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  1. Dokkyo Medical Journal
  2. 3(4) 2024

Predictive Factors of Patients with Chronic Phase Chronic Myeloid Leukemia Treated with Tyrosine Kinase Inhibitor

https://dmu.repo.nii.ac.jp/records/2000494
https://dmu.repo.nii.ac.jp/records/2000494
9506bb27-0990-46d5-a55c-27ae8d82bca2
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DKMJ-3-4-4.pdf DKMJ-3-4-4.pdf (210 KB)
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Item type 学術雑誌論文 / Journal Article(1)
タイトル
タイトル Predictive Factors of Patients with Chronic Phase Chronic Myeloid Leukemia Treated with Tyrosine Kinase Inhibitor
言語 en
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 Chronic Myeloid Leukemia
キーワード
言語 en
主題Scheme Other
主題 predictive factors
キーワード
言語 en
主題Scheme Other
主題 treatment response
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
著者 Rena, Ni Made Renny Anggreni

× Rena, Ni Made Renny Anggreni

en Rena, Ni Made Renny Anggreni

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Suega, Ketut

× Suega, Ketut

en Suega, Ketut

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Bakta, I Made

× Bakta, I Made

en Bakta, I Made

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書誌情報 en : Dokkyo Medical Journal

巻 3, 号 4, p. 272-280, 発行日 2024-12-25
記事種別
値 Original
内容記述
内容記述タイプ Abstract
内容記述 Background: Chronic Myeloid Leukemia (CML) is a hematological malignancy caused by an abnormality of the Philadelphia chromosome. Along with the development of CML treatment, the discovery of tyrosine kinase inhibitors (TKI) paved the way for CML patient and lead to longer survival rate. It is very important to know whether the treatment response is successful or not as well as the predictive factors that can improve the therapeutic response of CML patients treated with TKI.

Methods: This study is an observational cohort study conducted for 12 months long and involving 40 CML patients treated with TKI, both hematological and molecular therapy response were evaluated in this study. We analyzed some predictive factors such as relationship between early clinical and laboratory symptoms before the treatment by TKI and treatment response and the relationship between Eutos, Sokal and Hasford scores and treatment response.

Results: A total of 40 chronic phase CML patients, consist of 25 men (62.5%) and 15 women (37.5%) with mean age of 37 years. Most common clinical manifestation was weight loss (100%), followed by splenomegaly in 39 people (97.5%). Complete Hematologic Response (CHR) after 3 months of TKI therapy was achieved by 15 patients (37.5%). The number of patients who achieved 6-months CHR increased to 19 patients (47.5%). Among 37 samples who performed quantitative examination on fusion of the breakpoint cluster region (BCR) gene on chromosome 22 gene in band q11 and Abelson murine leukemia (ABL1) gene on chromosome 9 band q34 (BCR-ABL), 20 patients (54%) achieved major molecular response (MMR), and the remaining 17 (45.9%) had not yet achieved MMR. We found significant relationship between basophils and quantitative BCR-ABL levels (p < 0.01). We didn't find any relationships between these three scores (Eutos, Sokal and Hasford) with treatment response, both hematological and molecular treatment response.

Conclusions: The prevalence of CHR at 3 months was 37.5% meanwhile prevalence of MMR after 12 months was 54%. We found that basophil percent at 3 months after treatment is predictive factor and significantly associated with quantitative BCR-ABL levels (p < 0.05).
言語 en
出版者
出版者 Dokkyo Medical Society
ISSN
収録物識別子タイプ EISSN
収録物識別子 2436-522X
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA12941861
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.51040/dkmj.2024-003
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
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