Document Detail

Ida-FLAG plus imatinib mesylate-induced molecular remission in a patient with chemoresistant Ph1+ acute myeloid leukemia.
MedLine Citation:
PMID:  14962264     Owner:  NLM     Status:  MEDLINE    
Imatinib mesylate is a potent, selective inhibitor of the tyrosine kinase activity of bcr-abl,which is now established as the state-of-the-art treatment for chronic, accelerated or even blastic phase of Philadelphia-positive [Ph(1)(+)] chronic myelogenous leukemia. It is also active in Ph(1)(+) acute lymphoblastic leukemia, but its role in Ph(1)(+) acute myeloid leukemia (AML) is less well investigated. We report here a patient with chemoresistant Ph(1)(+) AML, who responded promptly to one cycle of Ida-FLAG second-line chemotherapy by achieving complete morphologic, immunophenotypic, and cytogenetic remission but not a molecular one. The addition of imatinib mesylate led to a molecular remission, which is sustained for 10 months so far.
Nora-Athina Viniou; Theodoros P Vassilakopoulos; Xanthi Giakoumi; Marina Mantzouranis; Gerassimos A Pangalis
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of haematology     Volume:  72     ISSN:  0902-4441     ISO Abbreviation:  Eur. J. Haematol.     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-02-13     Completed Date:  2004-03-05     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8703985     Medline TA:  Eur J Haematol     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  58-60     Citation Subset:  IM    
First Department of Internal Medicine, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece.
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MeSH Terms
Antineoplastic Agents / therapeutic use
Antineoplastic Combined Chemotherapy Protocols / administration & dosage,  therapeutic use*
Cytarabine / administration & dosage
Filgrastim / administration & dosage
Idarubicin / administration & dosage
Leukemia, Myelogenous, Chronic, BCR-ABL Positive / drug therapy*
Piperazines / therapeutic use*
Pyrimidines / therapeutic use*
Salvage Therapy
Treatment Outcome
Vidarabine / administration & dosage,  analogs & derivatives*
Reg. No./Substance:
0/Antineoplastic Agents; 0/Ida-FLAG protocol; 0/Piperazines; 0/Pyrimidines; 121181-53-1/Filgrastim; 147-94-4/Cytarabine; 152459-95-5/imatinib; 5536-17-4/Vidarabine; 58957-92-9/Idarubicin

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