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Erschienen in: Current Oncology Reports 5/2012

01.10.2012 | Leukemia (A Aguayo, Section Editor)

Philadelphia-Positive Acute Lymphoblastic Leukemia: Current Treatment Options

verfasst von: Theresa Liu-Dumlao, Hagop Kantarjian, Deborah A. Thomas, Susan O’Brien, Farhad Ravandi

Erschienen in: Current Oncology Reports | Ausgabe 5/2012

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Abstract

The Philadelphia chromosome (Ph), t(9;22), is seen in about 20 % to 30 % of adults diagnosed with acute lymphoblastic leukemia (ALL). It has been associated with poorer prognosis compared with Ph-negative ALL. Tyrosine kinase inhibitors (TKIs) targeting the BCR-ABL oncogenic protein from this translocation have been incorporated into treatment regimens used to treat patients with Ph-positive ALL. Imatinib has been the most widely used TKI with several published trials showing it produced better outcomes when combined with chemotherapy. Dasatinib, a more potent inhibitor than imatinib, has also been evaluated with promising results. However, relapses still occur at a high rate, and allogeneic stem cell transplant is considered, so far, a better curative option in first remission. Additional strategies have also included incorporation of TKIs in the post-transplant setting and the use of newer third generation TKIs. This review provides an update on emerging therapies for adults with Ph-positive ALL.
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Metadaten
Titel
Philadelphia-Positive Acute Lymphoblastic Leukemia: Current Treatment Options
verfasst von
Theresa Liu-Dumlao
Hagop Kantarjian
Deborah A. Thomas
Susan O’Brien
Farhad Ravandi
Publikationsdatum
01.10.2012
Verlag
Current Science Inc.
Erschienen in
Current Oncology Reports / Ausgabe 5/2012
Print ISSN: 1523-3790
Elektronische ISSN: 1534-6269
DOI
https://doi.org/10.1007/s11912-012-0247-7

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