Table 4.

Pgp Upregulation Ex Vivo Before Treatment Correlated With the Subsequent Pgp Changes In Vivo After Chemotherapy

Patient Diagnosis (patient no.)Ex Vivo In Vivo
Pgp Status4-150
No Drug IDAMX2 EPI4-151Actual Treatment (drugs) Response to Treatment Pgp Status on Subsequent Presentation (time after initial chemotherapy)4-150
AML (1)  1.0  1.23  1.34  1.23 IDA/AraC  Refractory  1.76 (3 mo)  
BT-CML (7)  0.75 1.50  2.46  2.61  Hydroxyurea  Refractory  1.19 (1 mo)  
BT-CML (8)  0.87  2.20  2.30  3.27 Hydroxyurea/AraC  Refractory  1.51 (5 mo) 
Patient Diagnosis (patient no.)Ex Vivo In Vivo
Pgp Status4-150
No Drug IDAMX2 EPI4-151Actual Treatment (drugs) Response to Treatment Pgp Status on Subsequent Presentation (time after initial chemotherapy)4-150
AML (1)  1.0  1.23  1.34  1.23 IDA/AraC  Refractory  1.76 (3 mo)  
BT-CML (7)  0.75 1.50  2.46  2.61  Hydroxyurea  Refractory  1.19 (1 mo)  
BT-CML (8)  0.87  2.20  2.30  3.27 Hydroxyurea/AraC  Refractory  1.51 (5 mo) 
F4-150

Pgp status was expressed as the ratio of the arithmetic mean of fluorescence (MCF) of MRK 16-labeled cells versus IGg2a-labeled controls.

F4-151

Blasts were treated with 20 ng/mL IDA, 50 ng/mL MX2, or 100 ng/mL EPI for 16 hours before being subjected to Pgp analysis as described in Materials and Methods.

All 3 patients died as a result of disease progression.

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