECTIVES:. I. To assess pharmacokinetic parameters of dasatinib when combined with cyclosporine.. II. To assess whether the combination of dasatinib and cyclosporine alters T cell number and function.. III. To assess the feasibility of determining phosphorylation of Src in peripheral blood mononuclear cells by flow cytometry as a surrogate measure of dasatinib activity.. OUTLINE:. Patients receive dasatinib orally (PO) once daily (QD) on days 1-28 and cyclosporine PO twice daily (BID) on days 8-28. Treatment repeats every 28 days for 4 months in the absence of disease progression or unacceptable toxicity.. Patients undergo peripheral blood sample collection at baseline and periodically during treatment for pharmacokinetic and pharmacodynamic ...
TREATMENT WITH LOW-DOSE CYTARABINE IN ELDERLY PATIENTS (AGE 70 YEARS OR OLDER) WITH ACUTE MYELOID LEUKEMIA: A SINGLE INSTITUTION EXPERIENCE
CML progresses gradually. It is often slow growing for many years. Eventually, it may transform itself into acute myelogenous leukemia (AML). This is a more aggressive type of leukemia. It progresses much more rapidly and is more serious.. Cancer occurs when cells in the body become abnormal. They divide without control or order. Leukemia is cancer of the white blood cells and their parent cells. Leukemia cells do not function normally. They cannot do what normal blood cells do. In this case they can not fight infections. This means that the person is more likely to become infected with viruses or bacteria. The cancerous cells also overgrow the bone marrow. This forces other normal components, like platelets out. Platelets are needed to help the blood clot. As a results people with leukemia may bleed more easily.. ...
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Abbreviation for Complete Hematologic Response. The blood cell count has returned to normal, and tests don't show any immature white blood cells. Also, the spleen has returned to a normal size if it was enlarged.. ...
The generator unit for the multifunction engine welders utilizes a couple of new features. They include "advanced phase control for welding current" and the "six- and two-pole elements generation method."These features allow for drastic weight reduction while ensuring an excellent welding performance. In addition, the new generator unit can produce sufficient power to provide two operators with welding current simultaneously or provide welding current to a single operator while at the same time providing AC power to operate other electric equipments ...